Patients’ and plastic surgeons’ experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation
Abstract Background Women diagnosed with breast cancer undergoing a mastectomy often have the option to undergo breast reconstruction (BR). BR decisions are complex and have considerable impact. We developed a patient decision aid (pDA) to support patients’ BR decision-making. Here, we assess patien...
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| Format: | Article |
| Language: | English |
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BMC
2025-02-01
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| Series: | BMC Medical Informatics and Decision Making |
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| Online Access: | https://doi.org/10.1186/s12911-024-02832-5 |
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| author | Jacqueline A. ter Stege Ellen G. Engelhardt Leonie A.E. Woerdeman Hester S.A. Oldenburg Jacobien M. Kieffer Daniela E.E. Hahn Frederieke H. van Duijnhoven Martine A. van Huizum Regina The Klemens Karssen Marianne Kuenen Miranda A. Gerritsma Quinten (PQ) Ruhe Irene S. Krabbe-Timmerman Martijne van’t Riet Nikola (AN) Kimmings Eveline M.L. Corten Kerry A. Sherman Arjen J. Witkamp Eveline M.A. Bleiker |
| author_facet | Jacqueline A. ter Stege Ellen G. Engelhardt Leonie A.E. Woerdeman Hester S.A. Oldenburg Jacobien M. Kieffer Daniela E.E. Hahn Frederieke H. van Duijnhoven Martine A. van Huizum Regina The Klemens Karssen Marianne Kuenen Miranda A. Gerritsma Quinten (PQ) Ruhe Irene S. Krabbe-Timmerman Martijne van’t Riet Nikola (AN) Kimmings Eveline M.L. Corten Kerry A. Sherman Arjen J. Witkamp Eveline M.A. Bleiker |
| author_sort | Jacqueline A. ter Stege |
| collection | DOAJ |
| description | Abstract Background Women diagnosed with breast cancer undergoing a mastectomy often have the option to undergo breast reconstruction (BR). BR decisions are complex and have considerable impact. We developed a patient decision aid (pDA) to support patients’ BR decision-making. Here, we assess patients’ and physicians’ use of the BR pDA and their views on the barriers and facilitators for widespread implementation. Methods Participants completed a questionnaire, and back-end data of the pDA was analyzed. Results Of 116 eligible patients, 113 patients accessed the BR pDA (median age: 50 years and 50% were highly educated. Most patients (72%) were satisfied with the pDA and 74% would recommend the BR pDA to other women facing the same choice. Patients’ preferences regarding how much, what kind and how to present information varied. Plastic surgeons (N = 22; 71% response) were satisfied with the pDA. Their key factors for implementation included the perceived match between information and clinical practice, costs, impact on patients, and support from peers and management for the tool. Conclusions As the BR pDA was highly valued by its end users, the identified factors for implementation should be taken into account. |
| format | Article |
| id | doaj-art-5857016e50a540b88eb2362fa1eda291 |
| institution | Kabale University |
| issn | 1472-6947 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj-art-5857016e50a540b88eb2362fa1eda2912025-02-09T12:40:25ZengBMCBMC Medical Informatics and Decision Making1472-69472025-02-0125111110.1186/s12911-024-02832-5Patients’ and plastic surgeons’ experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementationJacqueline A. ter Stege0Ellen G. Engelhardt1Leonie A.E. Woerdeman2Hester S.A. Oldenburg3Jacobien M. Kieffer4Daniela E.E. Hahn5Frederieke H. van Duijnhoven6Martine A. van Huizum7Regina The8Klemens Karssen9Marianne Kuenen10Miranda A. Gerritsma11Quinten (PQ) Ruhe12Irene S. Krabbe-Timmerman13Martijne van’t Riet14Nikola (AN) Kimmings15Eveline M.L. Corten16Kerry A. Sherman17Arjen J. Witkamp18Eveline M.A. Bleiker19Division of Psychosocial Research and Epidemiology, Netherlands Cancer InstituteDivision of Psychosocial Research and Epidemiology, Netherlands Cancer InstituteDepartment of Plastic and Reconstructive Surgery, Netherlands Cancer InstituteDepartment