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 an 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 "CancerDoctorsLikeMe" website to 1) disseminate key findings about practice norms and patients'experiences and 2) demonstrate effective patient-centered communication strategies.
Aim 4 Develop a CancerDoctorsLikeMe website to personally tailor dissemination of key research findings to surgeons and medical oncologists who participated in Project 1 and Project 2.
Aim 5 Implement a CancerDoctorsLikeMe dissemination project and evaluate the impact on surgeons and medical oncologists who visit the site.
Aim 6 Revise the CancerDoctorsLikeMe website for future research and dissemination activities.
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.
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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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