UNC Lineberger Comprehensive Cancer Center
The primary purpose of this study is to evaluate the effect of values assessment tool on patient and caregiver perception of decisional conflict, and communication with their oncology clinician.
Incorporating patient values into shared decision-making is essential for individuals diagnosed with metastatic cancer. This is especially critical for women who identify as Black/African American, Latinx/Hispanic, or American Indian/Alaskan Native, as research indicates these groups face a higher risk of poor prognostic communication, worse health outcomes, and increased likelihood of metastatic cancer diagnoses compared to non-Hispanic White adults. Black/African American women in the South, including North Carolina, experience the highest breast cancer mortality rates in the United States.…
Inclusion Criteria 1. Age ≥18 years 2. Diagnosed with metastatic breast cancer. 3. Understand and read English. 4. Receive care or anticipate receiving care at the North Carolina Cancer Hospital ambulatory cancer clinic or affiliated community cancer clinic. 5. Able to understand and participate in study procedures for length of study. Exclusion Criteria 1. All subjects meeting any of the exclusion criteria at baseline will be excluded from study participation: 2. Unable to provide consent, unable to communicate verbally. 3. Unable to understand or read English. 4. Enrolled in hospice care.
The Values Assessment Tool was provided to the participants at baseline and every clinic visit for 3 months
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