Efficacy of Written Versus Video Patient Education Materials for Postmastectomy Breast Reconstruction
Evaluating the Efficacy of Written Versus Video Patient Education Materials for Postmastectomy Breast Reconstruction Patients: Knowledge, Confidence, and Anxiety
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
PRIMARY OBJECTIVES:
- Assess baseline knowledge, procedural confidence, and anxiety in patients presenting for breast reconstruction consultation.
- Compare post-intervention outcomes between patients receiving written, video, or combined educational materials relative to no supplemental education.
SECONDARY OBJECTIVES
1. Examine whether the relative efficacy of each modality differs across patient subgroups defined by age, area deprivation index score, and prior health literacy.
OUTLINE:
Participants will be randomized into 1 of 4 groups:
- Written educational intervention
- Video educational intervention
- Combined written and video educational intervention
- No additional educational intervention
Outcome measures are assessed at a single timepoint following participant review of assigned materials and prior to the clinical consultation. Enrolled participants who do not review their assigned educational materials prior to the clinical consultation will be excluded from primary analysis but will be included in secondary intent-to-treat analysis
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Reta Behman, BA
- Numero di telefono: 877-827-3222
- Email: Reta.Behman@ucsf.edu
Luoghi di studio
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-
California
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San Francisco, California, Stati Uniti, 94143
- Reclutamento
- University of California, San Francisco
-
Contatto:
- Reta Behnam-Hanona, BA
- Numero di telefono: 877-827-3222
- Email: Reta.Behnam@ucsf.edu
-
-
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Adults aged 18 or older
- Presenting as a new patient to the UCSF plastic surgery breast reconstruction clinic
- Considering mastectomy, including:
- - Therapeutic mastectomy in the setting of a breast cancer diagnosis
- - Prophylactic mastectomy in the setting of a confirmed high-risk genetic variant
- - Staged procedures, including delayed mastectomy with initial reduction
- Participants who are undecided between lumpectomy and mastectomy
Exclusion Criteria:
- Established patients returning for follow-up, in order to minimize confounding variables of individual surgeon education style on outcome measures
- Participants who are primarily considering lumpectomy or oncoplastic reduction at the time of their visit
- Non-English speakers, as educational materials are currently available in English only
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Terapia di supporto
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Sperimentale: Written Educational Intervention
On the day of consultation prior to meeting with the plastic surgeon, participants will receive a 20-page illustrated brochure covering the full range of reconstructive options and be asked to complete surveys.
Following the appointment, a medical chart review will be conducted.
|
Participants will complete health related questionnaires.
Altri nomi:
20-page illustrated brochure
Altri nomi:
Participants may have data collected from the medical record.
Altri nomi:
|
|
Sperimentale: Video Educational Intervention
On the day of consultation prior to meeting with the plastic surgeon, participants will receive a five-module video series totaling approximately 20 minutes featuring the senior author and will be asked to complete surveys; expected to take no longer than 10 minutes to complete.
Following the appointment, a medical chart review will be conducted.
|
Participants will complete health related questionnaires.
Altri nomi:
Participants may have data collected from the medical record.
Altri nomi:
Five-module video series
Altri nomi:
|
|
Sperimentale: Combined Educational Intervention
On the day of consultation prior to meeting with the plastic surgeon, participants in the combined arm will receive both written and video materials and will be asked to complete surveys.
Following the appointment, a medical chart review will be conducted.
|
Participants will complete health related questionnaires.
Altri nomi:
20-page illustrated brochure
Altri nomi:
Participants may have data collected from the medical record.
Altri nomi:
Five-module video series
Altri nomi:
|
|
Altro: No Supplemental Education / Control Arm
On the day of consultation prior to meeting with the plastic surgeon, participants will be asked to complete surveys.
Following the appointment, a medical chart review will be conducted.
|
Participants will complete health related questionnaires.
Altri nomi:
Participants may have data collected from the medical record.
Altri nomi:
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Mean scores on the Spielberger State-Trait Anxiety Inventory (STAI), State Form
Lasso di tempo: 1 day, during appointment immediately prior to meeting with surgeon
|
STAI is a 20 items instrument for assessing trait anxiety and 20 for state anxiety for a total of 40 items.
State anxiety items include: "I am tense; I am worried" and "I feel calm; I feel secure."
Trait anxiety items include: "I worry too much over something that really doesn't matter" and "I am content; I am a steady person."
All items are rated on a 4-point scale (e.g., from "1=Almost Never" to 4="Almost Always") with a maximum score range of 40-160 when all 40 items are administered.
Higher scores indicate greater anxiety.
Participants will complete STAI at baseline and during clinic visit with surgeon.
Means, standard deviation, and group differences of the scores with confidence intervals will be reported.
|
1 day, during appointment immediately prior to meeting with surgeon
|
|
Mean scores on the Preparation for Decision Making (PrepDM) Scale -
Lasso di tempo: 1 day, during appointment immediately prior to meeting with surgeon
|
The PrepDM is a validated 10-item tool that assesses a patient's perception of how well a decision aid or intervention, such as a decision aid, educational material, or clinical consultation, helps a patient feel prepared to make a health decision and discuss it with their practitioner.
It evaluates a patient's perceived readiness across several aspects of decision-making, including understanding available options, recognizing benefits and risks, clarifying personal values, and feeling confident about communicating with healthcare providers.
It uses a 5-point Likert scale (1=Not at all, 5=A great deal), with higher score reflecting greater perceived preparation for decision-making.
Participants will complete PrepDM at baseline and during clinic visit with surgeon.
Means, standard deviation, and group differences of the scores with confidence intervals will be reported.
|
1 day, during appointment immediately prior to meeting with surgeon
|
|
Mean scores on Reconstruction-Specific Knowledge Quiz
Lasso di tempo: 1 day, during appointment immediately prior to meeting with surgeon
|
Reconstruction-specific knowledge quiz is a 7-item quiz.
It is an author-developed instrument assessing knowledge of the reconstructive options covered in the educational materials, including implant-based reconstruction, autologous reconstruction, Goldilocks reconstruction, and the option of going flat.
Participants will complete Reconstruction-Specific Knowledge Quiz at baseline and during clinic visit with surgeon.
Means, standard deviation, and group differences of the scores with confidence intervals will be reported.
|
1 day, during appointment immediately prior to meeting with surgeon
|
Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Investigatore principale: Merisa Piper, MD, University of California, San Francisco
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Comportamento
- Aderenza e conformità al trattamento
- Comportamento sanitario
- Conformità del paziente
- Accettazione dell'assistenza sanitaria da parte del paziente
- Interventi di aderenza
- Aderenza ai farmaci
- Educazione alla salute
- Qualità, accesso e valutazione dell'assistenza sanitaria
- Tecniche investigative
- Metodi epidemiologici
- Raccolta dei dati
- Meccanismi di valutazione dell'assistenza sanitaria
- Qualità dell'assistenza sanitaria
- Sanità pubblica
- Ambiente e salute pubblica
- Sondaggi e questionari
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- 26754
- NCI-2026-03675 (Identificatore di registro: NCI Clinical Trials Reporting Program (CTRP))
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