Introduction
breast cancer
AIDS, BREAST CANCER
Surgical treatment for early breast cancer involves either mastectomy or breast conservation surgery and radiation.The rate of breast-conserving surgery is particularly low in lower middle–income countries due to lack of awareness of safety of breast-conserving surgery, socioeconomic disparities, concerns about additional expenditures, perceived fears of radiation, lack of radiotherapy units, and an element of overall neglect toward women’s health and quality of life.Conventional decision aids rely on administration by clinicians, thereby limiting access, and do not measure the impact of patient factors, such as preference for autonomy, traditional gender roles, and caregiving responsibilities.We designed the Navya–Patient Preference Tool (Navya-PPT), a self-administered, online, adaptive, conjoint analysis-based decision aid and patient preference assessment tool. We hypothesized that using the Navya-PPT would reduce participants’ decisional conflict. We conducted a 3-group randomized clinical trial to measure the impact of the Navya-PPT on DCS score. In the Indian socioeconomic scenario, women often do not make decisions on their own but are influenced by a primary male family member’s opinion.