Women's preferences for selective estrogen reuptake modulators: An investigation using protection motivation theory

• Published in: Patient education and counseling Vol. 96; no. 1; pp. 106 - 112
• Main Authors: Ralph, Angelique F, Ager, Brittany, Bell, Melanie L, Collins, Ian M, Andrews, Lesley, Tucker, Kathy, Phillips, Kelly-Anne, Butow, Phyllis
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier Ireland Ltd 01.07.2014
• Subjects: Adult; Australia; BRCA1; Breast cancer; Breast Neoplasms - genetics; Breast Neoplasms - prevention & control; Chemoprevention; Decision Making; Efficacy; Female; Health Knowledge, Attitudes, Practice; Humans; Intention; Internal Medicine; Middle Aged; Models, Psychological; Motivation; Nursing; Oestrogen; Patient Acceptance of Health Care - psychology; Patient Preference; Patient preferences; Protection motivation theory; Regression Analysis; Risk perception; Selective Estrogen Receptor Modulators - administration & dosage; SERMs; Women; Australia; Patient preferences; Breast cancer; BRCA1; SERMs; Protection motivation theory; Chemoprevention
• ISSN: 0738-3991; 1873-5134
• DOI: 10.1016/j.pec.2014.04.011

Abstract Objective Selective estrogen receptor modulators (SERMs) reduce breast cancer risk by 38%. However, uptake is low and the reasons are not well understood. This study applied protection motivation theory (PMT) to determine factors associated with intention to take SERMs. Methods Women at increased risk of breast cancer ( N = 107), recruited from two familial cancer clinics in Australia, completed a questionnaire containing measures of PMT constructs. Hierarchical multiple linear regression analysis was used to analyze the data. Results Forty-five percent of women said they would be likely or very likely to take SERMs in the future. PMT components accounted for 40% of variance in intention to take SERMs. Perceived vulnerability, severity and response efficacy appeared the most influential in women's decisions to take or not take SERMs. Conclusion Many women are interested in SERMs as a risk management option. Accurate risk estimation and an understanding of the benefits of SERMs are critical to women's decision making. Practice implications Health professionals need to explore women's perceptions of their risk and its consequences, as well as providing clear evidence-based information about the efficacy of SERMs. Exploring the source and strength of beliefs about SERMs may allow more effective, tailored counseling.