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- Title
Decision Making in Cancer Primary Prevention and Chemoprevention.
- Authors
Gorin, Sherri Sheinfeld; Wang, Catharine; Raich, Peter; Bowen, Deborah J.; Hay, Jennifer
- 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.
- Subjects
DECISION making; CANCER prevention; CHEMOPREVENTION; HEALTH behavior; PAPILLOMAVIRUSES; TAMOXIFEN
- Publication
Annals of Behavioral Medicine, 2006, Vol 32, Issue 3, p179
- ISSN
0883-6612
- Publication type
Article
- DOI
10.1207/s15324796abm3203_3