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      Entertainment education for breast cancer surgery decisions: A randomized trial among patients with low health literacy

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          Abstract

          To evaluate an entertainment-based patient decision aid for early stage breast cancer surgery in low health literacy patients. Newly diagnosed female patients with early stage breast cancer from two public hospitals were randomized to receive an entertainment-based decision aid for breast cancer treatment along with usual care (intervention arm) or to receive usual care only (control arm). Pre-decision (baseline), pre-surgery, and 1-year follow-up assessments were conducted. Patients assigned to the intervention arm of the study were more likely than the controls to choose mastectomy rather than breast-conserving surgery; however, they appeared better informed and clearer about their surgical options than women assigned to the control group. No differences in satisfaction with the surgical decision or the decision-making process were observed between the patients who viewed the intervention and those assigned to the control group. Entertainment education may be a desirable strategy for informing lower health literate women about breast cancer surgery options. Incorporating patient decision aids, particularly computer-based decision aids, into standard clinical practice remains a challenge; however, patients may be directed to view programs at home or at public locations (e.g., libraries, community centers). Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

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          Author and article information

          Journal
          Patient Education and Counseling
          Patient Education and Counseling
          Elsevier BV
          07383991
          July 2011
          July 2011
          : 84
          : 1
          : 41-48
          Article
          10.1016/j.pec.2010.06.009
          20609546
          8eb732ad-e5a0-49ab-a483-4f02c12bfb71
          © 2011

          https://www.elsevier.com/tdm/userlicense/1.0/

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