Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Health locus of control in cancer patient and oncologist decision-making: An exploratory qualitative study.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: San Francisco, CA : Public Library of Science
    • الموضوع:
      Clinical Decision-Making* ; Decision Making, Shared* ; Neoplasms* ; Surveys and Questionnaires*; Adult ; Aged ; Family ; Female ; Humans ; Internal-External Control ; Male ; Middle Aged ; Oncologists ; Qualitative Research
    • نبذة مختصرة :
      Objective: To investigate how cancer patients' and family members' perspective and health locus of control are presented in clinical encounter decision-making.
      Methods: Semi-structured in-depth interviews were carried out with 16 cancer patients and 6 family members living in Israel (n = 22). Interviews were transcribed verbatim, and data were analyzed using thematic analysis.
      Results: Following the health locus of control model, the findings were divided into an external and internal locus of control themes, and we added a theme regarding shared decision-making. Internal locus of control sub-themes included asking for a second opinion, negotiating with the doctor, asking questions, looking for information, and fighting for their rights. External locus of control sub-themes included powerful others, oncologists, and fate. The dominant approach of most of the interviewees was an external locus of control. Women demonstrated more external locus of control than men. On the direct question of who should decide on treatment-the doctor, the patient, or both jointly-the answers ranged from only the doctor (n = 8) to together (n = 7) to only the patient (n = 8).
      Conclusions: This study provides insights into different aspects of locus of control in the clinical encounter involving cancer patients. The findings reflect the need to devote comprehensive attention to cancer patients' perceptions and experiences in the clinical encounter. A patient-centered care approach and a personalized framework for decision-making in cancer care are essential to achieving better treatment outcomes. Further research can engage in the development and validation of an up-to-date health locus of control questionnaire for cancer patients based on the findings of this study.
      Competing Interests: The authors have declared that no competing interests exist.
    • References:
      J Palliat Care. 2019 Jan;34(1):29-31. (PMID: 30382006)
      Ecancermedicalscience. 2019 Mar 28;13:912. (PMID: 31123495)
      J Pers Assess. 1994 Dec;63(3):534-53. (PMID: 7844739)
      Front Psychol. 2018 Jun 26;9:1086. (PMID: 29997558)
      Psychol Health Med. 2016 Jul;21(5):601-7. (PMID: 26821193)
      Contemp Oncol (Pozn). 2019;23(2):115-120. (PMID: 31316295)
      Oncologist. 2019 Apr;24(4):555-562. (PMID: 30190300)
      J Health Psychol. 2005 Sep;10(5):623-31. (PMID: 16033784)
      Psychooncology. 2015 Aug;24(8):950-7. (PMID: 25644618)
      J Cancer Educ. 2016 Sep;31(3):610-6. (PMID: 25994358)
      Psychol Health Med. 2021 Feb;26(2):260-266. (PMID: 32323553)
      Psychooncology. 2005 May;14(5):376-85. (PMID: 15386760)
      Eur J Oncol Nurs. 2017 Apr;27:28-35. (PMID: 28279393)
      Orthop Nurs. 2016 May-Jun;35(3):144-9. (PMID: 27187217)
      Psychother Res. 2009 Jul;19(4-5):576-82. (PMID: 19579089)
      Support Care Cancer. 2017 Jun;25(6):1985-1991. (PMID: 28175997)
      Psychol Monogr. 1966;80(1):1-28. (PMID: 5340840)
      JAMA. 2013 Oct 16;310(15):1559-60. (PMID: 24061082)
      Ethn Dis. 2009 Spring;19(2):192-8. (PMID: 19537232)
      PLoS One. 2012;7(12):e52457. (PMID: 23300677)
      Psychol Health Med. 2010 Dec;15(6):720-8. (PMID: 21154023)
      J Cancer Res Clin Oncol. 2015 Aug;141(8):1449-55. (PMID: 25702103)
      CA Cancer J Clin. 2014 Nov-Dec;64(6):377-88. (PMID: 25200391)
      Support Care Cancer. 2019 May;27(5):1613-1637. (PMID: 30737578)
      JAMA Oncol. 2015 Nov;1(8):1169. (PMID: 26562421)
      Patient Educ Couns. 2004 Nov;55(2):236-40. (PMID: 15530760)
    • الموضوع:
      Date Created: 20220127 Date Completed: 20220221 Latest Revision: 20220221
    • الموضوع:
      20221213
    • الرقم المعرف:
      PMC8794183
    • الرقم المعرف:
      10.1371/journal.pone.0263086
    • الرقم المعرف:
      35085354