Shared decision-making - Rhetoric and reality: Women's experiences and perceptions of adjuvant treatment decision-making for breast cancer

J Health Psychol. 2019 Jul;24(8):1082-1092. doi: 10.1177/1359105316689141. Epub 2017 Jan 20.

Abstract

This interview-based study uses phenomenology as a theoretical framework and thematic analysis to challenge existing explanatory frameworks of shared decision-making, in an exploration of women's experiences and perceptions of shared decision-making for adjuvant treatment in breast cancer. Three themes emerged are as follows: (1) women's desire to participate in shared decision-making, (2) the degree to which shared decision-making is perceived to be shared and (3) to what extent are women empowered within shared decision-making. Studying breast cancer patients' subjective experiences of adjuvant treatment decision-making provides a broader perspective on patient participatory role preferences and doctor-patient power dynamics within shared decision-making for breast cancer.

Keywords: breast cancer; patient experience; phenomenology; qualitative methods; shared decision-making.

MeSH terms

  • Adult
  • Breast Neoplasms / therapy*
  • Decision Making*
  • Empowerment*
  • Female
  • Humans
  • Middle Aged
  • Patient Participation*
  • Patient Preference*
  • Physician-Patient Relations*
  • Qualitative Research