The effect of previsit education in breast cancer patients: A study of a shared-decision-making tool

Victoria Serpico, Amy E. Liepert, Kenneth Boucher, Diane L. Fouts, Layla Anderson, Joyce Pell, Leigh Neumayer

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

To enhance shared decision-making for patients with breast cancer, we developed an evidencebased educational breast cancer video (BCV) providing an overview of breast cancer biology, prognostic indicators, and surgical treatment options while introducing health care choice. By providing patients access to a BCV with information necessary to make informed surgical decisions before seeing a surgeon, we aimed to increase patient participation in the decision-making process, while decreasing distress. Patients with a new diagnosis of breast cancer were provided a link to the BCV. Group 1 participated in online pre-And postvideo questionnaires, with the BCV embedded in between. The questionnaires evaluated self-reported baseline knowledge of breast cancer and perceived distress related to the diagnosis. Changes in self-reported responses were analyzed using the Wilcoxon matched pairs test. Group 2 received a survey collecting demographics, decision-making information, and perceptions of the BCV at the time of clinic visit before meeting the surgeon. Group 1 included 69 subjects with 62 per cent reporting improved knowledge and 30 per cent reporting reduced distress in regard to their breast cancer diagnosis. Group 2 included 87 subjects; 94 to 98 per cent felt the BCV provided information and stimulated thoughts and questions to assist in breast cancer treatment decision-making. The BCV was positively received by participants and feasible to implement into clinical practice. Evidence-based media tools improve knowledge and reduce distress in patients with a new diagnosis of breast cancer as well as contributing to the shared decision-making process.

Original languageEnglish (US)
Pages (from-to)259-265
Number of pages7
JournalAmerican Surgeon
Volume82
Issue number3
StatePublished - Mar 2016

ASJC Scopus subject areas

  • Surgery

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