Qualitative phase of the development of a Scale of Motives for and against Breast Reconstruction (SMBR)

Abstract

Objective: Although the reasons for breast reconstruction are considered in clinics and research on breast cancer, there is not any validated scale for its evaluation. The objective of the study was to create a scale to measure the reasons for and against breast reconstruction. Method: Through the technique of natural semantic networks, the items of the scale were obtained, and through an expert judgment these were modified. The technique of semantic networks was applied to 65 Mexican women with breast cancer. The group of experts was formed by 12 specialists in breast cancer. Results: The central core of the reasons in favor of breast reconstruction was composed of 16 reasons,which can be grouped into esthetic/body image, functional, emotional/psychological and relationshipwith children and the couple. The core of the motives against breast reconstruction was composedof 11 motives, which can be grouped into fears, acceptance/comfort with the present situation, costsand health. Based on these contents, 16 items were written about reasons for reconstruction and 11against reconstruction. This 27-item scale was evaluated in adequacy and comprehensibility by thegroup of 12 experts. The 27 items were conserved, but seven items were modified. Finally, two itemson the lack of information were added, which was marked in Mexican studies. Conclusions: It issuggested to study the reliability, validity and distribution of the 29 item scale.