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 A Neumayer

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

To enhance shared decision-making for patients with breast cancer, we developed an evidence-based 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
JournalThe American surgeon
Volume82
Issue number3
StatePublished - Mar 1 2016

ASJC Scopus subject areas

  • Medicine(all)

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    Serpico, V., Liepert, A. E., Boucher, K., Fouts, D. L., Anderson, L., Pell, J., & Neumayer, L. A. (2016). The Effect of Previsit Education in Breast Cancer Patients: A Study of a Shared-decision-making Tool. The American surgeon, 82(3), 259-265.