ContextThe long-term results of randomized trials have demonstrated equivalent
survival rates for mastectomy and breast-conserving therapy for the treatment
of early stage breast cancer. Consequently, the choice of treatment should
be based on a patient's preferences.ObjectiveTo evaluate the impact of a decision aid regarding the different surgical
treatment options on patient decision making.Design and SettingA cluster randomized trial for which general surgeons in the communities
of central-west, and eastern Ontario, Canada, were randomly assigned to use
the decision aid or not in the surgical consultation. Patients received the
decision aid or not based on the surgeon seen.ParticipantsTwenty surgeons participated in the study. Of the 208 eligible women
with newly diagnosed clinical stage I or II breast cancer seen by study surgeons,
201 agreed to be evaluated: 94 were assigned to the decision board and 107
to usual practice. Patients were recruited from November 1999 to April 2002.InterventionThe decision board is a decision aid designed to help physicians inform
their patients about different treatment options and to enable patients to
express a preference for treatment.Main Outcome MeasuresPatient knowledge about the surgical treatment of breast cancer; decisional
conflict; satisfaction with decision making; and the treatment decision following
the consultation.ResultsPatients in the decision board group had higher knowledge scores about
their treatment options (66.9 vs 58.7; P<.001),
had less decisional conflict (1.40 vs 1.62, P = .02),
and were more satisfied with decision making (4.50 vs 4.32, P = .05) following the consultation. Patients who used the decision
board were more likely to choose BCT (94% vs 76%, P =
.03).ConclusionsThe decision board was helpful in improving communication and enabling
women to make a choice regarding treatment. Such instruments should be considered
by surgeons when communicating the different surgical options to women with
breast cancer.

https://jamanetwork.com/journals/jama/articlepdf/199162/JOC32562.pdf

Effect of a decision aid on knowledge and treatment decision making for breast cancer surgery: a randomized trial.

Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine

In this article, the authors discuss 3 broad domains of psychosocial adaptation to chronic illness and disability. These include the dynamics (basic concepts, psychosocial responses, and coping strategies) typically associated with the process of adaptation to disabling conditions, assessment of adaptation as evidenced by 6 commonly used measures, and intervention strategies applied to facilitating coping with and adaptation to chronic illness and disability.

Psychosocial Adaptation to Chronic Illness and Disability: A Primer for Counselors.

Substance Abuse Among Older Adults

This article reviews the fundamental components inherent in the process of psychosocial adaptation to chronic illness and disability (CID). It is proposed that investigation of the process of adapt...

Psychosocial Adaptation to Chronic Illness and Disability: A Conceptual Framework

Falvo (rehabilitation counselor training, Southern Illinois U.) provides the basic medical information about chronic conditions which she believes will be of valuable use to nonmedical rehabilitation professionals and students. Introductory chapters discuss psychosocial aspects of chronic illness an

Medical and psychosocial aspects of chronic illness and disability : Donna R. Falvo

This title covers the medical aspects of the conditions most commonly encountered by rehabilitation and other health professionals and discusses symptoms, diagnoses, treatments, and prognoses.

Medical and Psychosocial Aspects of Chronic Illness and Disability

Effective Patient Education helps health professionals and students develop the skills and knowledge to conduct effective patient education in a highly efficient way. It emphasizes a team approach to patient education, recognizing that, because of the complexity of health care, many health professionals are involved in patient care. This book is therefore written for nurses, physicians, physical therapists, dietitians, pharmacists, and other health care professionals who share responsibility to guide their patients in enhancing and maintaining health and well-being.

Effective patient education : a guide to increased compliance

Written by a nursing expert and former Chair of patient education for the Society of Teachers of Family Medicine, Effective Patient Education: A Guide to Increased Adherence, Fourth Edition gives clinicians the tools they need to become effective patient educators. Using a patient-centered approach, this essential text provides specific strategies for communicating in a way that motivates patients to take action. Crucial to this approach is an understanding of the patient as a partner in the patient education process. The text uncovers patient concerns and challenges that may interfere with patient adherence to recommendations, enabling clinicians to gain insight into their patients and devise communication strategies that can empower patients to overcome obstacles. In addition, this completely revised and updated edition explores the challenges that clinicians may face in conducting patient education. Using case examples to illustrate key points, this text moves beyond theory to offer practical application principles for the real world. Featuring a clinical approach in examining established patient-education theories, Effective Patient Education: A Guide to Increased Adherence, Fourth Edition is an invaluable guide for nursing students and professionals!

Donna R. Falvo

Papers

Medical and psychosocial aspects of chronic illness and disability : Donna R. Falvo

Medical and Psychosocial Aspects of Chronic Illness and Disability

Effective patient education : a guide to increased compliance

Effective patient education : a guide to increased adherence

Effective patient education