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Evaluating an online decision aid for women considering breast reconstruction following mastectomy

Randomised trial among women recently diagnosed with breast cancer, or with genetic breast cancer susceptibility, to evaluate the impact of the Breast RECONstruction Decision Aid (BRECONDA), an online decision aid for women considering breast reconstruction following mastectomy, compared with usual care, and its impact on decisional conflict/regret, satisfaction with information and breast reconstruction knowledge.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000363280
Acronym
BRECONDA
Enrollment
352
Registered
2009-05-26
Start date
2011-12-07
Completion date
2014-01-10
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Main study (study 1): This study evaluates the effectiveness of an online decision aid for women considering breast reconstruction following mastectomy. Who is it for? You can join this study if you are a woman over 18 years who: - Has recently been diagnosed with breast cancer - Is a candidate for mastectomy and breast reconstruction - Has basic computer skills and access to an online computer Trial details: Participants will be randomly divided into two groups. Participants in both groups will receive standard care which involves the provision of basic information about breast surgery and options for surgery. Participants in one group will also have access to an online decision aid tool, Breconda, to assist in their decision making. The aim of this study is to determine the effectiveness of the online decision aid tool in helping women make a decision they are happy with according to a scale that measures decisional conflict and regret scales. Genetic study (study 2): This study evaluates the effectiveness of an online decision aid for women at increased risk for hereditary breast cancer. Who is it for? You can join this study if you are a woman over 18 years who: - Is undergoing genetic testing for hereditary breast cancer - Is a possible candidate for risk-reducing mastectomy and breast reconstruction - Has basic computer skills and access to an online computer Trial details: Participants will be randomly divided into two groups. Participants in both groups will receive standard care which involves the provision of basic information about breast surgery and options for surgery. Participants in one group will also have access to an online decision aid tool, Breconda, to assist in their decision making. The aim of this study is to determine the effectiveness of the online decision aid tool in helping women make a decision they are happy with according to a scale that measures decisional conflict and regret scales.

Interventions

NOTE: Women who identified as being recently diagnosed for breast cancer (but not at increased risk for hereditary breast cancer) were included in the first arm of this RCT labelled as ‘Main study (study 1)’ throughout this document. Women who identified as being at increased risk for hereditary breast cancer were included in a second arm of this RCT labelled as ‘Genetics study (study 2)’ throughout this document. Breconda: Breast reconstruction decision aid, which contains modules with informa

NOTE: Women who identified as being recently diagnosed for breast cancer (but not at increased risk for hereditary breast cancer) were included in the first arm of this RCT labelled as ‘Main study (study 1)’ throughout this document. Women who identified as being at increased risk for hereditary breast cancer were included in a second arm of this RCT labelled as ‘Genetics study (study 2)’ throughout this document. Breconda: Breast reconstruction decision aid, which contains modules with information related to breast reconstruction and tips for participants in making their decision and coping strategies. Main study (study 1): Breconda is administered to participants in this study following a breast cancer diagnosis, before reconstructive surgery. Genetics study (study 2): Breconda is administered to participants in this study who underwent BRCA1/2 testing and who were contemplating risk reducing mastectomy surgery, (i.e., before mastectomy and reconstructive surgery.)

Sponsors

Dr Kerry Sherman
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Main study (study 1): Women recently diagnosed with breast cancer; over 18 years; likely to have a mastectomy and candidate for breast reconstruction; basic computer skills (able to use a mouse); access to an online computer; resident in Australia. Since, for some women, mastectomy is optional and information about breast reconstruction plays an important role in deciding whether or not to have a mastectomy, women who are considering having a mastectomy are also eligible. Genetics study (study 2): Women at increased risk of developing hereditary breast cancer; over 18 years; likely to have a mastectomy and candidate for breast reconstruction; basic computer skills (able to use a mouse); access to an online computer; resident in Australia. Since, for some women, mastectomy is optional and information about breast reconstruction plays an important role in deciding whether or not to have a mastectomy, women who are considering having a mastectomy are also eligible.

Exclusion criteria

Main study (study 1) and Genetics study (study 2): Insufficient mastery of the English language to complete study questionnaires and read study material

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026