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Increasing readiness to decide and strengthening behavioral intentions: Evaluating the impact of a web-based patient decision aid for breast cancer treatment options (BresDex: www.bresdex.com)

Sivell, Stephanie, Edwards, Adrian G., Manstead, Antony Stephen Reid, Reed, Malcolm W. R., Caldon, Lisa, Collins, Karen, Clements, Alison and Elwyn, Glyn 2012. Increasing readiness to decide and strengthening behavioral intentions: Evaluating the impact of a web-based patient decision aid for breast cancer treatment options (BresDex: www.bresdex.com). Patient Education and Counseling 88 (2) , pp. 209-217. 10.1016/j.pec.2012.03.012

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Abstract

Objectives To undertake a quantitative evaluation of a theory-based, interactive online decision aid (BresDex) to support women choosing surgery for early breast cancer (Stage I and II), based on observations of its use in practice. Methods Observational cohort study. Website log-files collected data on the use of BresDex. Online questionnaires assessed knowledge about breast cancer and treatment options, degree to which women were deliberating about their options, and surgery intentions, pre- and post-BresDex. Results Readiness to make a decision significantly increased after using BresDex (p < .001), although there was no significant improvement in knowledge. Participants that were ‘less ready’ to make a decision before using BresDex, spent a longer time using BresDex (p < .05). Significant associations between surgery intentions and choices were observed (p < .001), with the majority of participants going on to have BCS. Greater length of time spent on BresDex was associated with stronger intentions to have BCS (p < .05). Conclusion The use of BresDex appears to facilitate readiness to make a decision for surgery, helping to strengthen surgery intentions. Practice implications BresDex may prove a useful adjunct to the support provided by the clinical team for women facing surgery for early breast cancer.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
R Medicine > RM Therapeutics. Pharmacology
Uncontrolled Keywords: Decision aids; Decision support interventions; Theory of Planned Behavior; Common Sense Model of Illness Representations; Online evaluation
Publisher: Elsevier
ISSN: 0738-3991
Last Modified: 04 Jun 2017 04:01
URI: http://orca-mwe.cf.ac.uk/id/eprint/30959

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