Iranian Red Crescent Medical Journal

Published by: Kowsar

Empowerment Needs of Women With Breast Cancer: A Qualitative Study

Fariba Taleghani 1 , Masoud Bahrami 1 , Marzeyeh Loripoor 1 , * and Alireza Yousefi 2
Authors Information
1 School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran
2 Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran
Article information
  • Iranian Red Crescent Medical Journal: November 30, 2014, 16 (11); e16379
  • Published Online: November 15, 2014
  • Article Type: Research Article
  • Received: November 24, 2013
  • Revised: January 24, 2014
  • Accepted: March 5, 2014
  • DOI: 10.5812/ircmj.16379

To Cite: Taleghani F, Bahrami M, Loripoor M, Yousefi A. Empowerment Needs of Women With Breast Cancer: A Qualitative Study, Iran Red Crescent Med J. 2014 ;16(11):e16379. doi: 10.5812/ircmj.16379.

Copyright: Copyright © 0, Iranian Red Crescent Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer J Clin. 2010; 60(5): 277-300[DOI][PubMed]
  • 2. Kolahdoozan S, Sadjadi A, Radmard AR, Khademi H. Five common cancers in Iran. Arch Iran Med. 2010; 13(2): 143-6[PubMed]
  • 3. Harirchi I, Karbakhsh M, Kashefi A, Momtahen AJ. Breast cancer in Iran: results of a multi-center study. Asian Pac J Cancer Prev. 2004; 5(1): 24-7[PubMed]
  • 4. Taleghani F, Yekta ZP, Nasrabadi AN. Coping with breast cancer in newly diagnosed Iranian women. J Adv Nurs. 2006; 54(3): 265-72[DOI][PubMed]
  • 5. Cancer Facts & Figures 2012. 2012; : 11[DOI]
  • 6. Wonghongkul T, Dechaprom N, Phumivichuvate L, Losawatkul S. Uncertainty appraisal coping and quality of life in breast cancer survivors. Cancer Nurs. 2006; 29(3): 250-7[PubMed]
  • 7. Brandberg Y, Sandelin K, Erikson S, Jurell G, Liljegren A, Lindblom A, et al. Psychological reactions, quality of life, and body image after bilateral prophylactic mastectomy in women at high risk for breast cancer: a prospective 1-year follow-up study. J Clin Oncol. 2008; 26(24): 3943-9[DOI][PubMed]
  • 8. Tel H, Doğan S. Fatigue, anxiety and depression in cancer patients. Neurol Psychiat BR. 2011; 17(2): 42-5[DOI]
  • 9. Beaulac SM, McNair LA, Scott TE, LaMorte WW, Kavanah MT. Lymphedema and quality of life in survivors of early-stage breast cancer. Arch Surg. 2002; 137(11): 1253-7[PubMed]
  • 10. Vazquez-Calatayud M, Carrascosa-Gil R, Vivar CG. [The transitional survivorship in breast cancer: a narrative review]. Rev Enferm. 2010; 33(10): 30-9[PubMed]
  • 11. Kucukkaya PG. An exploratory study of positive life changes in Turkish women diagnosed with breast cancer. Eur J Oncol Nurs. 2010; 14(2): 166-73[DOI][PubMed]
  • 12. Lauzier S, Maunsell E, Levesque P, Mondor M, Robert J, Robidoux A, et al. Psychological distress and physical health in the year after diagnosis of DCIS or invasive breast cancer. Breast Cancer Res Treat. 2010; 120(3): 685-91[DOI][PubMed]
  • 13. Yoon J, Malin JL, Tisnado DM, Tao ML, Adams JL, Timmer MJ, et al. Symptom management after breast cancer treatment: is it influenced by patient characteristics? Breast Cancer Res Treat. 2008; 108(1): 69-77[DOI][PubMed]
  • 14. Gray RE, Doan BD, Church K. Empowerment and persons with cancer: politics in cancer medicine. J Palliat Care. 1990; 6(2): 33-45[PubMed]
  • 15. Mok E, Martinson I. Empowerment of Chinese patients with cancer through self-help groups in Hong Kong. Cancer Nurs. 2000; 23(3): 206-13[PubMed]
  • 16. Nystrom AE, Segesten KM. On sources of powerlessness in nursing home life. J Adv Nurs. 1994; 19(1): 124-33[PubMed]
  • 17. Fisher MI, Howell D. The power of empowerment: An ICF-based model to improve self-efficacy and upper extremity function of survivors of breast cancer. Rehabil Oncol. 2010; 28(3): 19-25
