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Impact of an educational video on patient decision making in early breast cancer treatment.

Authors
  • Wilkins, Edwin G
  • Lowery, Julie C
  • Copeland, Laurel A
  • Goldfarb, Sherry L
  • Wren, Patricia A
  • Janz, Nancy K
Type
Published Article
Journal
Medical decision making : an international journal of the Society for Medical Decision Making
Publication Date
Jan 01, 2006
Volume
26
Issue
6
Pages
589–598
Identifiers
PMID: 17099197
Source
Medline
License
Unknown

Abstract

Previous research suggests that patient education programs promoting shared decision making (SDM) may improve patient satisfaction and outcomes, yet controlled clinical trials are lacking. The authors evaluate the impact of an early breast cancer treatment educational video on patients' decisional preferences and behavior. Newly diagnosed stage I/stage II breast cancer patients were assigned to SDM video program or control groups in alternating months. Surveys were administered prior to the provider visit and 1 week following the treatment decision. Variables assessed included autonomy preferences, perceived involvement in care, satisfaction, and treatment choice. There were no significant intervention effects on informational/decisional preferences, anxiety, knowledge, or satisfaction. Although 25% of SDM patients chose mastectomy compared to 14% of controls, this difference was not statistically significant. Eventhough enthusiasm for SDM programs remains high among some patients and providers, this study found only modest benefits.

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