BREAST-Q REACT: Qualitative assessment of the design, functionality, and clinical utility of a new score interpretation tool Journal Article
| Authors: | Kim, M.; Gilliland, J. L.; Parnes, M. F.; Bruce, C.; Stern, C. S.; Allen, R. J. Jr; Pusic, A. L.; Tadros, A. B.; Nelson, J. A. |
| Article Title: | BREAST-Q REACT: Qualitative assessment of the design, functionality, and clinical utility of a new score interpretation tool |
| 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. © Society of Surgical Oncology 2024. |
| Keywords: | adult; clinical article; controlled study; aged; middle aged; patient satisfaction; postoperative period; comparative study; follow up; follow-up studies; mastectomy; psychology; motivation; breast neoplasms; breast reconstruction; mammaplasty; information processing; groups by age; patient participation; breast tumor; surgeon; communication; physician-patient relations; patient-centered care; surgery; interpersonal communication; personal experience; patient attitude; qualitative research; ethnicity; focus groups; caucasian; rehabilitation medicine; engagement; thematic analysis; qualitative; asian; prophylactic mastectomy; e-mail; patient-reported outcome; procedures; conversation; plastic surgeon; breast-q; humans; prognosis; human; male; female; article; black person; patient empowerment; physical well-being; advanced practice provider; doctor patient relationship; sexual well-being; person centered care; breast-q react |
| Journal Title: | Annals of Surgical Oncology |
| Volume: | 31 |
| Issue: | 7 |
| ISSN: | 1068-9265 |
| Publisher: | Springer |
| Date Published: | 2024-07-01 |
| Start Page: | 4498 |
| End Page: | 4511 |
| Language: | English |
| DOI: | 10.1245/s10434-024-15185-0 |
| PUBMED: | 38570377 |
| PROVIDER: | scopus |
| PMCID: | PMC11798000 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Jonas A. Nelson -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work