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This study will investigate the potential impact of arts-informed, technology-based patient education material, and specifically, the role of multimedia imagery on patient comprehension, perceived satisfaction, anxiety levels, and informed decision-making.
Based on an inter-professional approach to support a new role in patient care, this research addresses both literacy and health literacy issues within the context of current challenges to healthcare delivery and associated fragmentation in continuity of care. Patient education is a key component in the delivery of comprehensive care and it is the potential for on-line patient education that provides the basis for research.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No Media | Placebo Comparator | Sixty participants will be randomized into one of two cohorts: 1. No media 2. Yes media |
|
| Yes Media Newly Diagnosed Breast Cancer Pts | Experimental | Sixty participants will be randomized into one of two cohorts: 1. No media 2. Yes media |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| This group of patients will be exposed to multimedia | Other | This group of patients will be exposed to multimedia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Concept Grid | A likert scale measuring the comprehension and retention of key concepts in the research study. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| DCS Conflict Scale | Traditional Decision Conflict Scale - The decisional conflict scale measures personal perceptions of: a) uncertainty in choosing options; b) modifiable factors contributing to uncertainty such as feeling uninformed, unclear about personal values and unsupported in decision making; and c) effective decision making such as feeling the choice is informed, values-based, likely to be implemented and expressing satisfaction. |
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Inclusion Criteria:
The following inclusion criteria will be used: Participants must be:
Newly diagnosed breast cancer patients
A minimum age of 18 years or older
Able to read and write in English and/or French
Have a confirmed diagnosis of any of the following:
Have access to, and the ability to use, a computer
Exclusion Criteria:
The following criteria will be reasons for exclusion from the study:
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| Name | Affiliation | Role |
|---|---|---|
| David Fleiszer, M.D.C.M., F.R.C.S (C). | McGill University Health Centre/Research Institute of the McGill University Health Centre | Principal Investigator |
| Nancy Posel, N. DIA, M.Ed, PhD | McGill University | Study Director |
| Dianne Bateman, PhD | McGill University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Victoria Hospital, Cedars Breast Clinic | Montreal | Quebec | H3A 1A1 | Canada | ||
| Myrna Cabaluna, Manager, MUHC Education Portfolio |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16177288 | Background | del Carmen MG, Joffe S. Informed consent for medical treatment and research: a review. Oncologist. 2005 Sep;10(8):636-41. doi: 10.1634/theoncologist.10-8-636. | |
| 8800075 | Background | Etchells E, Sharpe G, Walsh P, Williams JR, Singer PA. Bioethics for clinicians: 1. Consent. CMAJ. 1996 Jul 15;155(2):177-80. |
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| No Media | Other | This group will not be exposed to multimedia |
|
| 1 year |
| Anxiety Scale - A.S. Zigmond and R.P. Snaith | A self-assessment scale that has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of a hospital medical outpatient clinic. This questionnaire is designed to help the doctor know how you feel. | 1 year |
| The Hospital Anxiety and Depression (HAD) Scale | The Hospital Anxiety and Depression (HAD) rating scale is a commonly used questionnaire. It is a screening questionnaire for psychiatric disorders. | 1 year |
| Interactive Patient Education Oncology Module | We would like to know if the module helped the patient understand their disease and their available treatment options. It is a questionnaire to obtain feedback on its overall design. | 1 year |
| Montreal |
| Quebec |
| H3H 2R9 |
| Canada |
| 19589307 | Result | Beamond BM, Beischer AD, Brodsky JW, Leslie H. Improvement in surgical consent with a preoperative multimedia patient education tool: a pilot study. Foot Ankle Int. 2009 Jul;30(7):619-26. doi: 10.3113/FAI.2009.0619. |
| 19247056 | Result | Patel V, Aggarwal R, Kinross J, Taylor D, Davies R, Darzi A. Improving informed consent of surgical patients using a multimedia-based program?: results of a prospective randomized multicenter study of patients before cholecystectomy. Ann Surg. 2009 Mar;249(3):546-7; author reply 547-8. doi: 10.1097/SLA.0b013e31819abeb1. No abstract available. |
| 18070779 | Result | Eggers C, Obliers R, Koerfer A, Thomas W, Koehle K, Hoelscher AH, Bollschweiler E. A multimedia tool for the informed consent of patients prior to gastric banding. Obesity (Silver Spring). 2007 Nov;15(11):2866-73. doi: 10.1038/oby.2007.340. |
| 19744817 | Result | Ryhanen AM, Siekkinen M, Rankinen S, Korvenranta H, Leino-Kilpi H. The effects of Internet or interactive computer-based patient education in the field of breast cancer: a systematic literature review. Patient Educ Couns. 2010 Apr;79(1):5-13. doi: 10.1016/j.pec.2009.08.005. Epub 2009 Sep 9. |
| 18713916 | Result | Sandberg EH, Sharma R, Wiklund R, Sandberg WS. Clinicians consistently exceed a typical person's short-term memory during preoperative teaching. Anesth Analg. 2008 Sep;107(3):972-8. doi: 10.1213/ane.0b013e31817eea85. |