Related Experiment Video
Updated: May 12, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
A breast reconstruction needs assessment: How does self-efficacy affect information access and preferences?
Andrea Lam1, Scott Secord, Kate Butler
1Faculty of Medicine, University of Toronto;
Summary
Patients undergoing mastectomy often lack crucial information about post-mastectomy breast reconstruction (PMBR) surgery. Improving access to PMBR details and tailoring delivery based on patient self-efficacy can enhance decision-making.
Area of Science:
- Oncology
- Surgical Oncology
- Patient Care
Background:
- Mastectomy patients frequently lack consistent information regarding post-mastectomy breast reconstruction (PMBR) surgery.
- Patient self-efficacy, confidence in health decision-making, varies significantly.
- This study explores the link between self-efficacy and access to PMBR information.
Purpose of the Study:
- To evaluate the relationship between patient self-efficacy and access to post-mastectomy breast reconstruction information.
- To identify barriers in accessing PMBR information for breast cancer patients.
- To inform healthcare providers on improving PMBR information dissemination.
Main Methods:
- Qualitative interview study with 10 breast cancer patients and 6 healthcare providers.
- Utilized a modified six-item Stanford Self-Efficacy Scale.
- Convenience sampling approach.
Main Results:
- Patient self-efficacy scores ranged from 5 to 9.3 (out of 10).
- Key themes included difficulty initiating PMBR discussions and perceived lack of accessible, timely, and comprehensive information.
- Patients desire early discussion of PMBR options and standardized information processes.
Conclusions:
- Healthcare providers should standardize PMBR information delivery.
- Information should be provided early, be comprehensive, and potentially individualized based on patient self-efficacy.
- Addressing information gaps can improve patient preparedness for PMBR decisions.
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