Entertainment education for breast cancer surgery decisions: a randomized trial among patients with low health literacy.

To evaluate an entertainment-based patient decision aid for early stage breast cancer surgery in low health literacy patients. 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. 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. Entertainment education may be a desirable strategy for informing lower health literate women about breast cancer surgery options. 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).

Jibaja-Weiss ML ，Volk RJ ，Granchi TS ，Neff NE ，Robinson EK ，Spann SJ ，Aoki N ，Friedman LC ，Beck JR ... -  《-》

Exploring the black box of a decision aid: what information do patients select from an interactive Cd-Rom on treatment options in breast cancer?

Molenaar S ，Sprangers M ，Oort F ，Rutgers E ，Luiten E ，Mulder J ，van Meeteren M ，de Haes H ... -  《PATIENT EDUCATION AND COUNSELING》

In the moment: women speak about surgical treatment decision making days after a breast cancer diagnosis.

Lally RM 《-》

Can women with early-stage breast cancer make an informed decision for mastectomy?

Collins ED ，Moore CP ，Clay KF ，Kearing SA ，O'Connor AM ，Llewellyn-Thomas HA ，Barth RJ Jr ，Sepucha KR ... -  《-》

Entertainment education for informed breast cancer treatment decisions in low-literate women: development and initial evaluation of a patient decision aid.

Jibaja-Weiss ML ，Volk RJ ，Granch TS ，Nefe NE ，Spann SJ ，Aoki N ，Robinson EK ，Freidman LC ，Beck JR ... -  《-》