Advance Care Planning: Experience of Women With Breast Cancer
Abstract
Advance care planning (ACP) enables women with breast cancer to proactively document their end-of-life preferences. The purpose of this study is to describe the prevalence and predictors of ACP during and following chemotherapy treatment among women with breast cancer enrolled in a cognitive behavioral trial for symptom management. Interim analyses of 110 women with breast cancer were conducted. Predictors entered in the logistic regression were demographic (education, marital status, number in household, and age), health (quality of life, stage and recurrence of cancer, co-morbidities, hospital admissions, and symptom interference), and emotional (depression and optimism) . Forty-one women (32%) reported having ACP. The predictors reliably distinguished between women with an ACP and those without (57% and 76% prediction success respectively). Age was the most reliable predictor of ACP. All predictors accounted for 32% of the variance in ACP. ACP prevalence among women with breast cancer is greater than previously reported. As age increased women with breast cancer were more likely to have ACP; however, none of the health factors were found to be significant predictors of ACP. This suggests that greater communication may need to occur about ACP in relation to health status.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 01, 2005
- Accession Number
- ADA437091
Entities
People
- Ardith Z Doorenbos
Organizations
- Michigan State University