Decision making in cancer primary prevention and chemoprevention Journal Article


Authors: Gorin, S. S.; Wang, C.; Raich, P.; Bowen, D. J.; Hay, J.
Article Title: Decision making in cancer primary prevention and chemoprevention
Abstract: Background: We know very little about how individuals decide to undertake, maintain, or discontinue cancer primary prevention or chemoprevention. Purpose: The aims of this article are to (a) examine whether and, if so, how traditional health behavior change models are relevant for decision making in this area; (b) review the application of decision aids to forming specific, personal choices between options; and (c) identify the challenges of evaluating these decision processes to suggest areas for future research. Methods: Theoretical models and frameworks derived from the health behavior change and decision-making fields were applied to cancer primary prevention choices. Decision aids for the human papillomavirus (HPV) vaccine, Hormone Replacement Therapy (HRT), and tamoxifen were systematically examined. Results: Traditional concepts such as decisional balance and cues to action are relevant to understanding cancer primary prevention choices; Motivational Interviewing, Self-Determination Theory, and the Preventive Health Model may also explain the facilitators of decision making. There are no well-tested HPV vaccine decision aids, although there have been some studies on aids for HPV testing. There are several effective decision aids for HRT and tamoxifen; evidence-based decision aid components have also been identified. Conclusions: Additional theory-based empirical research on decision making in cancer primary prevention and chemoprevention, particularly at the interface of psychology and behavioral economics, is suggested. © 2006 by The Society of Behavioral Medicine.
Keywords: conference paper; neoplasms; cancer prevention; chemoprophylaxis; risk factors; health behavior; motivation; practice guideline; breast neoplasms; tamoxifen; forecasting; decision making; patient attitude; primary prevention; theoretical model; hormone substitution; wart virus; papillomavirus infections; hormone replacement therapy; preventive medicine; papillomavirus vaccines; chemoprevention
Journal Title: Annals of Behavioral Medicine
Volume: 32
Issue: 3
ISSN: 0883-6612
Publisher: Springer  
Date Published: 2006-01-01
Start Page: 179
End Page: 187
Language: English
DOI: 10.1207/s15324796abm3203_3
PUBMED: 17107290
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 7" - "Export Date: 4 June 2012" - "CODEN: ABMEE" - "Source: Scopus"
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  1. Jennifer L Hay
    164 Hay