Evaluation of the Use of Multimedia to Enhance Patient and Family Understanding

Study Overview
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Brief Summary
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This study will investigate the potential impact of arts-informed, technology-based patient education material, and specifically, the role of multimedia imagery on patient comprehension, perceived satisfaction, anxiety levels, and informed decision-making.

Detailed Description
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Based on an inter-professional approach to support a new role in patient care, this research addresses both literacy and health literacy issues within the context of current challenges to healthcare delivery and associated fragmentation in continuity of care. Patient education is a key component in the delivery of comprehensive care and it is the potential for on-line patient education that provides the basis for research.

Official Title
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Evaluation of the Use of Multimedia to Enhance Patient and Family Understanding

Conditions
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The Role of Multimedia on Retention and Comprehension of Key Concepts for Surgical Options in Newly Diagnosed Breast Cancer Patients.

Intervention / Treatment
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* Other: This group of patients will be exposed to multimedia
* Other: No Media


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The following inclusion criteria will be used: Participants must be: Newly diagnosed breast cancer patients A minimum age of 18 years or older Able to read and write in English and/or French Have a confirmed diagnosis of any of the following: Infiltrating ductal carcinoma Ductal carcinoma in situ (Grade III) Lobular carcinoma in situ (Grade III) Infiltrating lobular carcinoma Have access to, and the ability to use, a computer Exclusion Criteria: The following criteria will be reasons for exclusion from the study: The participant has a serious psychiatric or cognitive impairment that would prevent the patient from completing the study requirements. The participant has a previous history of breast cancer

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: No Media<br>Sixty participants will be randomized into one of two cohorts: 1. No media 2. Yes media | Other: No Media<br>* This group will not be exposed to multimedia<br>|
| Experimental: Yes Media Newly Diagnosed Breast Cancer Pts<br>Sixty participants will be randomized into one of two cohorts: 1. No media 2. Yes media | Other: This group of patients will be exposed to multimedia<br>* This group of patients will be exposed to multimedia<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Concept Grid | A likert scale measuring the comprehension and retention of key concepts in the research study. | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| DCS Conflict Scale | Traditional Decision Conflict Scale - The decisional conflict scale measures personal perceptions of: a) uncertainty in choosing options; b) modifiable factors contributing to uncertainty such as feeling uninformed, unclear about personal values and unsupported in decision making; and c) effective decision making such as feeling the choice is informed, values-based, likely to be implemented and expressing satisfaction. | 1 year | 
| Anxiety Scale - A.S. Zigmond and R.P. Snaith | A self-assessment scale that has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of a hospital medical outpatient clinic. This questionnaire is designed to help the doctor know how you feel. | 1 year | 
| The Hospital Anxiety and Depression (HAD) Scale | The Hospital Anxiety and Depression (HAD) rating scale is a commonly used questionnaire. It is a screening questionnaire for psychiatric disorders. | 1 year | 
| Interactive Patient Education Oncology Module | We would like to know if the module helped the patient understand their disease and their available treatment options. It is a questionnaire to obtain feedback on its overall design. | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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partnered surgical decision-making, impact of multimedia-based teaching, patient education, understanding and retention by patients