A peer-led decision support intervention improves decision outcomes in black women with breast cancer.
A peer-led decision support intervention improves decision outcomes in black women with breast cancer.
复制标题
由同伴主导的决策支持干预措施可以改善患有乳腺癌的黑人女性的决策结果。
DOI：
10.1007/s13187-013-0459-z
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Isaacs,C
中科院分区：
文献类型：
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作者：
Sheppard,VanessaB;Wallington,SherrieF;Willey,ShawnaC;Hampton,ReginaM;Lucas,W;Jennings,Y;Horton,S;Muzeck,N;Cocilovo,C;Isaacs,C
Previous reports suggest that Black breast cancer patients receive less patient-centered cancer care than their White counterparts. Interventions to improve patient-centered care (PCC) in Black breast cancer patients are lacking. Seventy-six women with histologically confirmed breast cancer were recruited from the Washington, DC area. After a baseline telephone interview, women received an in-person decision support educational session led by a trained survivor coach. The coach used a culturally appropriate guidebook and decision-making model—TALK Back!©A follow-up assessment assessed participants’ acceptability of the intervention and intermediate outcomes. After the intervention, participants reported increased: self-efficacy in communicating with providers (70 %) and self-efficacy in making treatment decisions (70 %). Compared to baseline scores, post-intervention communication with providers significantly increased (p= .000). This is the first outcome report of an intervention to facilitate PCC in Black breast cancer patients. Testing this intervention using RCTs or similar designs will be important next steps.
