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In this study, patients who are scheduled for breast reconstruction consultation will be randomized into the intervention group (ChatGPT-generated patient education regarding possible reconstruction options) or the control group (usual patient education). All patients will complete a survey following their in-person consultation to assess their experience and overall satisfaction with the consultation process. Additionally, participating surgeons will complete a separate survey to evaluate their consultation experience, satisfaction, and to assess the accuracy and clinical utility of the ChatGPT-generated patient education materials. The surveys are designed to gather information on patient characteristics, organizational health literacy according to Brega et al. Other survey questions have been designed to meet the outcomes of this study and have not been based on previously published surveys.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ChatGPT-generated patient education | Experimental |
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| Usual education | Active Comparator | - Patients will not receive any additional information prior to their consultation. |
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| Surgeons | No Intervention |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ChatGPT-generated patient education | Other | This is created by entering the patient's age, medical history, social history, and case-specific details into Washington University ChatGPT Beta (HIPAA and FERPA compliant) by a study team member. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient perceived understanding of breast reconstruction | The patient will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more perceived understanding the patient had. | Pre-surgical consultation (day 1) |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction with education regarding breast reconstruction | The patient will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more satisfied the patient was. | Pre-surgical consultation (day 1) |
| Surgeon satisfaction with the consultation process |
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Patient Eligibility Criteria:
Surgeon Eligibility Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Saif M Badran, M.D., Ph.D., FRCS | Contact | 314-273-1434 | badran@wustl.edu |
| Name | Affiliation | Role |
|---|---|---|
| Saif M Badran, M.D., Ph.D., FRCS | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Washington University School of Medicine | Recruiting | St Louis | Missouri | 63110 | United States |
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| Label | URL |
|---|---|
| Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine | View source |
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The surgeons will be blinded to the patient's randomization arm prior to the in-person consultation.
| Usual patient education | Other | Usual patient education will include description of breast reconstruction options, with further elaboration on which option are more suitable to the patient. This include also review of risk of complications and expected recovery after surgery. |
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Survey includes two question regarding surgeon's satisfaction with the consultation process. The surgeon will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more satisfied the surgeon was with the consultation process. |
| Pre-surgical consultation (day 1) |
| Surgeon perception of patient preparedness | Survey includes one question regarding patient preparedness. The surgeon will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more prepared the surgeon felt the patient was. | Pre-surgical consultation (day 1) |
| Surgeon views on the efficiency of the consultation | Survey includes one question regarding efficiency of the consultation. The surgeon will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more efficient the surgeon felt the consult was. | Pre-surgical consultation (day 1) |
| Surgeon overall experience with the consultation | Survey includes one question regarding the pre-surgical consultation overall experience. The surgeon will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the better the overall experience was. | Pre-surgical consultation (day 1) |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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