Implementing shared decision making for early-stage breast cancer treatment using a coproduction learning...

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.