What matters most: Randomized controlled trial of breast cancer surgery conversation aids across socioeconomic strata.
Marie-Anne DurandRenata W YenA James O'MalleyDanielle SchubbeMary C PolitiCatherine H SaundersShubhada DhageKari RosenkranzJulie MargenthalerAnna N A TostesonEloise CraytonSherrill JacksonAnn BradleyLinda WallingChristine M MarxRobert J VolkKaren SepuchaElissa OzanneSanja Percac-LimaEmily BerginCourtney GoodwinCaity MillerCamille HarrisRichard J BarthRebecca AftSheldon FeldmanAmy E CyrChristina V AngelesShuai JiangGlyn ElwynPublished in: Cancer (2020)
The objective of this study was to understand how to help women with lower incomes or less formal education to make breast cancer surgery choices. Compared with usual care, a conversation aid with pictures and text led to higher knowledge. It improved the decision process and shared decision making (SDM) and lowered decision regret. A text-only conversation aid led to an improved decision process, more coordinated care, and higher SDM compared to usual care. The conversation aid with pictures was more helpful for women with lower income or less formal education. Conversation aids with pictures and text helped women make better breast cancer surgery choices.
Keyphrases
- healthcare
- minimally invasive
- quality improvement
- coronary artery bypass
- randomized controlled trial
- palliative care
- smoking cessation
- surgical site infection
- decision making
- antiretroviral therapy
- breast cancer risk
- pain management
- affordable care act
- study protocol
- mental health
- systematic review
- pregnant women
- polycystic ovary syndrome
- acute coronary syndrome
- skeletal muscle
- coronary artery disease