  • 18. Tobacco control Research Report. . Youth Empowerment and Health Promotion. 1999;
  • 19. Hibbard JH, Stockard J, Mahoney ER, Tusler M. Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res. 2004; 39(4 Pt 1): 1005-26[DOI][PubMed]
  • 20. Roberts KJ. Patient empowerment in the United States: a critical commentary. Health Expect. 1999; 2(2): 82-92[PubMed]
  • 21. Chavasse JM. New dimensions of empowerment in nursing--and challenges. J Adv Nurs. 1992; 17(1): 1-2[PubMed]
  • 22. Nute R, Robinson T. Standard empowering people with diabetes. Primary Health Care. 2004; 14(2): 35-7[DOI]
  • 23. Shiu AT, Wong RY, Thompson DR. Development of a reliable and valid Chinese version of the diabetes empowerment scale. Diabetes Care. 2003; 26(10): 2817-21[PubMed]
  • 24. Anderson RM, Funnell MM. Patient empowerment: reflections on the challenge of fostering the adoption of a new paradigm. Patient Educ Couns. 2005; 57(2): 153-7[DOI][PubMed]
  • 25. Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002; 288(19): 2469-75[PubMed]
  • 26. Neuhauser D. The coming third health care revolution: personal empowerment. Qual Manag Health Care. 2003; 12(3): 171-84[PubMed]
  • 27. Koch T, Jenkin P, Kralik D. Chronic illness self-management: locating the 'self'. J Adv Nurs. 2004; 48(5): 484-92[DOI][PubMed]
  • 28. Zimmerman MA. Handbook of Community Psychology. 2000; : 43-63[DOI]
  • 29. Sue DW, Sue D. 2007;
  • 30. Guadagnoli E, Ward P. Patient participation in decision-making. Soc Sci Med. 1998; 47(3): 329-39[PubMed]
  • 31. Funnell MM, Anderson RM. Patient empowerment: a look back, a look ahead. Diabetes Educ. 2003; 29(3): 454-8-462 passim[PubMed]
  • 32. Aujoulat I, d'Hoore W, Deccache A. Patient empowerment in theory and practice: polysemy or cacophony? Patient Educ Couns. 2007; 66(1): 13-20[DOI][PubMed]
  • 33. Aujoulat I, Marcolongo R, Bonadiman L, Deccache A. Reconsidering patient empowerment in chronic illness: a critique of models of self-efficacy and bodily control. Soc Sci Med. 2008; 66(5): 1228-39[DOI][PubMed]
  • 34. Lorig KR, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003; 26(1): 1-7[PubMed]
  • 35. Lorig K, Ritter PL, Villa FJ, Armas J. Community-based peer-led diabetes self-management: a randomized trial. Diabetes Educ. 2009; 35(4): 641-51[DOI][PubMed]
  • 36. Gibson CH. The process of empowerment in mothers of chronically ill children. J Adv Nurs. 1995; 21(6): 1201-10[PubMed]
  • 37. Anderson RM, Funnell MM. Patient empowerment: myths and misconceptions. Patient Educ Couns. 2010; 79(3): 277-82[DOI][PubMed]
  • 38. Funnell MM, Anderson RM, Arnold MS, Barr PA, Donnelly M, Johnson PD, et al. Empowerment: an idea whose time has come in diabetes education. Diabetes Educ. 1991; 17(1): 37-41[PubMed]
  • 39. Hagiwara E, Futawatari T. A Concept analysis: Empowerment in cancer patients. Kitakanto Med J. 2013; 63(2): 165-74
  • 40. Bulsara C, Ward A, Joske D. Haematological cancer patients: achieving a sense of empowerment by use of strategies to control illness. J Clin Nurs. 2004; 13(2): 251-8[PubMed]
  • 41. Broom A. Virtually he@lthy: the impact of internet use on disease experience and the doctor-patient relationship. Qual Health Res. 2005; 15(3): 325-45[DOI][PubMed]
  • 42. Gibson CH. A concept analysis of empowerment. J Adv Nurs. 1991; 16(3): 354-61[PubMed]
  • 43. Parvizi S, Ghasemzadeh-Kakroodi F, Fatemi N, Nasseri F. Social factors contributing in women health in Tehran city: A qualitative study. Iran J Nurs Res. 2010; 4(15)
  • 44. Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. 2007;
  • 45. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. Edu Com Tech J. 1981; 29(2): 75-91[DOI]
