evaluation of a question prompt list on treatment decision-making outcomes in women following surgery for breast cancer: a randomized controlled trial

Background: with advances in healthcare options for the medical management of breast cancer, treatment decision-making has become more complex. objectives: guided by self-efficacy theory, the study investigated the impact of a question prompt list (qpl) on decision-making outcomes among women with breast cancer in iran who were post-surgery. methods: a randomized controlled trial was conducted at a comprehensive cancer center in tehran, iran. fifty patients were randomized to either a qpl with usual care (n = 25) or to a usual care (n = 25) condition. data were collected pre- and post-treatment utilizing: 9-item shared decision-making questionnaire; decision self-efficacy scale; and the control preferences scale. utilizing spss 26 software, descriptive, shapiro-wilk test, independent t-test, fisher's exact test, and mann-whitney u test were used. results: no differences between the usual care and qpl groups on major study constructs were found (p > 0.05). conclusions: the qpl did not impact various decision-making outcomes among women with breast cancer post-surgery. cross-cultural research is needed with larger samples to further examine the impact of decision aids such as qpl on decision-making outcomes for women with breast cancer.