E-Based Technology to Provide Decision Aid on Breast Reconstruction for Women With Breast Cance

Study Overview
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Brief Summary
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Using decision aids has been demonstrated to support women to make treatment decision effectively. However, these studies focused on the decision of receiving breast conservative surgery or mastectomy, had short term follow-ups on decision satisfaction.The aims of this study were: Evaluate the effect of E-based & personalized breast reconstruction surgery decision aid on women's decision satisfaction and mental health.

Detailed Description
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Randomized controlled trial will be used to examine the effect of E-based & personalized breast reconstruction surgery decision aid on decision satisfaction, body image, anxiety and depression. Participants will be randomly assigned into either experimental or control groups with 88 women in each group. After completing the questionnaires at baseline, participants in the experimental group will be asked to receive a E-based & personalized breast reconstruction surgery decision aid at clinic. Control group will only receive pamphlet and usual care. All participants will be followed up 1 week after consultation, and 1 month, 8 month and 12 month after surgery.

Official Title
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The Effect of E-Based Technology to Provide Personalized Decision Aid on Breast Reconstruction for Women With Breast Cancer

Conditions
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Decision Support Technique, Breast Cancer

Intervention / Treatment
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* Other: E-based & personalized breast reconstruction surgery decision aid
* Other: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age of at least 20 years or under 20 years but married females newly diagnosed with breast cancer who are candidates for mastectomy ability to read and speak Taiwanese or Mandarin Exclusion Criteria: Women with cancer recurrence poor cognitive function diagnosed with psychiatric disease

Ages Eligible for Study
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Minimum Age: 20 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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Application (APP) group<br>After completing the questionnaires at baseline, participants in the experimental group will be asked to receive a pamphlet and an E-based & personalized breast reconstruction surgery decision aid at clinic. | Other: E-based & personalized breast reconstruction surgery decision aid<br>* This decision aid contains information regarding surgical options, including breast reconstruction and mastectomy, such as the advantages and disadvantages, the complication probabilities of each option, a value clarification exercise for the patient's self-evaluation, and a summary of the participant's decision-making process.<br>* Other names: APP decision aid;Other: Usual care<br>* A pamphlet introduce the introduction of types of surgery<br>|
| Other: Usual care group<br>After completing the questionnaires at baseline, participants in the control group will only receive a pamphlet as usual care | Other: Usual care<br>* A pamphlet introduce the introduction of types of surgery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body image | The Body Image Scale (BIS) has ten items rated on a four-point Likert scale (0 [not at all] to 3 [very much]), with total scores ranging from 0 to 30. Higher scores indicate greater BI distress. | Pre-surgery, 1 month, 8 month, 12 month post surgery | 
| Decision Regret | Decision Regret Scale (DRS) accesses distress or remorse after a surgery decision. This instrument contains 5 items. The items were summed, divided by 5, and multiplied by 25. Higher scores indicate greater decision regret. | 1 month, 8 month, 12 month post surgery | 
| Decision conflict | Decision Conflict Scale (DCS) accesses the perception of uncertainty in information, values or support for surgery options. This instrument contains 16 items and was developed by O'Connor. The items were summed, divided by 16, and multiplied by 25. Higher scores indicate greater decision conflict. | Pre-surgery, 1 week after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Anxiety | The Hospital Anxiety and Depression Scale (HADS) assesses symptoms of anxiety and depression. The HADS includes 14 items, of which 7 measure anxiety, and 7 measure depression. All items are scored using a 0-3 point scale, with higher scores indicating more depressive symptoms. Cut-off scores are used to categorize anxiety and depressive symptoms, with values of over 8 indicating possible anxiety and depression, and 11 or above indicating probable anxiety. | Pre-surgery, 1 month, 8 month, 12 month post surgery | 
| Depression | The Hospital Anxiety and Depression Scale (HADS) assesses symptoms of anxiety and depression. The HADS includes 14 items, of which 7 measure anxiety, and 7 measure depression. All items are scored using a 0-3 point scale, with higher scores indicating more depressive symptoms. Cut-off scores are used to categorize anxiety and depressive symptoms, with values of over 8 indicating possible anxiety and depression, and 11 or above indicating probable depression. | Pre-surgery, 1 month, 8 month, 12 month post surgery | 
| Involvement in the Breast Reconstruction (BR) decision-making process scale | Involvement in the BR decision-making process was divided into two subscales, one accesses the perception of medical information about surgery obtained with 6 items and the other assesses the perception of partners' involvement in the BR decision-making process with 7 items. The scale used a five-point Likert scale (1 [strongly disagree] to 5 [strongly agree]); the higher the score, the greater the amount of information the participants believed they had obtained and the greater the participants perceived their partner's involvement in the BR decision-making process. | 1 week after intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Decision aid, Breast reconstruction, E-based Technology