of Surgical Oncology, Netherlands Cancer InstituteDivision of Psychosocial Research and Epidemiology, Netherlands Cancer InstituteDepartment of Psychosocial Counseling, Netherlands Cancer InstituteDepartment of Surgical Oncology, Netherlands Cancer InstituteDepartment of Plastic and Reconstructive Surgery, Netherlands Cancer InstituteZorgKeuzeLabZorgKeuzeLabDivision of Psychosocial Research and Epidemiology, Netherlands Cancer InstituteDivision of Psychosocial Research and Epidemiology, Netherlands Cancer InstituteDepartment of Plastic and Reconstructive Surgery, Meander Medical CenterDepartment of Plastic and Reconstructive Surgery, Medical Center LeeuwardenDepartment of Surgery, Reinier de Graaf HospitalDepartment of Surgery, Slotervaart Medical CenterDepartment of Plastic and Reconstructive Surgery, Erasmus Medical CenterCentre for Emotional Health, School of Psychological Sciences, Macquarie University SydneyDepartment of Surgery, University Medical Center UtrechtDivision of Psychosocial Research and Epidemiology, Netherlands Cancer InstituteAbstract Background Women diagnosed with breast cancer undergoing a mastectomy often have the option to undergo breast reconstruction (BR). BR decisions are complex and have considerable impact. We developed a patient decision aid (pDA) to support patients’ BR decision-making. Here, we assess patients’ and physicians’ use of the BR pDA and their views on the barriers and facilitators for widespread implementation. Methods Participants completed a questionnaire, and back-end data of the pDA was analyzed. Results Of 116 eligible patients, 113 patients accessed the BR pDA (median age: 50 years and 50% were highly educated. Most patients (72%) were satisfied with the pDA and 74% would recommend the BR pDA to other women facing the same choice. Patients’ preferences regarding how much, what kind and how to present information varied. Plastic surgeons (N = 22; 71% response) were satisfied with the pDA. Their key factors for implementation included the perceived match between information and clinical practice, costs, impact on patients, and support from peers and management for the tool. Conclusions As the BR pDA was highly valued by its end users, the identified factors for implementation should be taken into account.https://doi.org/10.1186/s12911-024-02832-5Breast neoplasmsBreast reconstructionPatient decision aidInformational needsProcess evaluationImplementation |
| spellingShingle | Jacqueline A. ter Stege Ellen G. Engelhardt Leonie A.E. Woerdeman Hester S.A. Oldenburg Jacobien M. Kieffer Daniela E.E. Hahn Frederieke H. van Duijnhoven Martine A. van Huizum Regina The Klemens Karssen Marianne Kuenen Miranda A. Gerritsma Quinten (PQ) Ruhe Irene S. Krabbe-Timmerman Martijne van’t Riet Nikola (AN) Kimmings Eveline M.L. Corten Kerry A. Sherman Arjen J. Witkamp Eveline M.A. Bleiker Patients’ and plastic surgeons’ experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation BMC Medical Informatics and Decision Making Breast neoplasms Breast reconstruction Patient decision aid Informational needs Process evaluation Implementation |
| title | Patients’ and plastic surgeons’ experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation |
| title_full | Patients’ and plastic surgeons’ experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation |
| title_fullStr | Patients’ and plastic surgeons’ experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation |
| title_full_unstemmed | Patients’ and plastic surgeons’ experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation |
| title_short | Patients’ and plastic surgeons’ experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation |
| title_sort | patients and plastic surgeons experiences with an online patient decision aid for breast reconstruction considerations for nationwide implementation |
| topic | Breast neoplasms Breast reconstruction Patient decision aid Informational needs Process evaluation Implementation |
| url | https://doi.org/10.1186/s12911-024-02832-5 |
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