BREAST-Q REACT: Qualitative Assessment of the Design, Functionality, and Clinical Utility of a New Score Interpretation Tool
- 03.04.2024
- Breast Oncology
Erschienen in:
- Verfasst von
- Minji Kim, BS
- Jaime L. Gilliland, MA
- Mei-fan Parnes, MS
- Cayla Bruce, PA-C
- Carrie S. Stern, MD
- Robert J. Allen Jr., MD
- Andrea L. Pusic, MD, MHS
- Audree B. Tadros, MD, MPH
- Jonas A. Nelson, MD, MPH
- Erschienen in
- Annals of Surgical Oncology | Ausgabe 7/2024
Abstract
Background
The BREAST-Q real-time engagement and communication tool (REACT) was developed to aid with BREAST-Q score interpretation and guide patient-centered care.
Objective
The purpose of this qualitative study was to examine the perspectives of patients and providers on the design, functionality, and clinical utility of REACT and refine the REACT based on their recommendations.
Methods
We conducted three patient focus groups with women who were at least 6 postoperative months from their postmastectomy breast reconstruction, and two provider focus groups with plastic surgeons, breast surgeons, and advanced practice providers. Focus groups were audio-taped, transcribed verbatim, and analyzed thematically.
Results
A total of 18 breast reconstruction patients and 14 providers participated in the focus groups. Themes identified by thematic analysis were organized into two categories: (1) design and functionality, and (2) clinical utility. On the design and functionality of REACT, four major themes were identified: visual appeal and usefulness; contextualizing results; ability to normalize patients’ experiences, noting participants’ concerns; and suggested modifications. On the clinical utility of REACT, three major themes were identified: potential to empower patients to communicate with their providers; increase patient and provider motivation to engage with the BREAST-Q; and effective integration into clinical workflow.
Conclusion
Patients and providers in this qualitative study indicated that with some modifications, REACT has a great potential to elevate the clinical utility of the BREAST-Q by enhancing patient–provider communication that can lead to patient-centered, clinically relevant action recommendations based on longitudinal BREAST-Q scores.
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- Titel
- BREAST-Q REACT: Qualitative Assessment of the Design, Functionality, and Clinical Utility of a New Score Interpretation Tool
- Verfasst von
-
Minji Kim, BS
Jaime L. Gilliland, MA
Mei-fan Parnes, MS
Cayla Bruce, PA-C
Carrie S. Stern, MD
Robert J. Allen Jr., MD
Andrea L. Pusic, MD, MHS
Audree B. Tadros, MD, MPH
Jonas A. Nelson, MD, MPH
- Publikationsdatum
- 03.04.2024
- Verlag
- Springer International Publishing
- Erschienen in
-
Annals of Surgical Oncology / Ausgabe 7/2024
Print ISSN: 1068-9265
Elektronische ISSN: 1534-4681 - DOI
- https://doi.org/10.1245/s10434-024-15185-0
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