Implementing BREASTChoice Into Practice
Breast Reconstruction, Breast Cancer
About this trial
This is an interventional health services research trial for Breast Reconstruction focused on measuring Breast cancer, Breast Reconstruction, Breast Reconstruction Education, Breast Reconstruction Decision Tool
Eligibility Criteria
Inclusion Criteria:
- 18 years of age or older
- Diagnosis of incident or recurrent stage 0-III breast carcinoma
Exclusion Criteria:
- Stage IV breast carcinoma
- Histology type besides ductal/obular carcinoma (e.g. phyllodes, sarcoma - these rare tumors differ in treatment and prognosis)
- Prior mastectomy and are seeking delayed breast reconstruction
- No malignancy (i.e., considering mastectomy for prophylaxis only)
- Cannot give informed consent or use provided study materials due to self-reported or observed cognitive, visual, or emotional barriers
Inclusion Criteria for Clinicians:
-Clinicians who provide breast cancer care within the plastic and reconstructive surgery at Barnes Jewish Hospital, Siteman Cancer Center, Barnes Jewish West County, Christian Hospital North East, and the Stefanie Spielman Comprehensive Breast Center of OSU who provide care for patients considering breast reconstruction after mastectomy
Exclusion Criteria for Clinicians:
-Plastic and reconstructive clinicians working at other breast clinic locations, and surgeons who do provider breast reconstruction care to patients who have undergone a mastectomy due to breast cancer
Sites / Locations
- Washington University School of Medicine
- The Ohio State University Wexner Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Experimental
BREASTChoice
Attention Control Website
Clinicians
After consent, the participant will be randomized Depending on the clinic work-flow, the patient will be sent the link to the BREASTChoice tool by email or MyChart message 1) prior to their visit with the surgeon; 2) at the time of their visit with the surgeon; 3) after the surgeon appointment Will receive an online survey to complete after viewing the BREASTChoice tool assessing socio-demographics, knowledge, health literacy, decisional conflict, patient engagement, health-related quality of life, preferred decision role, and usability of the website. Will pull from the electronic medical record breast cancer diagnosis stage, previous breast cancer surgery and participants' reconstruction decision after enrollment.
After consent, the participant will be randomized Depending on the clinic work-flow, the patient will be sent the link to the website by email or MyChart message 1) prior to their visit with the surgeon; 2) at the time of their visit with the surgeon; 3) after the surgeon appointment Will receive an online survey to complete after viewing the website assessing socio-demographics, knowledge, preferences, health literacy, decisional conflict, measure of patient engagement, health-related quality of life, preferred decision role, consult time, and usability of the website. Will pull from the electronic medical record breast cancer diagnosis stage, previous breast cancer surgery and participants' reconstruction decision after enrollment.
Will receive a brief virtual training on how BREASTChoice functions and the features, including placement of the patient tool summary in the electronic health record Will complete pre-post trial survey about shared decision making