Self-efficacy, coping, and difficulties interacting with health care professionals among women living with breast cancer in rural communities

This study examined self‐efficacy, coping, and social support in relation to difficulties interacting with physicians and nurses among women living with breast cancer. One hundred women living in rural, mountainous communities of northeastern California were recruited, with 89 providing complete dat...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2005-10, Vol.14 (10), p.901-912
Main Authors: Collie, K., Wong, P., Tilston, J., Butler, L. D., Turner-Cobb, J., Kreshka, M. A., Parsons, R., Graddy, K., Cheasty, J. D., Koopman, C.
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Aged
Aged, 80 and over
Breast cancer
Breast Neoplasms - psychology
California
cancer
Communication
Coping
doctor-patient interaction
Doctor-Patient interactions
Female
Humans
Knowledge
Middle Aged
Nurse-Patient Relations
Nurses
oncology
Physician-Patient Relations
rural
Rural Population
Self Efficacy
Selfefficacy
Social support
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Summary:This study examined self‐efficacy, coping, and social support in relation to difficulties interacting with physicians and nurses among women living with breast cancer. One hundred women living in rural, mountainous communities of northeastern California were recruited, with 89 providing complete data for this study. All women completed a battery of questionnaires that included the CARES—Medical Interaction Subscale and measures of self‐efficacy, coping, satisfaction with social support, and demographic and medical characteristics. In a multiple regression analysis, difficulties interacting with medical professionals were found to be greater among women who were not married, who used more behavioral disengagement or less self‐distraction to cope with breast cancer, and who reported less self‐efficacy for affect regulation and for seeking and understanding medical information. Emotional venting and satisfaction with social support for dealing with cancer‐related stress were not, however, significantly related to difficulties in interacting with the medical team. This model accounted for an adjusted value of 42% of the variance. Further research is needed to identify possible causal relationships related to these findings and to determine what interventions might be warranted to improve medical interactions for women with breast cancer living in rural areas. Copyright © 2005 John Wiley & Sons, Ltd.
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.944