Decision making in cancer primary prevention and chemoprevention

  • S.S. G
  • C. W
  • P. R
 et al. 
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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.

Author-supplied keywords

  • *cancer prevention
  • *chemoprophylaxis
  • *decision making
  • *primary prevention
  • Wart virus
  • conference paper
  • health behavior
  • hormone substitution
  • human
  • motivation
  • patient attitude
  • practice guideline
  • preventive medicine
  • tamoxifen
  • theoretical model

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  • Gorin S.S.

  • Wang C.

  • Raich P.

  • Bowen D.J.

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