当前位置： SCI文献检索 > PATIENT EDUCATION AND COUNSELING期刊下所有文献 > Effect of a decision aid with patient narratives in reducing decisional conflict in choice for surgery among early-stage breast cancer patients: A three-arm randomized controlled trial.

Effect of a decision aid with patient narratives in reducing decisional conflict in choice for surgery among early-stage breast cancer patients: A three-arm randomized controlled trial.

Abstract：

OBJECTIVE:We aimed to evaluate the effect of a decision aid (DA) with patient narratives on decisional conflict in surgery choice for Japanese women with early-stage breast cancer. METHODS:Two hundred ten women with early-stage breast cancer were randomly assigned to an intervention or control group. Groups 1 and 2 received standard information and a DA, with or without patient narratives, and Group 3 received standard information (control) before surgery choice. At baseline, post-intervention (Time 2), and 1 month after surgery (Time 3), we evaluated decisional conflict as the primary outcome using a decisional conflict scale (DCS). Sidak corrections for multiple comparisons in analysis of covariate were used to compare Time 2 and Time 3 DCS mean scores between each pair of groups. RESULTS:At Time 3, decisional conflict was significantly reduced for Group 1 vs control (P=0.021, Cohen's d =0.26) and Group 2 vs control (P=0.008, Cohen's d=0.40). CONCLUSION:The DAs with and without patient narratives are equivalently effective at reducing postoperative decisional conflict in Japanese women with early-stage breast cancer. PRACTICE IMPLICATIONS:The DAs with and without patient narratives can be used in clinical practice for women with early-stage breast cancer.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Osaka W,Nakayama K

doi

10.1016/j.pec.2016.09.011

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

550-562

issue

3

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(16)30421-9

journal_volume

100

pub_type

杂志文章,随机对照试验

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