scholarly journals Perceptions of racially/ethnically diverse women at high-risk for breast cancer regarding use of a web-based decision aid on chemoprevention: A qualitative study nested within a randomized controlled trial (Preprint)

10.2196/23839 ◽  
2020 ◽  
Author(s):  
Tarsha Jones ◽  
Ashlee Guzman ◽  
Thomas Silverman ◽  
Katherine Freeman-Costin ◽  
Rita Kukafka ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
High Risk ◽  
Qualitative Study ◽  
Decision Aid ◽  
Controlled Trial ◽  
Ethnically Diverse ◽  
Web Based ◽  
Randomized Controlled

scholarly journals SIS.NET: A randomized controlled trial evaluating a web-based system for symptom management after treatment of breast cancer

Cancer ◽  
2014 ◽  
Vol 121 (6) ◽  
pp. 893-899 ◽  
Author(s):  
Alyse E. Wheelock ◽  
Meredith A. Bock ◽  
Eva L. Martin ◽  
Jimmy Hwang ◽  
Mary Lou Ernest ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Symptom Management ◽  
Controlled Trial ◽  
Web Based ◽  
Randomized Controlled ◽  
Web Based System

Cost-effectiveness of the BRECONDA decision aid for women with breast cancer: Results from a randomized controlled trial

2018 ◽  
Vol 27 (6) ◽  
pp. 1589-1596 ◽  
Author(s):  
Bonny Parkinson ◽  
Kerry A. Sherman ◽  
Paul Brown ◽  
Laura-Kate E. Shaw ◽  
John Boyages ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Randomized Controlled Trial ◽  
Cost Effectiveness ◽  
Decision Aid ◽  
Controlled Trial ◽  
Randomized Controlled

A randomized controlled trial of a self-administered, online decision-aid (“Navya Patient Preference Tool”) to reduce decisional conflict in women with early breast cancer.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 7033-7033
Author(s):  
Shalaka P Joshi ◽  
Lakshmi Ramarajan ◽  
Ojas Deshpande ◽  
Elizabeth Fernandes ◽  
Vaibhav Vanmali ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Randomized Controlled Trial ◽  
Decision Aid ◽  
Controlled Trial ◽  
Decisional Conflict ◽  
Shared Decision ◽  
Breast Cancer Patients ◽  
Medical Encounter ◽  
Randomized Controlled

7033 Background: Shared decision making to confront choices with clinical equipoise, has been the privilege of those patients with access to time intensive consults with oncologists. We conducted a randomized controlled trial for breast cancer patients to use an online, self-administered, out-of-the-medical-encounter decision aid (DA) to choose between breast conserving surgery (BCS) and mastectomy. Methods: Navya Patient Preference Tool (Navya PPT) is a multilingual DA based on adaptive conjoint analysis of tradeoffs between cost, adverse effects of radiation, and breast conservation. Prior analysis established high internal reliability and external validity of the Navya PPT. Eligible cT1/2, cN0 breast cancer patients planned for surgery were block randomized, in 1:1:1 ratio, to receive the research questionnaire (RQ) to measure decisional conflict on choice of surgery (control, arm 1), Navya PPT followed by RQ (experimental, arm 2) or Navya PPT followed by RQ administered with key male family member (experimental, arm 3). Groups were stratified with respect to age, socio-economic status (SES) and educational level. The study was powered to detect a decrease in Decisional Conflict Index (DCI) by 0.25 (β-0.8, two sided α- 0.01). Results: Between June 2017 and December 2019, 247/255 patients were randomized to arm 1 (83), arm 2 (84), and arm 3 (80). Median age was 48 years (IQR 23-76), and median pT size was .5 cm (0.5-6 cm). 59% of patients were middle or lower SES and 46.2% had ≤ 12th grade education. DCI was significantly reduced in arm 2 as compared with arm 1 (1.34 vs. 1.65, Cohen’s d 0.49 (± 0.31) p<0.05) as well as in arm 3 as compared with arm 1 (1.30 vs. 1.65, Cohen’s d 0.54 (± 0.31) p<0.05). 80% (± 6%) of patients underwent surgery of choice as determined by Navya PPT. BCS rate was similar in all three arms (85.2, 88.9 and 86.5% respectively (p=0.779). Conclusions: Online, self-administered, adaptive DAs used out of the medical encounter can reduce decisional conflict and increase access to shared decision making for every patient; especially in practices with low doctor to patient ratios. Clinical trial information: IEC/0116/1619/001 .

scholarly journals Lock to Live—An Interactive Web-Based Lethal Means Safety Decision Aid for Suicidal Adults: Pilot Randomized Controlled Trial

10.2196/16253 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e16253 ◽  
Author(s):  
Marian E Betz ◽  
Christopher E Knoepke ◽  
Scott Simpson ◽  
Bonnie J Siry ◽  
Ashley Clement ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Suicide Prevention ◽  
Decision Aid ◽  
Controlled Trial ◽  
Community Dwelling ◽  
Web Based ◽  
Randomized Controlled ◽  
Lethal Means ◽  
Pilot Randomized Controlled Trial

Background Counseling to reduce access to lethal means such as firearms and medications is recommended for suicidal adults but does not routinely occur. We developed the Web-based Lock to Live (L2L) decision aid to help suicidal adults and their families choose options for safer home storage. Objective This study aimed to test the feasibility and acceptability of L2L among suicidal adults in emergency departments (EDs). Methods At 4 EDs, we enrolled participants (English-speaking, community-dwelling, suicidal adults) in a pilot randomized controlled trial. Participants were randomized in a 13:7 ratio to L2L or control (website with general suicide prevention information) groups and received a 1-week follow-up telephone call. Results Baseline characteristics were similar between the intervention (n=33) and control (n=16) groups. At baseline, many participants reported having access to firearms (33/49, 67%), medications (46/49, 94%), or both (29/49, 59%). Participants viewed L2L for a median of 6 min (IQR 4-10 min). L2L also had very high acceptability; almost all participants reported that they would recommend it to someone in the same situation, that the options felt realistic, and that L2L was respectful of values about firearms. In an exploratory analysis of this pilot trial, more participants in the L2L group reported reduced firearm access at follow-up, although the differences were not statistically significant. Conclusions The L2L decision aid appears feasible and acceptable for use among adults with suicide risk and may be a useful adjunct to lethal means counseling and other suicide prevention interventions. Future large-scale studies are needed to determine the effect on home access to lethal means. Trial Registration ClinicalTrials.gov NCT03478501; https://clinicaltrials.gov/ct2/show/NCT03478501

scholarly journals The effects of a web-based decision aid on the intention to diagnostic self-testing for cholesterol and diabetes: a randomized controlled trial

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Gaby Ronda ◽  
Janaica EJ Grispen ◽  
Martine HP Ickenroth ◽  
Geert-Jan Dinant ◽  
Nanne K De Vries ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Decision Aid ◽  
Controlled Trial ◽  
Web Based ◽  
Randomized Controlled ◽  
Self Testing
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