Choices: An Interactive Decision Support Program for Breast Cancer Treatment

Abstract

When patients choose a treatment plan in a manner consistent with their values, preferences, and individual decision making style, they generally have better outcomes in part, because patient involvement also improves the quality of therapeutic decisions. Greater involvement may also optimize the decision-making process by which treatments are chosen thereby reducing untoward decision outcomes such as disappointment, regret, or depression. Using a multimedia CD-ROM format, Choices provides an innovative approach to personalized decision making by incorporating unique features that currently are not available in existing programs. The ultimate objective of Choices is to help patients make effective decisions under stressful and threatening circumstances. Specifically, Choices has the following unique features: (I) the program is designed to be user-friendly and comfortable for women of all ages and education levels, (2) an assessment of the decision maker's personal decision style is to Set the structure of the program, (3) the program considers the cognitive demands of the decision making in this health care context, (4) it goes beyond eliciting personal values and preferences by providing solutions to common decision failures, and (5) provides and opportunity for pre-decision rehearsal of different options to avoid unexpected decision outcomes or negative emotional responses.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 1999
Accession Number
ADA382380

Entities

People

  • Penny F. Pierce

Organizations

  • University of Michigan

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Animals
  • Biomedical Research
  • Breast Cancer
  • Decision Support Systems
  • Delivery Of Health Care
  • Depression
  • Education
  • Electronic Mail
  • Federal Law
  • Health Care
  • Health Services
  • Laboratory Animals
  • Materials
  • Neoplasms
  • Prototypes
  • Recombinant Dna
  • User Friendly

Fields of Study

  • Medicine

Readers

  • Oncology
  • Team-Based Human-Centered Cognitive Task Decision Making and Information Performance.