A personalized, web-based breast cancer decision making application: a pre-post survey

BMC Med Inform Decis Mak. 2019 Oct 21;19(1):196. doi: 10.1186/s12911-019-0924-7.

Abstract

Background: Every case of breast cancer is unique, and treatment must be personalized to incorporate a woman's values and preferences. We developed an individually-tailored mobile patient education application for women with breast cancer.

Methods: Pre-post surveys were completed by 255 women who used the tool.

Results: Patients thought the application included helpful information (N = 184, 72%) and was easy to navigate (N = 156, 61%). Most patients thought the amount of information in the tool was "about right" (N = 193, 87%). Decision making confidence increased by an average of 0.8 points (10-point scale) following a consultation and use of the tool (p < 0.001).

Conclusions: Tailored mobile applications may optimize care by facilitating shared decision making and knowledge transfer, and they may also enhance the experience of patients as they navigate through their breast cancer journey.

Keywords: Breast cancer; Clinical decision-making; Mobile applications; Shared decision making.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / psychology*
  • Breast Neoplasms / therapy*
  • Computers, Handheld
  • Decision Making*
  • Female
  • Humans
  • Internet*
  • Middle Aged
  • Patient Education as Topic
  • Patient Participation
  • Referral and Consultation
  • Surveys and Questionnaires