title: Impact of an educational video on patient decision making in early breast cancer treatment.
abstract: Previous research suggests that patient education programs promoting shared decision making (SDM) may improve patient satisfaction and outcomes, yet controlled clinical trials are lacking. The authors evaluate the impact of an early breast cancer treatment educational video on patients' decisional preferences and behavior. Newly diagnosed stage I/stage II breast cancer patients were assigned to SDM video program or control groups in alternating months. Surveys were administered prior to the provider visit and 1 week following the treatment decision. Variables assessed included autonomy preferences, perceived involvement in care, satisfaction, and treatment choice. There were no significant intervention effects on informational/decisional preferences, anxiety, knowledge, or satisfaction. Although 25% of SDM patients chose mastectomy compared to 14% of controls, this difference was not statistically significant. Eventhough enthusiasm for SDM programs remains high among some patients and providers, this study found only modest benefits.
authors.affiliation: Section of Plastic Surgery,University of Michigan Medical School, Ann Arbor, MI 48109, USA. ewilkins@umich.edu
authors.forename: Edwin G
authors.initials: EG
authors.lastname: Wilkins
authors.forename: Julie C
authors.initials: JC
authors.lastname: Lowery
authors.forename: Laurel A
authors.initials: LA
authors.lastname: Copeland
authors.forename: Sherry L
authors.initials: SL
authors.lastname: Goldfarb
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Wren
authors.forename: Nancy K
authors.initials: NK
authors.lastname: Janz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000473:pathology / Q000523:psychology / Q000628:therapy*; D002755:Choice Behavior; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008408:Mastectomy / Q000523:psychology; D008875:Middle Aged; D009367:Neoplasm Staging; D010348:Patient Care Team; D010353:Patient Education as Topic; D010358:Patient Participation; D017060:Patient Satisfaction; D010555:Personality Inventory; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology; D014741:Video Recording