---
title: Implementation of a Web-based Decision Aid for Breast Cancer Surgery
nct_id: NCT03304002
overall_status: COMPLETED
sponsor: University of Wisconsin, Madison
study_type: OBSERVATIONAL
primary_condition: Breast Cancer
countries: United States
canonical_url: "https://parkinsonspathways.com/agent/trials/NCT03304002.md"
clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT03304002"
ct_last_update_post_date: 2021-05-25
last_seen_at: "2026-05-12T07:11:07.685Z"
source: ClinicalTrials.gov (mirrored, no enrichment)
---
# Implementation of a Web-based Decision Aid for Breast Cancer Surgery

**Official Title:** Implementation of a Web-based Decision Aid for Breast Cancer Surgery: Adapting to the Needs of Diverse Settings

**NCT ID:** [NCT03304002](https://clinicaltrials.gov/study/NCT03304002)

## Key Facts

- **Status:** COMPLETED
- **Study Type:** OBSERVATIONAL
- **Target Enrollment:** 11
- **Lead Sponsor:** University of Wisconsin, Madison
- **Collaborators:** National Cancer Institute (NCI)
- **Conditions:** Breast Cancer, Surgery
- **Start Date:** 2019-04-04
- **Completion Date:** 2020-05-12
- **CT.gov Last Update:** 2021-05-25

## Brief Summary

Routine incorporation of decision aids into oncology practice has the potential to significantly improve patients' experiences with cancer by increasing the likelihood that they make informed treatment decisions aligned with their values. Unfortunately, only a minority of the more than 1.6 million patients diagnosed annually with cancer ever receive one due to limited clinic resources for administration and challenges in timely identification of appropriate patients. Online delivery directly to patients addresses some of these barriers but is insufficient on its own to ensure accessibility for patients at the time they most benefit from support.19 It is critical that active, multi-faceted implementation strategies that target barriers to the widespread use of web-based decision aids be identified, as these tools have the potential to significantly improve the quality of oncologic care.

Based on strong preliminary work, the investigators have developed and piloted a package of implementation strategies that effectively overcomes barriers to delivery of a web-based breast cancer surgery decision aid in an academic and community clinic. Although the strategy was successful, patients were white and educated; further investigation is imperative in settings that provide care to underserved patients to ensure the intervention will mitigate, rather than worsen, existing disparities in breast cancer care. This is especially critical given that underserved patients may benefit most from shared decision-making interventions such as the one described. To study this, the investigators propose a pilot study within a clinic that serves a catchment area with a high proportion of African American, rural and low income patients. The investigators will iteratively assess and enhance our implementation package using concepts outlined in the Knowledge-to-Action Cycle, which emphasizes local context in balancing fidelity and flexibility. The specific aims are: 1) To identify patient and clinic level barriers to implementation of a web-based breast cancer surgery decision aid in a clinic that cares for underserved patients, and 2) To test and expand our current implementation package's ability to address barriers in a clinic that cares for underserved patients. The investigators will determine the reach of implementation and acceptability of this method of decision aid delivery to stakeholders.

## Eligibility

- **Minimum age:** 18 Years
- **Maximum age:** 100 Years
- **Sex:** ALL
- **Healthy Volunteers:** No

```
Patients:

Inclusion Criteria:

* Patients newly diagnosed with Stage 0-3 breast cancer.

Exclusion Criteria:

* None

Clinic Stakeholders:

Inclusion Criteria: clinical staff, clinic leadership, and surgeons involved in implementation Exclusion Criteria: none
```

## Interventions

- **Breast Cancer Surgery Decision Aid** (OTHER) — We use a standard decision aid collaboratively developed by Health Dialog and the Informed Medical Decisions Foundation

## Primary Outcomes

- **Reach: Proportion of Participants who Utilize the Decision Aid** _(time frame: measured over the 4 month implementation period)_ — Reach of the implementation is defined as the proportion of participants over the four month implementation period who: 1) are sent the decision aid and 2) access the decision aid.

## Secondary Outcomes

- **Acceptability: Percentage of Participants Who Would Recommend Receiving Breast Cancer Information Via Email** _(time frame: Survey sent within 4 weeks of surgical consultation)_
- **Barriers and Facilitators to Implementation of the Decision Aid** _(time frame: Interviewed completed within 6 months of the surgical consultation)_

## Locations (2)

- Baptist Health System, Memphis, Tennessee, United States
- University of Wisconsin Carbone Cancer Center, Madison, Wisconsin, United States

## Recent Field Changes (last 30 days)

- `status.overallStatus` — added _(2026-05-12)_
- `status.primaryCompletionDate` — added _(2026-05-12)_
- `status.completionDate` — added _(2026-05-12)_
- `status.lastUpdatePostDate` — added _(2026-05-12)_
- `design.enrollmentCount` — added _(2026-05-12)_
- `eligibility.criteria` — added _(2026-05-12)_
- `eligibility.minAge` — added _(2026-05-12)_
- `eligibility.maxAge` — added _(2026-05-12)_
- `eligibility.sex` — added _(2026-05-12)_
- `outcomes.primary` — added _(2026-05-12)_
- `outcomes.secondary` — added _(2026-05-12)_
- `armsInterventions.interventions` — added _(2026-05-12)_
- `sponsor.lead` — added _(2026-05-12)_
- `sponsor.collaborators` — added _(2026-05-12)_
- `results.hasResults` — added _(2026-05-12)_
- `locations.baptist health system|memphis|tennessee|united states` — added _(2026-05-12)_
- `locations.university of wisconsin carbone cancer center|madison|wisconsin|united states` — added _(2026-05-12)_

---

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*Source data (authoritative): https://clinicaltrials.gov/study/NCT03304002*  
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