A standardized patient education class as a vehicle to improving shared decision-making and increasing access to breast reconstruction

Abstract Background Every case of breast cancer is unique, and treatment must be personalized to incorporate a woman’s values and preferences. We developed an individually-tailored mobile patient education application for women with breast cancer. Methods Pre-post surveys were completed by 255 women who used the tool. Results Patients thought the application included helpful information (N = 184, 72%) and was easy to navigate (N = 156, 61%). Most patients thought the amount of information in the tool was “about right” (N = 193, 87%). Decision making confidence increased by an average of 0.8 points (10-point scale) following a consultation and use of the tool (p < 0.001). Conclusions Tailored mobile applications may optimize care by facilitating shared decision making and knowledge transfer, and they may also enhance the experience of patients as they navigate through their breast cancer journey.

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Computer-Based Learning Module Increases Shared Decision Making in Breast Reconstruction

Yearbook of Plastic and Aesthetic Surgery ◽

10.1016/s1535-1513(10)79598-9 ◽

2011 ◽

Vol 2011 ◽

pp. 222-223

Author(s):

S.H. Miller

Keyword(s):

Decision Making ◽

Breast Reconstruction ◽

Shared Decision Making ◽

Shared Decision ◽

Computer Based Learning ◽

Learning Module ◽

Computer Based

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PEGASUS: The effectiveness of an intervention designed to promote shared decision making about breast reconstruction

http://isrctn.com/ ◽

10.1186/isrctn18000391 ◽

2016 ◽

Author(s):

Nicole Paraskeva

Keyword(s):

Decision Making ◽

Breast Reconstruction ◽

Shared Decision Making ◽

Shared Decision

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A history of patient education by health professionals in Europe and North America: From authority to shared decision making education

Patient Education and Counseling ◽

10.1016/j.pec.2010.01.015 ◽

2010 ◽

Vol 78 (3) ◽

pp. 275-281 ◽

Cited By ~ 116

Author(s):

Ciska Hoving ◽

Adriaan Visser ◽

Patricia Dolan Mullen ◽

Bart van den Borne

Keyword(s):

Decision Making ◽

Patient Education ◽

North America ◽

Shared Decision Making ◽

Health Professionals ◽

Shared Decision ◽

History Of

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Implementing an Electronic Clinical Decision Support Tool Into Routine Care: A Qualitative Study of Stakeholders’ Perceptions of a Post-Mastectomy Breast Reconstruction Tool

MDM Policy & Practice ◽

10.1177/23814683211042010 ◽

2021 ◽

Vol 6 (2) ◽

pp. 238146832110420

Author(s):

Jessica Boateng ◽

Clara N. Lee ◽

Randi E. Foraker ◽

Terence M. Myckatyn ◽

Kimi Spilo ◽

...

Keyword(s):

Decision Making ◽

Decision Support ◽

Breast Reconstruction ◽

Shared Decision Making ◽

Clinical Decision Support ◽

Clinical Decision ◽

Routine Care ◽

Evidence Based ◽

Shared Decision ◽

Consultation Time

Objective. To explore barriers and facilitators to implementing an evidence-based clinical decision support (CDS) tool (BREASTChoice) about post-mastectomy breast reconstruction into routine care. Materials and Methods. A stakeholder advisory group of cancer survivors, clinicians who discuss and/or perform breast reconstruction in women with cancer, and informatics professionals helped design and review the interview guide. Based on the Consolidated Framework for Implementation Research (CFIR), we conducted qualitative semistructured interviews with key stakeholders (patients, clinicians, informatics professionals) to explore intervention, setting characteristics, and process-level variables that can impact implementation. Interviews were transcribed, coded, and analyzed based on the CFIR framework using both inductive and deductive methods. Results. Fifty-seven potential participants were contacted; 49 (85.9%) were eligible, and 35 (71.4%) were enrolled, continuing until thematic saturation was reached. Participants consisted of 13 patients, 13 clinicians, and 9 informatics professionals. Stakeholders thought that BREASTChoice was useful and provided patients with an evidence-based source of information about post-mastectomy breast reconstruction, including their personalized risks. They felt that BREASTChoice could support shared decision making, improve workflow, and possibly save consultation time, but were uncertain about the best time to deliver BREASTChoice to patients. Some worried about cost, data availability, and security of integrating the tool into an electronic health record. Most acknowledged the importance of showing clinical utility to gain institutional buy-in and encourage routine adoption. Discussion and Conclusion. Stakeholders felt that BREASTChoice could support shared decision making, improve workflow, and reduce consultation time. Addressing key questions such as cost, data integration, and timing of delivering BREASTChoice could build institutional buy-in for CDS implementation. Results can guide future CDS implementation studies.

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