Real-time Engagement and Communication Tool (BREAST-Q REACT) Patient Portal to Improve Provider Interactions, Medical Interventions and Quality of Life in Patients Undergoing Surgery

PRIMARY OBJECTIVE:

I. Determine the feasibility of a randomized controlled trial (RCT) investigating the impact of BREAST-Q REACT on patient-reported outcomes and provider engagement and interventions.

SECONDARY OBJECTIVES:

I. Determine the effect of BREAST-Q REACT enhanced feedback on patient-reported outcomes examining function and quality of life, which will be accomplished by summarizing the following, separately for the standard feedback and the BREAST-Q REACT groups:

Ia. BREAST-Q Physical Well-Being of the Chest scores at 2 weeks, 6 weeks, and 3 months postoperatively;

Ib. Quick Disabilities of the Arm, Shoulder and Hand (DASH) scores at 2 weeks, 6 weeks, and 3 months postoperatively.

II. Describe the proportion of patients who receive physical therapy referral separately by cohort and the time to physical therapy among patients who received a referral, defined as the time between the date of surgery and the date of first referral, separately for the standard feedback and the BREAST-Q REACT groups.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients receive standard questionnaire feedback from the BREAST-Q Physical Well-Being of the Chest and QuickDASH questionnaires preoperatively at baseline and postoperatively at 2 weeks, 6 weeks, and 3 months. Patients may receive a physical therapy referral per standard of care.

ARM II: Patients receive standard questionnaire feedback as in Arm I and also receive access to the BREAST-Q REACT feedback postoperatively at 2 weeks, 6 weeks, and 3 months. Patients may receive a physical therapy referral per standard of care.