NCT04378816

A Patient-centered Continuous and Interdisciplinary Shared Decision Making Approach for Breast Cancer Rehabilitation

Status unknown NA Last updated 18 August 2020

What this trial tests

NA trial testing Shared decision making support tool in Shared Decision Making in 264 participants. Status unknown.

Timeline

5 May 2020

Primary endpoint
5 May 2021

5 May 2021

Quick facts

Lead sponsor	Taipei Medical University
Phase	NA
Status	Status unknown
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	double
Primary purpose	health services research
Enrollment	264
Start date	5 May 2020
Primary completion	5 May 2021
Estimated completion	5 May 2021
Sites	1 location across Taiwan

Drugs / interventions tested

• Shared decision making support tool

Conditions studied

• Shared Decision Making — all drugs for Shared Decision Making →
• Self-Efficacy for Decision Making — all drugs for Self-Efficacy for Decision Making →

Sponsor

Taipei Medical University

Who can join

20 and older, female only, with Shared Decision Making or Self-Efficacy for Decision Making. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: Breast cancer rehabilitation has gradually expanded from post-surgery rehabilitation to continuous rehabilitation including prehabilitation between cancer diagnosis and surgical treatment, post-surgery rehabilitation, and return-to-work/return-home interventions. Continuous rehabilitation provides patients with tailored training at each treatment period, in order to maintain patients' functions or accelerate the recovery of functions, reduce the burden of symptoms, and improve patients' independence and quality of life. As the functional rehabilitation needs and lifestyle adjustment needs of each patient's life role are different, only with an interprofessional rehabilitation team, patients can obtain patient-centered and comprehensive rehabilitation interventions. Interprofessional shared decision making (IP-SDM) is an decision-making process that interprofessional team and patients discussion the treatment options, based on the best evidence and patient values and preferences, to make a patient-centered treatment decision. However, the major barriers of the implementation of IP-SDM are the lack of IP-SDM skills of clinicians and the lack of medical knowledge of patients.

Purposes: The project aims (1) to develop a patient-centered continuous and interdisciplinary shared decision making approach for breast cancer rehabilitation, including IP-SDM training for interprofessional rehabilitation team, as well as decision coaching, patient decision aid and question prompt list for patients; and (2) to examine the effects of IP-SDM approach on the IP-SDM self-efficacy of interprofessional rehabilitation team and patients, quality of IP-SDM process, patients' satisfaction with decision, concordance between preferences and the chosen options, patients' upper limb function and health-related quality of life.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Decision aids for people facing health treatment or screening decisions.
   Stacey D, Lewis KB, Smith M, Carley M, et al · · 2024 · cited 203× · PMID 38284415 · DOI 10.1002/14651858.cd001431.pub6