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AN EMPIRICAL EVALUATION OF BREAST CANCER
TREATMENT DECISION MAKING
by
Carol E. Brown
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(PSYCHOLOGY)
August 2009
Copyright 2009 Carol E. Brown
Object Description
| Title | An empirical evaluation of breast cancer treatment decision making |
| Author | Brown, Carol E. |
| Author email | ceb@usc.edu; carol.brown.usc@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Psychology |
| School | College of Letters, Arts and Sciences |
| Date defended/completed | 2009-03-30 |
| Date submitted | 2009 |
| Restricted until | Unrestricted |
| Date published | 2009-06-10 |
| Advisor (committee chair) | Walsh, David A. |
| Advisor (committee member) |
John, Richard S. Read, Stephen J. Richardson, Jean L. |
| Abstract | Research in the area of breast cancer treatment decision making has typically focused separately on two issues: 1) what patients know about breast cancer and 2) what surgical treatments they undergo. The current research seeks to examine the link between knowledge and treatment decision making. To this end, two instruments were developed. The first instrument was a measure of breast cancer knowledge and the second was a measure of treatment decision making ability that assessed decision quality and causal reasoning skills. Participants were 142 women (53 breast cancer patients, 89 nonpatients). Patients performed significantly better than non-patients on the knowledge instrument and each of 4 decision quality outcomes. Results from regression analyses showed multiple predictors of decision quality, including breast cancer knowledge, patient status, age, and various information use factor scores. Results from this research provide a clearer picture of what participants know about breast cancer, the quality of their decisions, the importance of information and how information use is related to the decisions that participants make. In the future, these instruments can be used to determine patients' readiness to make their own breast cancer treatment decisions. Additionally, the knowledge gained from this research can be used to design educational interventions that teach patients what they need to know to make informed treatment decisions. |
| Keyword | breast cancer; decision making; information use; treatment selection; knowledge |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m2284 |
| Contributing entity | University of Southern California |
| Rights | Brown, Carol E. |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | cisadmin@dots.usc.edu |
| Filename | etd-Brown-2897 |
| Archival file | uscthesesreloadpub_Volume44/etd-Brown-2897.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@dots.usc.edu |
| Full text | AN EMPIRICAL EVALUATION OF BREAST CANCER TREATMENT DECISION MAKING by Carol E. Brown A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (PSYCHOLOGY) August 2009 Copyright 2009 Carol E. Brown |
