Knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS)
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| Title: | Knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS) |
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| Authors: | De Morgan, Simone1 simoned@ihug.com.au, Redman, Sally2, D’Este, Catherine3, Rogers, Kris2 |
| Source: | Patient Education & Counseling. Jul2011, Vol. 84 Issue 1, p62-68. 7p. |
| Subject Terms: | Cancer in women, Medical decision making, Ductal carcinoma, Adenocarcinoma, Breast cancer treatment, Health literacy, Well-being, Therapeutics |
| Abstract: | Objective: To assess knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS) and to explore the factors associated with less knowledge and greater confusion about DCIS. Methods: A cross-sectional survey of women diagnosed with DCIS in Australia (N =144). Results: This study found misunderstanding and confusion amongst women diagnosed with DCIS and a desire for more information about their breast disease. Approximately half of participants worried about their breast disease metastasizing; approximately half expressed high decisional conflict; 12% were anxious and 2% were depressed. Logistic regression analysis demonstrated that worry about dying from the breast disease was significantly associated with not knowing that DCIS could not metastasize (OR 3.9; 95% CI 1.03–14.25); and confusion about whether DCIS could metastasize was significantly associated with dissatisfaction with information (OR 12.5; 95% CI 3.8–40.2). Conclusion: Good communication about how DCIS differs from invasive breast cancer is essential to alleviating the confusion and worry amongst women with DCIS. Practice implications: Recommendations about how best to communicate a diagnosis of DCIS, including the uncertainties, are needed to guide health professionals to promote better understanding about DCIS and increase the well-being of women with DCIS. [Copyright &y& Elsevier] |
| Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 61256455 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS) – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22De+Morgan%2C+Simone%22">De Morgan, Simone</searchLink><relatesTo>1</relatesTo><i> simoned@ihug.com.au</i><br /><searchLink fieldCode="AR" term="%22Redman%2C+Sally%22">Redman, Sally</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22D’Este%2C+Catherine%22">D’Este, Catherine</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Rogers%2C+Kris%22">Rogers, Kris</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Jul2011, Vol. 84 Issue 1, p62-68. 7p. – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Cancer+in+women%22">Cancer in women</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+decision+making%22">Medical decision making</searchLink><br /><searchLink fieldCode="DE" term="%22Ductal+carcinoma%22">Ductal carcinoma</searchLink><br /><searchLink fieldCode="DE" term="%22Adenocarcinoma%22">Adenocarcinoma</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer+treatment%22">Breast cancer treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: To assess knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS) and to explore the factors associated with less knowledge and greater confusion about DCIS. Methods: A cross-sectional survey of women diagnosed with DCIS in Australia (N =144). Results: This study found misunderstanding and confusion amongst women diagnosed with DCIS and a desire for more information about their breast disease. Approximately half of participants worried about their breast disease metastasizing; approximately half expressed high decisional conflict; 12% were anxious and 2% were depressed. Logistic regression analysis demonstrated that worry about dying from the breast disease was significantly associated with not knowing that DCIS could not metastasize (OR 3.9; 95% CI 1.03–14.25); and confusion about whether DCIS could metastasize was significantly associated with dissatisfaction with information (OR 12.5; 95% CI 3.8–40.2). Conclusion: Good communication about how DCIS differs from invasive breast cancer is essential to alleviating the confusion and worry amongst women with DCIS. Practice implications: Recommendations about how best to communicate a diagnosis of DCIS, including the uncertainties, are needed to guide health professionals to promote better understanding about DCIS and increase the well-being of women with DCIS. [Copyright &y& Elsevier] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.pec.2010.07.002 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 62 Subjects: – SubjectFull: Cancer in women Type: general – SubjectFull: Medical decision making Type: general – SubjectFull: Ductal carcinoma Type: general – SubjectFull: Adenocarcinoma Type: general – SubjectFull: Breast cancer treatment Type: general – SubjectFull: Health literacy Type: general – SubjectFull: Well-being Type: general – SubjectFull: Therapeutics Type: general Titles: – TitleFull: Knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS) Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: De Morgan, Simone – PersonEntity: Name: NameFull: Redman, Sally – PersonEntity: Name: NameFull: D’Este, Catherine – PersonEntity: Name: NameFull: Rogers, Kris IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2011 Type: published Y: 2011 Identifiers: – Type: issn-print Value: 07383991 Numbering: – Type: volume Value: 84 – Type: issue Value: 1 Titles: – TitleFull: Patient Education & Counseling Type: main |
| ResultId | 1 |
