Web-Based Decision Aid in Increasing Engagement in Surgery Decision Making in Patients with Newly Diagnosed Stage 0-III Breast Cancer

Inclusion Criteria

• Newly diagnosed with clinical stage 0-III breast cancer. Although men are recommended surgery to treat breast cancer, male breast cancer is relatively rare and decision making for breast cancer surgery is quite different between men and women. In our pilot work, we have routinely included patients with clinical stage 0 cancer in the intervention. Although the prognosis differs between ductal carcinoma in situ (DCIS) and invasive cancer, the core surgical decisions regarding mastectomy versus breast conservation remains the same.
• Eligible patients must be planning breast surgery as a component of their definitive treatment
• Patients must be able to speak English with the fluency required to have a direct discussion around treatment decision-making (i.e. without interpreter)
• Age >= 18 years
• CLINIC STAKEHOLDER (SURGEONS AND CLINIC STAFF): Breast surgeon(s) and nursing staff, medical assistant, or mid-level provider at each participating clinic who participates in the care of patients newly diagnosed with breast cancer
• INSTITUTIONAL: 10 clinics that annually provide surgical care for 120-300 patients newly diagnosed with breast cancer will be selected to participate in this study
• INSTITUTIONAL: Surgeons at eligible clinics must consent to the study as a requirement for site participation

Exclusion Criteria

• Patients with impaired decision-making capacity (such as with a diagnosis of dementia or memory loss) are not eligible for this study
• Patients with hearing impairment requiring the use of an interpreter are not eligible for this study