title: An exploratory study of patients' views about being at high-risk for breast cancer and risk management beliefs and intentions, before and after risk counselling: Preliminary evidence of the influence of beliefs on post-counselling prevention intentions.
abstract: 1) To describe how women at high-risk for breast cancer (BC) perceive their at-risk status and the options available to manage this risk, before and after risk counselling; 2) to explore the contributions of pre-counselling demographic, clinical, cognitive and emotional factors to post-counselling risk management intentions.
  
  
  
  58 of 173 eligible patients (34%) enrolled and were asked to fill surveys including measures of 1) subjective risk, 2) illness (being at high-risk for BC) and 3) treatment (surveillance, lifestyle modifications, and chemoprevention) cognitions, 4) BC fear and 5) future risk management intentions, prior to and 3 months after risk consultation.
  
  
  
  48 of 58 participants (83%) completed both surveys. Beliefs and emotions about their condition and its management were stable over time. Surveillance and lifestyle were associated with stronger intentions, higher perceived need, and lower concerns than chemoprevention (all ps <0.001). The strongest predictors of intentions strengths were the women's beliefs about the risk reduction methods, especially for lifestyle and chemoprevention (all ps <0.01).
  
  
  
  The findings emphasize the importance of patients' beliefs in risk management decisions.
  
  
  
  Patients' treatment beliefs appear to influence their choice of BC risk reduction strategies and should be discussed during risk reduction consultations.
authors.affiliation: Department of Psychology, Carleton University, Ottawa K1S 5B6, Canada. Electronic address: lpaquet@carleton.ca.
authors.forename: Lise
authors.initials: L
authors.lastname: Paquet
authors.affiliation: Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, Canada.
authors.forename: Lisa
authors.initials: L
authors.lastname: Simmonds
authors.affiliation: Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, Canada.
authors.forename: Charles
authors.initials: C
authors.lastname: Yang
authors.affiliation: Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, Canada.
authors.forename: Shailendra
authors.initials: S
authors.lastname: Verma
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology*; D003376:Counseling; D003657:Decision Making; D004644:Emotions; D005239:Fear; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008875:Middle Aged; D010465:Perception; D012308:Risk Management; D011795:Surveys and Questionnaires
keywords: Breast cancer prevention; Chemoprevention; High risk for breast cancer; Illness perception; Treatment beliefs