Increasing readiness to decide and strengthening behavioural intentions: evaluating the impact of a web-based patient decision aid for breast cancer treatment options

SIVELL, S, EDWARDS, A, MANSTEAD, ASR, REED, MWR, CALDON, L, COLLINS, Karen, CLEMENTS, A and ELWYN, G (2012). Increasing readiness to decide and strengthening behavioural intentions: evaluating the impact of a web-based patient decision aid for breast cancer treatment options. Patient Education and Counseling, 88 (2), 209-217.

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Link to published version:: 10.1016/j.pec.2012.03.012

Abstract

Objectives To undertake a quantitative evaluation of a theory-based, interactive online decisionaid (BresDex) to support women choosing surgery for early breastcancer (Stage I and II), based on observations of its use in practice. Methods Observational cohort study. Website log-files collected data on the use of BresDex. Online questionnaires assessed knowledge about breastcancer and treatmentoptions, degree to which women were deliberating about their options, and surgery intentions, pre- and post-BresDex. Results Readiness to make adecision significantly increased after using BresDex (p < .001), although there was no significant improvement in knowledge. Participants that were ‘less ready’ to make adecision before using BresDex, spent a longer time using BresDex (p < .05). Significant associations between surgery intentions and choices were observed (p < .001), with the majority of participants going on to have BCS. Greater length of time spent on BresDex was associated with stronger intentions to have BCS (p < .05). Conclusion The use of BresDex appears to facilitate readiness to make adecision for surgery, helping to strengthen surgery intentions.

Item Type: Article
Research Institute, Centre or Group: Centre for Health and Social Care Research
Identification Number: 10.1016/j.pec.2012.03.012
Depositing User: Rebecca Jones
Date Deposited: 19 Sep 2012 15:46
Last Modified: 19 Sep 2012 15:46
URI: http://shura.shu.ac.uk/id/eprint/4466

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