258691 An analysis of the relationship between cancer-related information seeking and adherence to breast cancer surveillance procedures after curative treatment

Monday, October 29, 2012 : 5:15 PM - 5:30 PM

Andy Tan, MBBS, MPH, MBA , Annenberg School for Communication at University of Pennsylvania, Philadelphia, PA
Mihaela Moldovan-Johnson, PhD , Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA
Stacy W. Gray, MD, MA , Center for Outcomes and Policy Research, Dana-Farber Cancer Institute, Boston, MA
Robert C. Hornik, PhD , Annenberg School of Communication, University of Pennsylvania, Philadelphia, PA
Katrina Armstrong, MD, MSCE , Director, Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA
Background: Adherence to breast cancer surveillance is an important goal for women treated for breast cancer. Information engagement with cancer information from various sources has been shown to affect other cancer risk behaviors and may influence adherence to breast cancer surveillance behaviors among breast cancer survivors. Objective: To assess whether breast cancer survivors' active seeking of cancer-related information from various medical and nonmedical sources (i.e., interpersonal and media) influences their subsequent adherence to breast cancer surveillance. Methods: The study was a longitudinal survey among Pennsylvanian breast cancer patients diagnosed in 2005. Patients who were eligible for surveillance and participated in both the baseline and one-year follow-up surveys were included (n=352). The outcome measure was based on self-reported adherence to physical examination, mammography, and breast self-examination (BSE) at approximately two years after their initial diagnosis. Results: Controlling for potential confounders, higher levels of active seeking from nonmedical sources at baseline predicted increased odds of reporting adherence to a combined measure of surveillance one year later (OR=1.60, 95% CI=1.07 to 2.38, p=.021). However, adherence to physical examination and mammography was high and the main effect was driven by the relationship between seeking and regular BSE (OR=1.50, 95% CI=1.01 to 2.23, p=0.047). Conclusions: Greater engagement with cancer information from nonmedical sources was associated with breast cancer surveillance adherence and more specifically, with regular BSE. This finding has implications to promote adherence to surveillance among cancer survivors.

Learning Areas:
Communication and informatics
Social and behavioral sciences

Learning Objectives:
1. Describe the prevalence of adherence to recommended breast cancer surveillance procedures among a population sample of breast cancer survivors. 2. Assess the role of breast cancer survivorsí active seeking of cancer-related information from various medical and nonmedical sources (i.e., interpersonal and media) on their subsequent adherence to breast cancer surveillance. 3. Discuss the implications of the relationships between information seeking and adherence to cancer surveillance for practice and research in cancer communication and survivorship.

Keywords: Cancer, Communication Effects

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: 1. I completed my postgraduate degree in public health (MPH), medical education (MBBS), and I am presently pursuing my doctoral education (PhD in health communication). 2. I performed the data analysis, interpretation, and drafting of the manuscript for this study. 3. I have served as research fellow for the University of Pennsylvania Annenberg School for Communication since 2008, and conducted various research studies related to cancer communication and cancer survivorship.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.