Entertainment education for breast cancer surgery decisions: a randomized trial among patients with low health literacy.
Patient Educ Couns
; 84(1): 41-8, 2011 Jul.
Article
de En
| MEDLINE
| ID: mdl-20609546
ABSTRACT
OBJECTIVE:
To evaluate an entertainment-based patient decision aid for early stage breast cancer surgery in low health literacy patients.METHODS:
Newly diagnosed female patients with early stage breast cancer from two public hospitals were randomized to receive an entertainment-based decision aid for breast cancer treatment along with usual care (intervention arm) or to receive usual care only (control arm). Pre-decision (baseline), pre-surgery, and 1-year follow-up assessments were conducted.RESULTS:
Patients assigned to the intervention arm of the study were more likely than the controls to choose mastectomy rather than breast-conserving surgery; however, they appeared better informed and clearer about their surgical options than women assigned to the control group. No differences in satisfaction with the surgical decision or the decision-making process were observed between the patients who viewed the intervention and those assigned to the control group.CONCLUSIONS:
Entertainment education may be a desirable strategy for informing lower health literate women about breast cancer surgery options. PRACTICE IMPLICATIONS Incorporating patient decision aids, particularly computer-based decision aids, into standard clinical practice remains a challenge; however, patients may be directed to view programs at home or at public locations (e.g., libraries, community centers).
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Participation des patients
/
Tumeurs du sein
/
Éducation du patient comme sujet
/
Techniques d'aide à la décision
/
Enseignement assisté par ordinateur
/
Compétence informationnelle en santé
Type d'étude:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Aspects:
Patient_preference
Limites:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Langue:
En
Journal:
Patient Educ Couns
Année:
2011
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique