The development and preliminary testing of a multimedia patient-provider survivorship communication module for breast cancer survivors

Objective: This paper describes the development of a theory-guided and evidence-based multimedia training module to facilitate breast cancer survivors' preparedness for effective communication with their health care providers after active treatment. Methods: The iterative developmental process used included: (1) theory and evidence-based content development and vetting; (2) user testing; (3) usability testing; and (4) participant module utilization. Results: Formative evaluation of the training module prototype occurred through user testing (n=12), resulting in modification of the content and layout. Usability testing (n=10) was employed to improve module functionality. Preliminary web usage data (n=256, mean age=53, 94.5% White, 75% college graduate and above) showed that 59% of the participants accessed the communication module, for an average of 7. min per login. Conclusion: The iterative developmental process was informative in enhancing the relevance of the communication module. Preliminary web usage results demonstrate the potential feasibility of such a program. Practice implications: Our study demonstrates survivors' openness to the use of a web-based communication skills training module and outlines a systematic iterative user and interface program development and testing process, which can serve as a prototype for others considering such an approach.