A constructivist grounded theory study on decision‐making for treatment choice among Black African and Black Caribbean prostate cancer survivors
- 10 October 2021
- journal article
- research article
- Published by Hindawi Limited in European Journal of Cancer Care
- Vol. 31 (1), e13516
- https://doi.org/10.1111/ecc.13516
Abstract
Objective Despite Black African (BA) and Black Caribbean (BC) men having a disproportionately high risk (1 in 4) of developing prostate cancer (CaP), there is limited understanding of their decision-making for treatment choice. This study explored decision-making for treatment choice among BA/BC men treated for CaP. Methods Using constructivist grounded theory, face-to-face, Skype and telephone interviews were conducted with 25 Black men (8 BA, 17 BC) recruited in England between October 2016 and March 2018. Data were analysed using constant comparison until saturation was achieved. Results Data analysis yielded three broad categories: ‘coming to terms with the prostate cancer diagnosis’, ‘getting empowerment through information-seeking’ and ‘choosing a treatment option’. Priority for survival substantially motivated BA/BC men to take up radical treatment for their CaP. However, decision-making for a particular treatment option was a more complex process which was shaped by an intersection between biological, behavioural, medical, personal and cultural factors. Conclusions Healthcare providers need to consider the complexity of decision-making process for CaP treatment among BA/BC men and tailor cancer care services to reflect cultural sensitivity and person-centredness. This could potentially minimise treatment decision regrets and improve men's psychological wellbeing along the CaP survivorship pathway.Keywords
Funding Information
- Ulster University (Vice‐Chancellor's Research Scholarship)
This publication has 29 references indexed in Scilit:
- Shared Decision-Making for Cancer Care Among Racial and Ethnic Minorities: A Systematic ReviewAmerican Journal of Public Health, 2013
- Perceived environmental church support and physical activity among Black church members.Health Education & Behavior, 2013
- Initial Evidence of Religious Practice and Belief in Depressed African American Cancer PatientsThe Open Nursing Journal, 2013
- Who makes the decision regarding the treatment of clinically localized prostate cancer-the patient or physician?Cancer, 2012
- Treatment decision‐making for localized prostate cancer: What younger men choose and whyThe Prostate, 2011
- ‘It don't make sense to worry too much’: the experience of prostate cancer in African-Caribbean men in the UKEuropean Journal of Cancer Care, 2010
- Impact of Ethnicity on Primary Treatment Choice and Mortality in Men With Prostate Cancer: Data From CaPSUREJournal of Clinical Oncology, 2010
- Pathways to diagnosis for Black men and White men found to have prostate cancer: the PROCESS cohort studyBritish Journal of Cancer, 2008
- Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groupsInternational Journal for Quality in Health Care, 2007
- Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)Social Science & Medicine (1982), 1997