BREAST CANCER STEREOTACTIC BIOPSY PATIENT CONSENT VIDEO

描述：拟议的项目是一个基于视频的立体定向针芯乳房活检患者信息程序。该程序有望最终取代大多数乳房x光检查发现的不可触及的乳房病变的手术活检。该项目将教育患者了解这种新的图像引导乳房活检程序，为知情同意提供信息。这项新技术与手术活检一样准确，但创伤更小，成本更低，不会留下手术疤痕或畸形，从而混淆未来的乳房x线摄影解释。在第一阶段，multimedia将制作拟议方案的小册子、脚本、故事板草稿和三个验证视频片段，由国家认可的医疗顾问组成的主题审查委员会对内容和医疗准确性进行审查。一个焦点小组，一个40岁以上女性的横截面，将验证材料的相关性，字面水平和理解。另一组既往乳腺活检患者，将用于确定最佳教育和演示技术。焦点小组的调查结果将纳入准备制作的剧本和印刷材料草稿。将制定一项生产和评价研究计划。该计划包括录像带、小册子和医生实施指南，将在第二阶段进行正式的有效性评估和实地测试。

DESCRIPTION: The proposed project is a video-based patient information program on stereotactic needle core breast biopsies. This procedure is expected to eventually replace most surgical biopsies of non-palpable mammographically detected breast lesions. The program will educate patients about this new image guided breast biopsy procedure, providing information for informed consent. This new technique is as accurate as surgical biopsy, but less traumatic, less costly, and leaves no surgical scar, or deformity, to confuse future mammographic interpretation. In Phase I, Multi-Media will produce draft brochures, scripts, storyboards, and three validation video segments of the proposed program to be reviewed for content and medical accuracy by the Subject Matter Review Board of nationally recognized medical advisors. One focus group, a cross-section of women over 40, will validate the materials for relevancy, literal level, and comprehension. Another group of previous breast biopsy patients, will be used to determine the best educational and presentation techniques. The focus group findings will be incorporated into the production-ready script and print material drafts. A production and evaluation study plan will be developed. The program consisting of a video tape, brochure, and physicians implementation guide will be produced, formally evaluated for effectiveness, and field tested in Phase II.