ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2015
Factors predicting adherence to risk management behaviors of women at increased risk for developing lymphedema.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 56 citations in OpenAlex.
- Impact of text reminders on pneumatic compression device (PCD) compliance in patients with breast cancer-related lymphedema.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Trial
- A randomized study to prevent lymphedema in women treated for breast cancer: CALGB 70305 (Alliance).Cancer · 2021Trial
- A Randomized Clinical Trial Comparing the Impact of a Web-Based Multimedia Intervention Versus an Educational Pamphlet on Patient Outcomes in Breast Cancer Survivors with Chronic Secondary Lymphedema.Journal of women's health (2002) · 2020Trial
- Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema.Journal of obesity · 2016Trial
- Effect of a WeChat Intervention Based on the Common-Sense Model on Breast Cancer-Related Lymphedema Preventive Behaviors: Quasi-Experimental Study.JMIR formative research · 2026Article
- Trajectories of lymphedema risk perception and their predictors in postoperative breast cancer survivors.Journal of cancer survivorship : research and practice · 2026Article
- Experience of family caregivers of breast cancer-related lymphedema patients participating in lymphedema management: a phenomenological study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Latent profiles of adherence to lymphedema prevention behaviors and associated factors among breast cancer patients after surgery: a cross-sectional study.Frontiers in public health · 2026Article
- Breast cancer survivors' experiences of barriers and facilitators to lymphedema self-management behaviors: a theory-based qualitative study.Journal of cancer survivorship : research and practice · 2025Article
- Development and evaluation of a WeChat-based intervention program for prevention of breast cancer-related lymphedema.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Knowledge, Attitude, and Practice of Breast Cancer Patients Toward Lymphedema Complications: Cross-Sectional Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Breast Cancer-Related Lymphedema Risk-Management Behaviors Among Chinese Breast Cancer Survivors and Relationships with Socio-Demographic and Clinical Characteristics: A Longitudinal Study.Patient preference and adherence · 2022Article
- The Level of Lymphedema Awareness among Women with Breast Cancer in the Kingdom of Saudi Arabia.International journal of environmental research and public health · 2021Article
- Prospective surveillance model in the home for breast cancer-related lymphoedema: a feasibility study.Breast cancer research and treatment · 2021Article
- Lymphedema Information and Prevention Practices of Women After Breast Cancer Surgery.Florence Nightingale journal of nursing · 2020Article
- Knowledge, fatigue, and cognitive factors as predictors of lymphoedema risk-reduction behaviours in women with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- Patient Perceptions of Barriers to Self-Management of Breast Cancer-Related Lymphedema.Western journal of nursing research · 2018Article
- Knowledge of Primary Care Physicians About Breast-Cancer-Related Lymphedema: Turkish Perspective.Journal of cancer education : the official journal of the American Association for Cancer Education · 2016Article
- Complexities of Adherence and Post-Cancer Lymphedema Management.Journal of personalized medicine · 2015Article
- Evaluation of kinesthetic sense and hand function in women with breast cancer-related lymphedema.Journal of physical therapy science · 2015Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
purposeLymphedema affects 20-30% of women following breast cancer treatment. However, even when women are informed, they do not necessarily adhere to recommended lymphedema self-management regimens. Utilizing the Cognitive-Social Health Information Processing framework, we assessed the cognitive and emotional factors influencing adherence to lymphedema risk management.
methodsWomen with breast cancer who had undergone breast and lymph node surgery were recruited through the Fox Chase Cancer Center breast clinic. Participants (N = 103) completed measures of lymphedema-related perceived risk, beliefs and expectancies, distress, self-regulatory ability to manage distress, knowledge, and adherence to risk management behaviors. They then received the American Cancer Society publication "Lymphedema: What Every Woman with Breast Cancer Should Know." Cognitive and affective variables were reassessed at 6 and 12 months post-baseline.
resultsMaximum likelihood multilevel model analyses indicated that overall adherence increased over time, with significant differences between baseline and 6- and 12-month assessments. Adherence to wearing gloves was significantly lower than that for all other behaviors except electric razor use. Distress significantly decreased, and knowledge significantly increased, over time. Greater knowledge, higher self-efficacy to enact behaviors, lower distress, and higher self-regulatory ability to manage distress were associated with increased adherence.
conclusionsWomen who understand lymphedema risk management and feel confident in managing this risk are more likely to adhere to recommended strategies. These factors should be rigorously assessed as part of routine care to ensure that women have the self-efficacy to seek treatment and the self-regulatory skills to manage distress, which may undermine attempts to seek medical assistance.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.