ArticleJournal of cancer survivorship : research and practice2025
Breast cancer survivors' experiences of barriers and facilitators to lymphedema self-management behaviors: a theory-based qualitative study.
Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Barriers and facilitators to self-management of chronic conditions reported by women: a systematic review of qualitative studies.BMJ open · 2024Pooled it
- Patient personas of delayed healthcare-seeking behavior among patients with breast cancer-related lymphedema: A qualitative study.Asia-Pacific journal of oncology nursing · 2026Article
- Understandability and Actionability of Artificial Intelligence-Assisted Lymphedema Education Material in Patients Undergoing Breast Cancer Surgery: Expert Evaluation.Journal of clinical nursing · 2026Observational
- Tailored personas for self-management in home-based rehabilitation for participants with lower limb lymphedema: A qualitative study.International journal of nursing studies advances · 2026Article
- Facilitators and Barriers to Digital Self-Management in Older Adults With Depression: COM-B and Theoretical Domain Framework Qualitative Study.JMIR aging · 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
- Home self-management experience of gynaecological tumour patients with lower limb lymphoedema: a qualitative study.Primary health care research & development · 2025Article
- Knowledge, belief, and practice in prevention of lymphedema in postoperative breast cancer patients and analysis of associated factors.Frontiers in public health · 2025Article
- Self-management of lower limb lymphedema at home following gynecologic cancer surgery: a qualitative study of women's experiences and challenges.Frontiers in psychology · 2025Article
- Validation of the Longitudinal Effect of an Integrated Nursing Intervention Based on the Integrated Theory of Health Behavior Change (ITHBC) on Multidimensional Health Indicators in Older Radiotherapy Patients.Clinical interventions in aging · 2025Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
purposeLifelong self-management plays a critical role in the prevention and management of lymphedema among breast cancer survivors. However, adherence to lymphedema self-management behaviors has remained suboptimal. Hence, we adopted a theory-informed method to elucidate the facilitators and barriers of lymphedema self-management for breast cancer survivors.
methodsIn-depth semi-structured interviews were conducted between August and October 2022 in the lymphedema nursing clinic of a tertiary cancer hospital. The maximum variation sampling technique was used to ensure a diverse sample. The ITHBC (Integrated Theory of Health Behavior Change) framework was used to inform the interview outline and data analysis. Interview transcripts were coded line-by-line and mapped to domains in accordance with the ITHBC, using both deductive and inductive content analysis.
resultsA total of 16 participants were interviewed (aged 35 to 67). Twenty-three themes (12 facilitators and 11 barriers) were mapped onto the three domains (knowledge and belief, social facilitation, and self-regulation skill and ability) of ITHBC as facilitators and barriers to lymphedema self-management. Three additional themes including limited treatment resources for lymphedema, inconvenience of lymphedema management, boredom and tedium of lymphedema self-management were categorized under the domain of other barriers.
conclusionsIncorporating these findings into the ITHBC framework allows for a more systematic selection of theory-based strategies that may improve the design of effective lymphedema self-management interventions for breast cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS: Elucidating impact factors, especially facilitators and barriers, for lymphedema self-management adherence is essential for developing effective intervention programs to enhance breast cancer survivors' lymphedema self-management behaviors.
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