ArticleHealth expectations : an international journal of public participation in health care and health policy2011
Development and pilot-testing of a Decision Aid for use among Chinese women facing breast cancer surgery.
Article in Health expectations : an international journal of public participation in health care and health policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Decision aids on breast conserving surgery for early stage breast cancer patients: a systematic review.BMC medical informatics and decision making · 2020Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Effectiveness of decision aids on decisional conflict and treatment or disease knowledge among women diagnosed with breast cancer: a systematic review and meta-analysis.Journal of cancer survivorship : research and practice · 2026Review
- Decision-making Tools for Postmastectomy Breast Reconstruction: A Scoping Review.Plastic and reconstructive surgery. Global open · 2025Article
- Designing a decision aid for cancer prevention: a qualitative study.Family practice · 2024Article
- Acceptability of a patient decision aid for women aged 70 and older with stage I, estrogen receptor-positive, HER2-negative breast cancer.Journal of geriatric oncology · 2021Article
- Shared Decision-Making in Breast Reconstruction for Breast Cancer Patients: A Scoping Review.Patient preference and adherence · 2021Article
- Developing a patient decision aid for the treatment of women with early stage breast cancer: the struggle between simplicity and complexity.BMC medical informatics and decision making · 2017Article
- Development and pilot-testing of patient decision aid for use among Chinese patients with primary open-angle glaucoma.BMJ open ophthalmology · 2017Article
- Article
- To Share or Not to Share: Malaysian Healthcare Professionals' Views on Localized Prostate Cancer Treatment Decision Making Roles.PloS one · 2015Article
- Shared decision-making in the People's Republic of China: current status and future directions.Patient preference and adherence · 2015Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWomen choosing breast cancer surgery encounter treatment decision-making (TDM) difficulties, which can cause psychological distress. Decision Aids (DAs) may facilitate TDM, but there are no DAs designed for Chinese populations. We developed a DA for Chinese women newly diagnosed with breast cancer, for use during the initial surgical consultation.
aimsConduct a pilot study to assess the DA acceptability and utility among Chinese women diagnosed with breast cancer.
methodsWomen preferred the DA in booklet format. A booklet was developed and revised and evaluated in two consecutive pilot studies (P1 and P2). On concluding their initial diagnostic consultation, 95 and 38 Chinese women newly diagnosed with breast cancer received the draft and revised draft DA booklet, respectively. Four-day post-consultation, women had questionnaires read out to them and to which they responded assessing attitudes towards the DA and their understanding of treatment options.
resultsThe original DA was read/partially read by 66/22% (n = 84) of women, whilst the revised version was read/partially read by 74/16% (n = 35), including subliterate women (χ(2) = 0.76, P = 0.679). Knowledge scores varied with the extent the booklet was read (P1: F = 12.68, d.f. 2, P < 0.001; P2: F = 3.744, d.f. 2, P = 0.034). The revised, shorter version was graphically rich and resulted in improved perceived utility, [except for the 'treatment options' (χ(2) = 5.50, P = 0.019) and 'TDM guidance' (χ(2) = 8.19, P = 0.004) sections] without increasing anxiety (F = 0.689, P = 0.408; F = 3.45, P = 0.073).
conclusionThe DA was perceived as acceptable and useful for most women. The DA effectiveness is currently being evaluated using a randomized controlled trial.
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