title: A peer-led decision support intervention improves decision outcomes in black women with breast cancer.
abstract: Previous reports suggest that Black breast cancer patients receive less patient-centered cancer care than their White counterparts. Interventions to improve patient-centered care (PCC) in Black breast cancer patients are lacking. Seventy-six women with histologically confirmed breast cancer were recruited from the Washington, DC area. After a baseline telephone interview, women received an in-person decision support educational session led by a trained survivor coach. The coach used a culturally appropriate guidebook and decision-making model-TALK Back!(©) A follow-up assessment assessed participants' acceptability of the intervention and intermediate outcomes. After the intervention, participants reported increased: self-efficacy in communicating with providers (70 %) and self-efficacy in making treatment decisions (70 %). Compared to baseline scores, post-intervention communication with providers significantly increased (p= .000). This is the first outcome report of an intervention to facilitate PCC in Black breast cancer patients. Testing this intervention using RCTs or similar designs will be important next steps.
authors.affiliation: Georgetown University Medical Center, Washington, DC, 20007, USA. vls3@georgetown.edu
authors.forename: Vanessa B
authors.initials: VB
authors.lastname: Sheppard
authors.forename: Sherrie F
authors.initials: SF
authors.lastname: Wallington
authors.forename: Shawna C
authors.initials: SC
authors.lastname: Willey
authors.forename: Regina M
authors.initials: RM
authors.lastname: Hampton
authors.forename: W
authors.initials: W
authors.lastname: Lucas
authors.forename: Y
authors.initials: Y
authors.lastname: Jennings
authors.forename: S
authors.initials: S
authors.lastname: Horton
authors.forename: N
authors.initials: N
authors.lastname: Muzeck
authors.forename: C
authors.initials: C
authors.lastname: Cocilovo
authors.forename: C
authors.initials: C
authors.lastname: Isaacs
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000208:ethnology* / Q000523:psychology / Q000628:therapy*; D003657:Decision Making; D004219:District of Columbia; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D018802:Patient-Centered Care; D010379:Peer Group; D010817:Physician-Patient Relations; D011209:Power, Psychological; D020377:Self Efficacy; D012944:Social Support