Evidence map›Paper›PMID 42736506›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Based on the health belief model: a qualitative exploration of factors influencing early screening behavior for breast cancer-related lymphedema.

Jinting Sun, Yuanfei Chen, Juan Xu, Ying Jiang, Juan Ji

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

5 authors.

Jinting SunDepartment of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Yuanfei ChenDepartment of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Juan XuDepartment of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China. xujuan@suda.edu.cn.
Ying JiangDepartment of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Juan JiOutpatient Department, The First Affiliated Hospital of Soochow University, Suzhou, China. 1106871774@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study explored postoperative breast cancer patients' experiences, perceptions, and barriers associated with breast cancer-related lymphedema (BCRL) screening.

methodsA qualitative descriptive design was employed. Semi-structured interviews were conducted with 20 postoperative breast cancer patients recruited from a tertiary hospital in Suzhou, China, using purposive sampling with maximum variation. Data were analyzed using thematic analysis following the six-phase procedure outlined by Braun and Clarke. Reporting followed the COREQ guidelines.

resultsFour themes were identified: (1) limited understanding and misinterpretation of BCRL risk; (2) motivations and barriers to screening behavior; (3) social and systemic constraints on screening; and (4) self-efficacy and health responsibility. Participants commonly lacked knowledge of BCRL, underestimated their risk, and had limited awareness of its long-term consequences. Screening participation was shaped by perceived benefits, logistical barriers, skepticism regarding effectiveness, and broader social and healthcare system constraints. Self-efficacy and an internalized sense of health responsibility promoted screening despite existing barriers.

conclusionBCRL screening behavior reflects an interaction between cognitive appraisal, contextual constraints, and health system factors. Interventions should focus on strengthening survivorship follow-up, clinician communication, and access to screening services.

Indexed as

Breast Cancer LymphedemaBreast NeoplasmsHealth Belief ModelHealth Knowledge, Attitudes, PracticeMass ScreeningAdultAgedChinaFemaleHealth BehaviorHumansInterviews as TopicMiddle AgedMotivationQualitative ResearchSelf EfficacyBarriersBreast cancer–related lymphedemaHealth behaviorHealth belief modelQualitative researchScreening

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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.