  • 46. Lincoln YS. Emerging Criteria for Quality in Qualitative and Interpretive Research. Qualitative Inquiry. 1995; 1(3): 275-89[DOI]
  • 47. Roglic G, Unwin N, Bennett PH, Mathers C, Tuomilehto J, Nag S, et al. The burden of mortality attributable to diabetes: realistic estimates for the year 2000. Diabetes Care. 2005; 28(9): 2130-5[PubMed]
  • 48. Gould J, Grassau P, Manthorne J, Gray RE, Fitch MI. 'Nothing fit me': nationwide consultations with young women with breast cancer. Health Expect. 2006; 9(2): 158-73[DOI][PubMed]
  • 49. Paterson B. Myth of empowerment in chronic illness. J Adv Nurs. 2001; 34(5): 574-81[PubMed]
  • 50. Mok E, Martinson I, Wong TK. Individual empowerment among Chinese cancer patients in Hong Kong. West J Nurs Res. 2004; 26(1): 59-75[DOI][PubMed]
  • 51. Mok E. Empowerment of cancer patients: from a Chinese perspective. Nurs Ethics. 2001; 8(1): 69-76[PubMed]
  • 52. Morris EL. The relationship of spirituality to coronary heart disease. Altern Ther Health Med. 2001; 7(5): 96-8[PubMed]
  • 53. Larson C. A. . Spiritual Psycholosocial and physical correlates of well-being across the breast cancer experience . 2004;
  • 54. Meraviglia M. Effects of spirituality in breast cancer survivors. Oncol Nurs Forum. 2006; 33(1)-7[DOI][PubMed]
  • 55. Schulz E, Holt CL, Caplan L, Blake V, Southward P, Buckner A, et al. Role of spirituality in cancer coping among African Americans: a qualitative examination. J Cancer Surviv. 2008; 2(2): 104-15[DOI][PubMed]
  • 56. Romero C, Friedman LC, Kalidas M, Elledge R, Chang J, Liscum KR. Self-forgiveness, spirituality, and psychological adjustment in women with breast cancer. J Behav Med. 2006; 29(1): 29-36[DOI][PubMed]
  • 57. Cotton SP, Levine EG, Fitzpatrick CM, Dold KH, Targ E. Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psychooncology. 1999; 8(5): 429-38[PubMed]
  • 58. Bussing A, Matthiessen PF, Ostermann T. Engagement of patients in religious and spiritual practices: confirmatory results with the SpREUK-P 1.1 questionnaire as a tool of quality of life research. Health Qual Life Outcomes. 2005; 3: 53[DOI][PubMed]
  • 59. Gordon HS, Street RJ, Sharf BF, Kelly PA, Souchek J. Racial differences in trust and lung cancer patients' perceptions of physician communication. J Clin Oncol. 2006; 24(6): 904-9[DOI][PubMed]
  • 60. Keating NL, Gandhi TK, Orav EJ, Bates DW, Ayanian JZ. Patient characteristics and experiences associated with trust in specialist physicians. Arch Intern Med. 2004; 164(9): 1015-20[DOI][PubMed]
  • 61. Keating NL, Green DC, Kao AC, Gazmararian JA, Wu VY, Cleary PD. How are patients' specific ambulatory care experiences related to trust, satisfaction, and considering changing physicians? J Gen Intern Med. 2002; 17(1): 29-39[PubMed]
  • 62. Fiscella K, Meldrum S, Franks P, Shields CG, Duberstein P, McDaniel SH, et al. Patient trust: is it related to patient-centered behavior of primary care physicians? Med Care. 2004; 42(11): 1049-55[PubMed]
  • 63. Arora NK, Gustafson DH. Perceived helpfulness of physicians' communication behavior and breast cancer patients' level of trust over time. J Gen Intern Med. 2009; 24(2): 252-5[DOI][PubMed]
  • 64. Paterson B, Thorne S, Crawford J, Tarko M. Living with Diabetes as a Transformational Experience. Qual Health Res. 1999; 9(6): 786-802[DOI]
  • 65. Stanhope M, Lancaster J. Community and public health nursing. 2004;
  • 66. McWilliam C, Stewart M, Brown JB, McNair S, Desai K, Patterson ML, et al. Creating empowering meaning: an interactive process of promoting health with chronically ill older Canadians. Health Promot Int. 1997; 12(2): 111-23[DOI]
