Perceived Risk of Cancer and Patient Reports of Participation in Decisions about Screening: The DECISIONS Study

Amanda J. Dillard, Mick P. Couper and Brian J. Zikmund-Fisher

Medical Decision Making, 2010, vol. 30, issue 5_suppl, 96-105

Abstract: Background Health behavior theories suggest that high perceived risk for cancer will be associated with screening, but few studies have examined how perceived risk relates to the screening decision process. Objective To examine relationships between perceived risk of cancer and behaviors during decision making for 3 screening tests. Design Cross-sectional survey conducted between November 2006 and May 2007. Setting Nationwide random-digit dial telephone survey. Participants A total of 1729 English-speaking US adults aged 40 y and older who reported making a cancer screening decision (about breast, colon, or prostate tests) in the previous 2 y. Measurements Participants completed measures of perceived risk, information seeking, and shared decision-making tendencies. Results As perceived risk for cancer increased, patients were more likely to seek information about screening on their own (e.g., 35% of participants who perceived a high risk of cancer searched the Internet compared with 18% for those who perceived a low risk, P

Keywords: patient decision making; risk communication or risk perception; shared decision making; physician-patient communication; preventive medicine, screening; cancer prevention; breast cancer/mammography; colorectal cancer; prostate cancer. (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:30:y:2010:i:5_suppl:p:96-105

DOI: 10.1177/0272989X10377660

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