Published in:
01-06-2013
A Peer-Led Decision Support Intervention Improves Decision Outcomes in Black Women with Breast Cancer
Authors:
Vanessa B. Sheppard, Sherrie F. Wallington, Shawna C. Willey, Regina M. Hampton, W. Lucas, Y. Jennings, S. Horton, N. Muzeck, C. Cocilovo, C. Isaacs
Published in:
Journal of Cancer Education
|
Issue 2/2013
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Abstract
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.