Annals of Behavioral Medicine

, Volume 21, Issue 3, pp 201–209

Involvement in decision-making and breast cancer survivor quality of life

  • M. Robyn Andersen
  • Nicole Urban

DOI: 10.1007/BF02884834

Cite this article as:
Andersen, M.R. & Urban, N. ann. behav. med. (1999) 21: 201. doi:10.1007/BF02884834


Advances in treatment for breast cancer have improved women’s chances of surviving this disease, while giving patients more treatment options than in the past. This study examined the influence of patient involvement in decision-making on survivor quality of life. A prevalence sample of breast cancer survivors were interviewed about their involvement in decision-making about their cancer treatment and follow-up care. A series of multivariate regression analyses were then conducted to examine how involvement in decision-making about cancer treatment and follow-up care contributed to survivor quality of life. Analyses revealed involvement in decision-making about the use of testing for recurrent disease (TFR) as part of follow-up care is associated with improved quality of life in several domains (p<0.05). This association of improved quality of life with involvement in decision-making about follow-up TFR was independent of associations of quality of life with surgical treatment received, involvement in decision-making about surgical treatment, frequency of TFR, use of mammography, age, income, education, and years since diagnosis. This suggests that efforts to increase patient involvement in decision-making about follow-up care may improve quality of lifeffor breast cancer survivors.

Copyright information

© The Society of Behavioral Medicine 1999

Authors and Affiliations

  • M. Robyn Andersen
    • 1
  • Nicole Urban
    • 1
    • 2
    • 3
  1. 1.Cancer Prevention Research ProjectFred Hutchinson Cancer Research CenterSeattle
  2. 2.University of WashingtonUSA
  3. 3.Marsha Rivkin Ovarian Cancer Research CenterSeattleUSA