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Related Experiment Video

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Integrating Augmented Reality Tools in Breast Cancer Related Lymphedema Prognostication and Diagnosis
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Implementing shared decision making for early-stage breast cancer treatment using a coproduction learning

Danielle Schubbe1, Renata W Yen2, Hannah Leavitt2

  • 1The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, Lebanon, NH, 03756, USA. danielle.c.schubbe@dartmouth.edu.

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The SHAIR Collaborative aims to improve shared decision-making (SDM) in early-stage breast cancer surgery using online resources. This initiative seeks to enhance patient outcomes and integrate SDM into routine care across North America.

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Area of Science:

  • Oncology
  • Health Services Research
  • Implementation Science

Background:

  • Shared decision-making (SDM) in breast cancer care improves outcomes but lacks routine implementation.
  • Previous trials demonstrated that surgery conversation aids enhance SDM and patient-reported outcomes in early-stage breast cancer.
  • Surgeons and patients advocate for the routine use of these conversation aids.

Purpose of the Study:

  • To develop and evaluate the SHared decision making Adoption Implementation Resource (SHAIR) Collaborative, an online learning platform.
  • To promote the implementation of breast cancer surgery conversation aids into routine preoperative care.
  • To foster a sustained learning collaborative in breast cancer care, in partnership with the American Society of Breast Surgeons (ASBrS).

Main Methods:

  • A two-phased implementation project: Phase 1 pilot at five sites, Phase 2 scale-up to 32 additional sites across North America.
  • The SHAIR Collaborative online platform will provide conversation aids, training, integration guidance, a feedback dashboard, and support.
  • Evaluation will utilize the RE-AIM framework, focusing on patient reach, patient-reported outcomes, site engagement, and sustainability.

Main Results:

  • The SHAIR Collaborative is projected to reach early-stage breast cancer patients across North America.
  • Evaluation will assess patient-reported outcomes and the number of active clinical sites.
  • Data will inform factors influencing implementation success and sustainability.

Conclusions:

  • The SHAIR Collaborative is expected to significantly increase the reach of SDM resources for early-stage breast cancer patients.
  • The project will evaluate patient outcomes and engagement across up to 37 clinical sites.
  • Potential for sustained implementation through partnership with the ASBrS is anticipated.