{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T18:57:59Z","timestamp":1776279479199,"version":"3.50.1"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T00:00:00Z","timestamp":1584921600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T00:00:00Z","timestamp":1584921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Although cancer survivorship care plans have been in use for several years, they have been shown to not be effective in meeting the long-term needs of cancer survivors, in addition being generic and passive in nature. Interactive survivorship care plans in the form of a personal decision support aid could provide an opportunity to not only engage survivors in their health care, but also capture meaningful treatment-related outcomes to use as a rich data source as the basis for making informed decisions. The objective of this research is to formulate an evidence-based model framework for implementing breast cancer survivorship guidelines via an online breast cancer survivorship care plan (SCP).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The study was completed in three steps. In the first step, or the requirements gathering phase, we conducted personal interviews of breast cancer survivors to determine their use of the survivorship care plan (SCP) and related needs to determine core SCP functions and formulate an implementation framework for an online SCP. In the second step, we used the framework as a guide to design and develop the online SCP tool. Finally, in the third step, we conducted preliminary testing to determine the feasibility of the developed tool among online users.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Fifteen breast cancer survivors were consulted, who reported several issues from their use of the traditional paper-based SCP. Four themes were identified that represent the SCP\u2019s core desired functions. Eight features were matched to implement these core functions. Using a personal decision approach, an online SCP tool called ACESO that incorporates these features and functions was developed. Preliminary feasibility testing yielded overall positive responses from breast cancer survivors (<jats:italic>n<\/jats:italic>\u2009=\u200951).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Our study demonstrated that survivors face challenges from their use of a traditional paper-based SCP. The online SCP we developed is technically feasible and has the potential to effectively engage breast cancer survivors in self-management and shared decision-making with their clinicians and caregivers. Further testing is required to assess its usability and long-term impact.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12911-020-1073-8","type":"journal-article","created":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T15:02:50Z","timestamp":1584975770000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Personal decision support for survivor engagement: formulation and feasibility evaluation of a conceptual framework for implementing online cancer survivorship care plans"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0895-6440","authenticated-orcid":false,"given":"Akshat","family":"Kapoor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priya","family":"Nambisan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,23]]},"reference":[{"key":"1073_CR1","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1158\/1055-9965.EPI-12-1356","volume":"22","author":"JS de Moor","year":"2013","unstructured":"de Moor JS, Mariotto AB, Parry C, Alfano CM, Padgett L, Kent EE, et al. Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care. Cancer Epidemiol Biomark Prev. 2013;22:561\u201370. https:\/\/doi.org\/10.1158\/1055-9965.EPI-12-1356.","journal-title":"Cancer Epidemiol Biomark Prev"},{"key":"1073_CR2","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1016\/S0277-9536(01)00043-0","volume":"54","author":"JR Davidson","year":"2002","unstructured":"Davidson JR, MacLean AW, Brundage MD, Schulze K. Sleep disturbance in cancer patients. Soc Sci Med. 2002;54:1309\u201321. https:\/\/doi.org\/10.1016\/S0277-9536(01)00043-0.","journal-title":"Soc Sci Med"},{"key":"1073_CR3","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1016\/S0885-3924(02)00500-6","volume":"24","author":"BV Fortner","year":"2002","unstructured":"Fortner BV, Stepanski EJ, Wang SC, Kasprowicz S, Durrence HH. Sleep and quality of life in breast cancer patients. J Pain Symptom Manag. 