Artikel: Acceptability and pilot efficacy trial of a web-based breast reconstruction decision support aid for women considering mastectomy (2016)

The study aim was to test the acceptability and preliminary efficacy of a novel interactive
web-based breast reconstruction decision support aid (BRAID) for newly diagnosed breast cancer patients
considering mastectomy.

Methods

Fifty-five women considering mastectomy were randomly assigned to receive the BRAID
versus the Cancer Support Community’s Frankly Speaking About Cancer: Breast Reconstruction
pamphlet. Participants completed measures of breast reconstruction (BR) knowledge, preparation
to make a decision, decisional conflict, anxiety, and BR intentions before randomization and 2 weeks
later.

Results

In terms of acceptability, enrollment into the study was satisfactory, but the rate of return
for follow-up surveys was lower among BRAID participants than pamphlet participants. Both interventions
were evaluated favorably in terms of their value in facilitating the BR decision, and the majority
of participants completing the follow-up reported viewing the materials. In terms of preliminary
efficacy, both interventions resulted in significant increases in BR knowledge and completeness and
satisfaction with preparation to make a BR decision, and both interventions resulted in a significant
reduction in decision conflict. However, there were no differences between interventions.

Conclusion

A widely available free pamphlet and a web-based customized decision aid were highly
utilized. The pamphlet was as effective in educating women about BR and prepared women equally as
well to make the BR decision as compared with a more costly, customized web-based decision
support aid.

Copyright © 2015 John Wiley & Sons, Ltd.