  • 67. Emanuel EJ, Emanuel LL. Four models of the physician-patient relationship. JAMA. 1992; 267(16): 2221-6[PubMed]
  • 68. Bandura A. Health promotion from the perspective of social cognitive theory. Psy and Health. 1998; 13(4): 623-49
  • 69. Northouse LL, Mood D, Kershaw T, Schafenacker A, Mellon S, Walker J, et al. Quality of life of women with recurrent breast cancer and their family members. J Clin Oncol. 2002; 20(19): 4050-64[PubMed]
  • 70. Cunningham AJ, Lockwood GA, Cunningham JA. A relationship between perceived self-efficacy and quality of life in cancer patients. Patient Educ Couns. 1991; 17(1): 71-8[PubMed]
  • 71. Krebs LU. Sexual assessment in cancer care: concepts, methods, and strategies for success. Semin Oncol Nurs. 2008; 24(2): 80-90[DOI][PubMed]
  • 72. Gilbert E, Ussher JM, Perz J. Sexuality after breast cancer: a review. Maturitas. 2010; 66(4): 397-407[DOI][PubMed]
  • 73. Berter C, Wilmoth MC. Breast cancer diagnosis and its treatment affecting the self : a meta-synthesis. Cancer Nurs. 2007; 30(3): 194-202[DOI]
  • 74. Andersen BL. In sickness and in health: maintaining intimacy after breast cancer recurrence. Cancer J. 2009; 15(1): 70-3[DOI][PubMed]
  • 75. Li PW, So WK, Fong DY, Lui LY, Lo JC, Lau SF. The information needs of breast cancer patients in Hong Kong and their levels of satisfaction with the provision of information. Cancer Nurs. 2011; 34(1): 49-57[DOI][PubMed]
  • 76. Ussher JM, Perz J, Gilbert E. Information needs associated with changes to sexual well-being after breast cancer. J Adv Nurs. 2013; 69(2): 327-37[DOI][PubMed]
  • 77. Takahashi M, Ohno S, Inoue H, Kataoka A, Yamaguchi H, Uchida Y, et al. Impact of breast cancer diagnosis and treatment on women's sexuality: a survey of Japanese patients. Psychooncology. 2008; 17(9): 901-7[DOI][PubMed]
  • 78. Ayaz S, Kubilay G. Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma. J Clin Nurs. 2009; 18(1): 89-98[DOI][PubMed]
  • 79. Ussher J, Kirsten L, Butow P, Sandoval M. What do cancer support groups provide which other supportive relationships do not? The experience of peer support groups for people with cancer. Soc Sci Med. 2006; 62(10): 2565-76[DOI][PubMed]
  • 80. Sharf BF. Communicating breast cancer on-line: support and empowerment on the Internet. Women Health. 1997; 26(1): 65-84[DOI][PubMed]
  • 81. Gray R, Fitch M, Davis C, Phillips C. A qualitative study of breast cancer self-help groups. Psychooncology. 1997; 6(4): 279-89[DOI][PubMed]
  • 82. Borkman T. Understanding Self-help/mutual Aid: Experiential Learning in the Commons. 1999;
  • 83. Bruin J, Ventevogel A. Patiëntencommunities op het web: theorie en praktijk. 2007;
  • 84. Campbell HS, Phaneuf MR, Deane K. Cancer peer support programs-do they work? Patient Educ Couns. 2004; 55(1): 3-15[DOI][PubMed]
  • 85. Oudenampsen D, Nederland T, Kromontono E, Pepels R, Sonneveld R, Stilstette M. Patienten-en Consumentenbeweging in Beeld: brancherapport 2006. Utrecht. 2007;
  • 86. Masi CM, Suarez-Balcazar Y, Cassey MZ, Kinney L, Piotrowski ZH. Internet access and empowerment: a community-based health initiative. J Gen Intern Med. 2003; 18(7): 525-30[PubMed]
  • 87. Riessman F. Ten self-help principles. Social Policy. 1997; 27: 6-11
  • 88. Kuijpers W, Groen WG, Aaronson NK, van Harten WH. A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res. 2013; 15(2)[DOI][PubMed]
  • 89. Hoybye MT, Johansen C, Tjornhoj-Thomsen T. Online interaction. Effects of storytelling in an internet breast cancer support group. Psychooncology. 2005; 14(3): 211-20[DOI][PubMed]
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