2002;24:471\u201380. https:\/\/doi.org\/10.1016\/S0885-3924(02)00500-6.","journal-title":"J Pain Symptom Manag"},{"key":"1073_CR4","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1046\/j.1524-4741.2002.08606.x","volume":"8","author":"C Koopman","year":"2002","unstructured":"Koopman C, Nouriani B, Erickson V, Anupindi R, Butler LD, Bachmann MH, et al. Sleep disturbances in women with metastatic breast cancer. Breast J. 2002;8:362\u201370. https:\/\/doi.org\/10.1046\/j.1524-4741.2002.08606.x.","journal-title":"Breast J"},{"key":"1073_CR5","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.genhosppsych.2007.10.008","volume":"30","author":"JR Fann","year":"2008","unstructured":"Fann JR, Thomas-Rich AM, Katon WJ, Cowley D, Pepping M, McGregor BA, et al. Major depression after breast cancer: a review of epidemiology and treatment. Gen Hosp Psychiatry. 2008;30:112\u201326. https:\/\/doi.org\/10.1016\/j.genhosppsych.2007.10.008.","journal-title":"Gen Hosp Psychiatry"},{"key":"1073_CR6","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1136\/bmj.38343.670868.D3","volume":"330","author":"C Burgess","year":"2005","unstructured":"Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ. 2005;330:702. https:\/\/doi.org\/10.1136\/bmj.38343.670868.D3.","journal-title":"BMJ."},{"key":"1073_CR7","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1016\/0021-9681(87)90010-5","volume":"40","author":"JM Lasry","year":"1987","unstructured":"Lasry JM, Margolese RG, Poisson R, Shibata H, Fleischer D, Lafleur D, et al. Depression and body image following mastectomy and lumpectomy. J Chronic Dis. 1987;40:529\u201334.","journal-title":"J Chronic Dis"},{"key":"1073_CR8","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1016\/S0738-3991(01)00121-5","volume":"45","author":"A Montazeri","year":"2001","unstructured":"Montazeri A, Jarvandi S, Haghighat S, Vahdani M, Sajadian A, Ebrahimi M, et al. Anxiety and depression in breast cancer patients before and after participation in a cancer support group. Patient Educ Couns. 2001;45:195\u20138. https:\/\/doi.org\/10.1016\/S0738-3991(01)00121-5.","journal-title":"Patient Educ Couns"},{"key":"1073_CR9","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1023\/A:1008298615272","volume":"8","author":"S Barni","year":"1997","unstructured":"Barni S, Mondin R. Sexual dysfunction in treated breast cancer patients. Ann Oncol. 1997;8:149\u201353. https:\/\/doi.org\/10.1023\/A:1008298615272.","journal-title":"Ann Oncol"},{"key":"1073_CR10","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1002\/pon.991","volume":"15","author":"P Fobair","year":"2006","unstructured":"Fobair P, Stewart SL, Chang S, D\u2019Onofrio C, Banks PJ, Bloom JR. Body image and sexual problems in young women with breast cancer. Psycho-Oncology. 2006;15:579\u201394. https:\/\/doi.org\/10.1002\/pon.991.","journal-title":"Psycho-Oncology."},{"key":"1073_CR11","doi-asserted-by":"publisher","first-page":"1488","DOI":"10.1200\/JCO.1999.17.5.1488","volume":"17","author":"JE Mortimer","year":"1999","unstructured":"Mortimer JE, Boucher L, Baty J, Knapp DL, Ryan E, Rowland JH. Effect of tamoxifen on sexual functioning in patients with breast cancer. JCO. 1999;17:1488. https:\/\/doi.org\/10.1200\/JCO.1999.17.5.1488.","journal-title":"JCO."},{"key":"1073_CR12","doi-asserted-by":"publisher","first-page":"167","DOI":"10.3322\/caac.21265","volume":"65","author":"W Demark-Wahnefried","year":"2015","unstructured":"Demark-Wahnefried W, Rogers LQ, Alfano CM, Thomson CA, Courneya KS, Meyerhardt JA, et al. Practical clinical interventions for diet, physical activity, and weight control in cancer survivors. CA Cancer J Clin. 2015;65:167\u201389. https:\/\/doi.org\/10.3322\/caac.21265.","journal-title":"CA Cancer J Clin"},{"key":"1073_CR13","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1007\/BF01833342","volume":"22","author":"PJ Hoskin","year":"1992","unstructured":"Hoskin PJ, Ashley S, Yarnold JR. Weight gain after primary surgery for breast cancer - effect of tamoxifen. Breast Cancer Res Tr. 1992;22:129\u201332. https:\/\/doi.org\/10.1007\/BF01833342.","journal-title":"Breast Cancer Res Tr"},{"key":"1073_CR14","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1023\/A:1005721720840","volume":"44","author":"NB Kumar","year":"1997","unstructured":"Kumar NB, Allen K, Cantor A, Cox CE, Greenberg H, Shah S, et al. Weight gain associated with adjuvant tamoxifen therapy in stage I and II breast cancer: fact or artifact? Breast Cancer Res Treat. 