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Four Conversations RCT

Sophia Smith, PhD, MSW, Duke University, Durham, NC
Study abstract

The goal of the proposed project is to broaden the horizons of the Seven Pillars of Personal Strength™ curriculum and demonstrate that shared decision making (SDM) and end of life (EOL) care knowledge can be improved. Specifically, we aim to: 1) determine the feasibility of metastatic breast cancer (MBC) patient, caregiver, and provider engagement in SDM through participation in Reimagine’s Four Conversations program; and 2) demonstrate whether Four Conversations influences patient, caregiver, and provider EOL care knowledge, SDM, and quality of life.

Study review

Four Conversations is a standardized, online care-planning curriculum for patients with metastatic breast cancer, healthcare providers, and patient caregivers. The purpose of this study was to investigate the impact that Four Conversations has on participants’ ability to discuss treatment options and advanced care planning.

The researchers wanted to enroll up to 250 participants from the AOW, including women with metastatic breast cancer and patient caregivers. The Call to Action for this study was sent to Army of Women members on May 17th, 2017. The researchers were able to close enrollment on April 2nd, 2018, after the Army of Women provided them with 67 members who were interested in enrolling in the study.

Study proposal