Maria Jibaja?Weiss|Robert J. Volk|Lois C. Friedman|Thomas S. Granchi|Nancy Neff|Stephen J. Spann|Edmondo Robinson|Noriaki Aoki|J. Robert Beck
Preliminary testing of a just?in?time, user?defined values clarification exercise to aid lower literate women in making informed breast cancer treatment decisions
Institute of Behavioral Sciences|Baylor College of Medicine|The University of Texas Health Science Center at Houston|Fox Chase Cancer Center
abstract objective report initial testing values clarification exercise utilizing jewellery box within computerized patient decision aid cptda designed assist women making surgical breast cancer treatment decision design prepost design patients interviewed diagnosis completing cptda sometime later preoperative visit sample fiftyone female patients low literate nave computer users newly diagnosed early stage breast cancer two urban public hospitals intervention computerized decision aid combines entertainmenteducation edutainment enhanced factual content interactive jewellery box featured assist women 1 recording reflecting issues concern possible treatments 2 deliberating surgery decision 3 communicating physician significant others outcomes patients use jewellery box store issues completion cptda perceived clarity values making treatment decision measured low literacy version decisional conflict scale dcs results half participants utilized jewellery box store issues found concerning treatments average users flagged 13 issues concern treatments scores dcs uncertainty feeling unclear values subscales lower intervention compared decision made conclusions values clarification exercise using interactive jewellery box may promising method promoting informed treatment decision making low literacy breast cancer patients