The goal of this program is to improve population health by helping clinicians and their patients address the challenges of individualizing the treatment of breast cancer. Projects 1 and 2 are observational studies that will examine patient and clinician factors associated with locoregional (PI) and systemic therapy (P2). Project 3 will perform a randomized controlled trial of an online decision tool to improve decision quality for patients newly diagnosed with breast cancer. The goal of the Communication and Dissemination Core (Core C) is to translate key research findings into personally relevant messages for patients and clinicians. The University of Michigan's Center for Health Communications Research, an NCI Center of Excellence in Cancer Communications Research, will serve as the backbone for this Core. The first set of Core aims relate to the online patient decision tool that will be tested in P3.
Aim 1 Revise and expand ah existing prototype to create a comprehensive patient decision tool.
Aim 2 Deploy the comprehensive decision tool as part of the Project 3 randomized controlled trial.
Aim 3 Upon completion of the Project 3 trial, revise the decision tool for future dissemination. The second set of Core aims focuses on translating findings from P1 and P2 into tools for clinicians. To do this, we will create a

Public Health Relevance

The goal of the Communication and Dissemination Core is to translate key research findings into meaningful messages for patients and clinicians. We will do this by creating 1) an interactive online tool to help patients improve breast cancer treatment decision making, and 2) an interactive website to educate clinicians about breast cancer practice norms, patient's experience, and effective patient communication strategies.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
5P01CA163233-02
Application #
8554999
Study Section
Special Emphasis Panel (ZCA1-RPRB-B)
Project Start
Project End
Budget Start
2013-09-01
Budget End
2014-08-31
Support Year
2
Fiscal Year
2013
Total Cost
$228,706
Indirect Cost
$81,281
Name
University of Michigan Ann Arbor
Department
Type
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
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Wallner, Lauren P; Martinez, Kathryn A; Li, Yun et al. (2016) Use of Online Communication by Patients With Newly Diagnosed Breast Cancer During the Treatment Decision Process. JAMA Oncol 2:1654-1656
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Martinez, Kathryn A; Kurian, Allison W; Hawley, Sarah T et al. (2015) How can we best respect patient autonomy in breast cancer treatment decisions? Breast Cancer Manag 4:53-64
Katz, Steven J; Kurian, Allison W; Morrow, Monica (2015) Treatment Decision Making and Genetic Testing for Breast Cancer: Mainstreaming Mutations. JAMA 314:997-8
Shumway, Dean; Griffith, Kent A; Jagsi, Reshma et al. (2015) Psychometric properties of a brief measure of autonomy support in breast cancer patients. BMC Med Inform Decis Mak 15:51
Katz, Steven J (2014) Treatment decision aids are unlikely to cut healthcare costs. BMJ 348:g1172
Resnicow, Ken; Abrahamse, Paul; Tocco, Rachel S et al. (2014) Development and psychometric properties of a brief measure of subjective decision quality for breast cancer treatment. BMC Med Inform Decis Mak 14:110
Katz, Steven J; Belkora, Jeffrey; Elwyn, Glyn (2014) Shared decision making for treatment of cancer: challenges and opportunities. J Oncol Pract 10:206-8
Katz, Steven J; Hawley, Sarah (2014) Patient-physician shared decision making--reply. JAMA 311:864

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