ArticlePloS one2022
Health locus of control in cancer patient and oncologist decision-making: An exploratory qualitative study.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 17 citations in OpenAlex.
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- The meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivors.BMC women's health · 2025Article
- Shared decision-making in end-of-life care for end-stage renal disease patients: nephrologists' views and attitudes.Israel journal of health policy research · 2024Article
- Communication Strategies of Transplant Hematologists in High-Risk Decision-Making Conversations.JCO oncology practice · 2024Article
- Exploring the Relationship Between Psychological Constructs and Decision-Making Preferences in Psychiatric Outpatients.Patient preference and adherence · 2024Article
- An Exploratory Study on the Impacts of Individual Skills and Health Information Exposure on Perceptions of Cancer Control and Expert Competence.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Decisional conflict, caregiver mastery, and depression among Chinese parental caregivers of children with leukemia.BMC psychiatry · 2023Article
- Nurses and Physicians' Perceptions Regarding the Role of Oncology Clinical Nurse Specialists in an Exploratory Qualitative Study.Healthcare (Basel, Switzerland) · 2023Article
- Who holds the key to recovery? The relevance of health locus of control in physiotherapy.Archives of physiotherapyArticle
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate how cancer patients' and family members' perspective and health locus of control are presented in clinical encounter decision-making.
methodsSemi-structured in-depth interviews were carried out with 16 cancer patients and 6 family members living in Israel (n = 22). Interviews were transcribed verbatim, and data were analyzed using thematic analysis.
resultsFollowing the health locus of control model, the findings were divided into an external and internal locus of control themes, and we added a theme regarding shared decision-making. Internal locus of control sub-themes included asking for a second opinion, negotiating with the doctor, asking questions, looking for information, and fighting for their rights. External locus of control sub-themes included powerful others, oncologists, and fate. The dominant approach of most of the interviewees was an external locus of control. Women demonstrated more external locus of control than men. On the direct question of who should decide on treatment-the doctor, the patient, or both jointly-the answers ranged from only the doctor (n = 8) to together (n = 7) to only the patient (n = 8).
conclusionsThis study provides insights into different aspects of locus of control in the clinical encounter involving cancer patients. The findings reflect the need to devote comprehensive attention to cancer patients' perceptions and experiences in the clinical encounter. A patient-centered care approach and a personalized framework for decision-making in cancer care are essential to achieving better treatment outcomes. Further research can engage in the development and validation of an up-to-date health locus of control questionnaire for cancer patients based on the findings of this study.
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