title: Do patients use decision and communication aids as prompted when meeting with breast cancer specialists?
abstract: BACKGROUND
  Our breast cancer clinic promotes patient use of decision and communication aids (DAs/CAs) through two mechanisms: coaching and prompting. From January through September 2010, we provided services to 462 of 1106 new visitors (42%). Of those 462 visitors, 267 (58%) received coaching. For the remainder (195 or 42%), the best we could do was prompt them to self-administer the DA and CAs.
  
  
  OBJECTIVE
  We wanted to learn whether patients prompted to use DAs/CAs did so.
  
  
  METHODS
  We surveyed prompted patients after their visits. We asked how much of each DA they reviewed, whether they listed questions, made notes and audio-recorded their consultations. We tallied frequencies and explored associations using logistic regression.
  
  
  RESULTS
  Of the 195 prompted patients, 82 responded to surveys (42%). Nearly all (66/73 or 90%) reported reviewing some or all of the booklets and 52/73 (71%) reported viewing some or all of the DVDs. While 63/78 (81%) responded that they wrote a question list, only 14/61 (23%) said they showed it to their doctor. Two-thirds (51/77 or 66%) said someone took notes, but only 16/79 (20%) reported making audio recordings.
  
  
  CONCLUSIONS
  More patients reported following prompts to use DAs than CAs. Few reported showing question lists to physicians or recording their visits. Our exploratory analyses surfaced associations between using CAs and race/ethnicity or education that merit further investigation.
  
  
  CONCLUSIONS
  Prompting patients assures better use of decision than communication aids. Clinicians may need to take a more active role to ensure patients receive adequate notes and recordings.
authors.affiliation: Institute for Health Policy Studies, University of California, San Francisco, NC, USA.
authors.forename: Shelley
authors.initials: S
authors.lastname: Volz
authors.forename: Dan H
authors.initials: DH
authors.lastname: Moore
authors.forename: Jeffrey K
authors.initials: JK
authors.lastname: Belkora
mesh_terms: D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy; D003142:Communication; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D008495:Medical Oncology; D008875:Middle Aged; D010817:Physician-Patient Relations
keywords: breast cancer; communication aids; decision aids; prompting