Increasing Patients' Engagement in Breast Cancer Surgery Decision-Making

This trial studies how well a breast cancer surgery decision aid works in increasing patient engagement in decision making for patients with newly diagnosed stage 0-III breast cancer. The trial also examines barriers to patient engagement even with the use of a decision aid, and if barriers are more likely to be experienced by socioeconomically disadvantaged patients.

Inclusion Criteria: * Newly diagnosed with stage 0-III breast cancer * Eligible patients must be planning breast surgery as a component of their definitive treatment * Patients with impaired decision-making capacity (such as with a diagnosis of dementia or memory loss) are not eligible for this study * Patients with hearing impairment requiring the use of an interpreter are not eligible for this study * Patients must be able to speak English with the fluency required to have a direct discussion around treatment decision-making (i.e. without interpreter) * CLINIC STAKEHOLDER (SURGEONS AND CLINIC STAFF): Breast surgeon(s) and nursing staff, medical assistant, or mid-level provider at each participating clinic who participates in the care of patients newly diagnosed with breast cancer * INSTITUTIONAL: 10 clinics that annually provide surgical care for 120-300 patients newly diagnosed with breast cancer will be selected to participate in this study * INSTITUTIONAL: Surgeons at eligible clinics must consent to the study as a requirement for site participation