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Iterative Development of an Interactive Website to Support Shared Decision-Making in Metastatic Breast Cancer.

Claire C Conley1, Sophia Cumbo2, Jacqueline Chavez Ochoa2

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Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
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Summary

A new online tool helps metastatic breast cancer (MBC) patients prepare for treatment decisions. Developed iteratively with patients and providers, the tool improved patient knowledge and decision-making confidence.

Keywords:
Intervention developmentMetastatic breast cancerShared decision-makingWeb-based interventions

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Area of Science:

  • Oncology
  • Health Informatics
  • Patient Education

Background:

  • Advances in metastatic breast cancer (MBC) treatment have increased survival, altering treatment decision-making due to novel therapies and side effects.
  • Shared decision-making is crucial for MBC patients navigating complex treatment options.

Purpose of the Study:

  • To develop and evaluate a prototype online educational tool designed to support shared decision-making for patients with MBC.
  • To assess the tool's acceptability, feasibility, and impact on patient knowledge and decision-making self-efficacy.

Main Methods:

  • A five-phase iterative development process involving qualitative interviews, storyboard feedback, and user testing of website prototypes with MBC patients and oncology providers.
  • Final phase involved 6 newly diagnosed MBC patients using the prototype for one week, followed by surveys.

Main Results:

  • Patient interviews identified key information needs and a cyclical decision-making process.
  • Iterative feedback refined website content and structure.
  • Most Phase 5 participants accessed the tool multiple times, learned new information, and would recommend it.
  • Participants reported high preparation and self-efficacy for decision-making after using the prototype.

Conclusions:

  • An iterative, multiphase development process can create effective patient education tools for complex cancer care.
  • The developed prototype shows promise in enhancing MBC patients' preparedness and confidence for shared decision-making.
  • This tool has the potential to improve the quality of care and patient experience in metastatic breast cancer management.