Effects of a web-based decision aid on breast cancer patients considering a breast reconstruction: a randomized controlled trial

作者：Yan Wang, Qingyue Zhang, Cheng Chang, Xiaoyuan Wang, Jian Yin, Wanmin Qiang · 发表于：BMC Women s Health · 年份：2025 · DOI：10.1186/s12905-025-03754-8 · 被引用次数：4 · 研究领域：Patient-Provider Communication in Healthcare、Cancer survivorship and care、Palliative Care and End-of-Life Issues

PURPOSE: Due to the variety of surgical methods, breast cancer patients may face dilemmas regarding decision-making. Web-based decision aids (WDAs) are interactive tools that help patients make informed decisions by meeting their needs both inside and outside the hospital, providing real-time decision assistance, and being more practical and convenient. Although the incidence of breast cancer ranks first among female cancers in China, studies focusing specifically on the use of WDAs in breast cancer patients have not been conducted in the country. The objective of this study was to determine the effects of WDAs on breast cancer patients considering a breast reconstruction. METHODS: A total of 70 patients with breast cancer were randomized, with 63 completing the whole trial. The control group used paper-based decision aids, which they could use freely in the ward to obtain health information support. The intervention group used web-based decision aids, including decision assessment, decision support, and decision evaluation, which they could use anytime and anywhere on their mobile phones. The study measured decision conflict, preferred decision-making roles, unmet needs, and decision satisfaction at baseline and before and after the intervention. RESULTS: No differences were found in the demographic and clinical features between the two groups. Compared with the control group, the intervention group had lower scores for the dimensions of decision support and decision effecti...