Breast Cancer, Cancer of the Breast
Conditions
Keywords
Patient education, ChatGPT, Breast reconstruction
Brief summary
In this study, patients who are scheduled for breast reconstruction consultation will be randomized into the intervention group (ChatGPT-generated patient education regarding possible reconstruction options) or the control group (usual patient education). All patients will complete a survey following their in-person consultation to assess their experience and overall satisfaction with the consultation process. Additionally, participating surgeons will complete a separate survey to evaluate their consultation experience, satisfaction, and to assess the accuracy and clinical utility of the ChatGPT-generated patient education materials. The surveys are designed to gather information on patient characteristics, organizational health literacy according to Brega et al. Other survey questions have been designed to meet the outcomes of this study and have not been based on previously published surveys.
Interventions
OTHERChatGPT-generated patient education
This is created by entering the patient's age, medical history, social history, and case-specific details into Washington University ChatGPT Beta (HIPAA and FERPA compliant) by a study team member.
OTHERUsual patient education
Usual patient education will include description of breast reconstruction options, with further elaboration on which option are more suitable to the patient. This include also review of risk of complications and expected recovery after surgery.
Sponsors
Washington University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Caregiver)
Masking description
The surgeons will be blinded to the patient's randomization arm prior to the in-person consultation.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patient Eligibility Criteria: * Scheduled for initial preoperative breast reconstruction consultation following therapeutic or prophylactic mastectomy with a surgeon at Washington University School of Medicine. * At least 18 years of age. * Can speak and understand English. Surgeon Eligibility Criteria: * Routinely performs breast reconstruction surgery at Washington University School of Medicine. * At least 18 years of age. * Can speak and understand English. * Surgeon must not be a resident or fellow at time of enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient perceived understanding of breast reconstruction | Pre-surgical consultation (day 1) | The patient will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more perceived understanding the patient had. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction with education regarding breast reconstruction | Pre-surgical consultation (day 1) | The patient will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more satisfied the patient was. |
| Surgeon satisfaction with the consultation process | Pre-surgical consultation (day 1) | Survey includes two question regarding surgeon's satisfaction with the consultation process. The surgeon will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more satisfied the surgeon was with the consultation process. |
| Surgeon perception of patient preparedness | Pre-surgical consultation (day 1) | Survey includes one question regarding patient preparedness. The surgeon will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more prepared the surgeon felt the patient was. |
| Surgeon views on the efficiency of the consultation | Pre-surgical consultation (day 1) | Survey includes one question regarding efficiency of the consultation. The surgeon will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the more efficient the surgeon felt the consult was. |
| Surgeon overall experience with the consultation | Pre-surgical consultation (day 1) | Survey includes one question regarding the pre-surgical consultation overall experience. The surgeon will choose an answer ranging from 0-100 (strongly disagree to strongly agree). The higher the score, the better the overall experience was. |
Countries
United States
Contacts
CONTACTSaif M Badran, M.D., Ph.D., FRCS
PRINCIPAL_INVESTIGATORSaif M Badran, M.D., Ph.D., FRCS
Washington University School of Medicine
Outcome results
None listed