1997;44:135\u201343. https:\/\/doi.org\/10.1023\/A:1005721720840.","journal-title":"Breast Cancer Res Treat"},{"key":"1073_CR15","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1200\/JCO.2000.18.4.743","volume":"18","author":"JE Bower","year":"2000","unstructured":"Bower JE, Ganz PA, Desmond KA, Rowland JH, Meyerowitz BE, Belin TR. Fatigue in breast cancer survivors: occurrence, correlates, and impact on quality of life. J Clin Oncol. 2000;18:743\u201353.","journal-title":"J Clin Oncol"},{"key":"1073_CR16","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1188\/04.ONF.591-598","volume":"31","author":"JS Carpenter","year":"2007","unstructured":"Carpenter JS, Elam JL, Ridner SH, Carney PH, Cherry GJ, Cucullu HL. Sleep, fatigue, and depressive symptoms in breast cancer survivors and matched healthy women experiencing hot flashes. Oncol Nurs Forum. 2007;31:591\u20138. https:\/\/doi.org\/10.1188\/04.ONF.591-598.","journal-title":"Oncol Nurs Forum"},{"key":"1073_CR17","volume-title":"Patient-generated health data. White paper","author":"MSJW Mon","year":"2012","unstructured":"Mon MSJW. Patient-generated health data. White paper; 2012. https:\/\/www.rti.org\/publication\/patient-generated-health-data-white-paper (Accessed 26 Apr 2019)."},{"key":"1073_CR18","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1200\/JCO.2007.14.2851","volume":"26","author":"PA Ganz","year":"2008","unstructured":"Ganz PA, Hahn EE. Implementing a survivorship care plan for patients with breast cancer. JCO. 2008;26:759\u201367. https:\/\/doi.org\/10.1200\/JCO.2007.14.2851.","journal-title":"JCO."},{"key":"1073_CR19","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1093\/rheumatology\/18.1.18","volume":"18","author":"JL Anderson","year":"1979","unstructured":"Anderson JL, Dodman S, Kopelman M, Fleming A. Patient information recall in a rheumatology clinic. Rheumatology (Oxford). 1979;18:18\u201322. https:\/\/doi.org\/10.1093\/rheumatology\/18.1.18.","journal-title":"Rheumatology (Oxford)"},{"key":"1073_CR20","doi-asserted-by":"publisher","first-page":"1156","DOI":"10.1007\/s00198-004-1818-8","volume":"16","author":"CS Pickney","year":"2005","unstructured":"Pickney CS, Arnason JA. Correlation between patient recall of bone densitometry results and subsequent treatment adherence. Osteoporos Int. 2005;16:1156\u201360. https:\/\/doi.org\/10.1007\/s00198-004-1818-8.","journal-title":"Osteoporos Int"},{"key":"1073_CR21","doi-asserted-by":"publisher","first-page":"4755","DOI":"10.1200\/JCO.2011.36.8373","volume":"29","author":"E Grunfeld","year":"2011","unstructured":"Grunfeld E, Julian JA, Pond G, Maunsell E, Coyle D, Folkes A, et al. Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. JCO. 2011;29:4755\u201362. https:\/\/doi.org\/10.1200\/JCO.2011.36.8373.","journal-title":"JCO."},{"key":"1073_CR22","doi-asserted-by":"publisher","first-page":"e50s","DOI":"10.1200\/JOP.2011.000306","volume":"7","author":"J Hausman","year":"2011","unstructured":"Hausman J, Ganz PA, Sellers TP, Rosenquist J. Journey forward: the new face of cancer survivorship care. J Oncol Pract. 2011;7:e50s\u20136s. https:\/\/doi.org\/10.1200\/JOP.2011.000306.","journal-title":"J Oncol Pract"},{"key":"1073_CR23","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1223","volume":"11","author":"CE Hill-Kayser","year":"2009","unstructured":"Hill-Kayser CE, Vachani C, Hampshire MK, Jacobs LA, Metz JM. An internet tool for creation of cancer survivorship care plans for survivors and health care providers: design, implementation, use and user satisfaction. J Med Internet Res. 2009;11:e39. https:\/\/doi.org\/10.2196\/jmir.1223.","journal-title":"J Med Internet Res"},{"key":"1073_CR24","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1097\/01.NAJ.0000265276.92317.b2","volume":"107","author":"PJ Haylock","year":"2007","unstructured":"Haylock PJ, Mitchell SA, Cox T, Temple SV, Curtiss CP. The cancer survivor\u2019s prescription for living. Am J Nurs. 2007;107:58\u201370quiz 71. https:\/\/doi.org\/10.1097\/01.NAJ.0000265276.92317.b2.","journal-title":"Am J Nurs"},{"key":"1073_CR25","doi-asserted-by":"publisher","first-page":"2060","DOI":"10.1002\/pon.5193","volume":"28","author":"CR Leach","year":"2019","unstructured":"Leach CR, Diefenbach MA, Fleszar S, Alfano CM, Stephens RL, Riehman K, et al. A user centered design approach to development of an online self-management program for cancer survivors: springboard beyond cancer. Psycho-Oncology. 2019;28:2060\u20137. https:\/\/doi.org\/10.1002\/pon.5193.","journal-title":"Psycho-Oncology."},{"key":"1073_CR26","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1093\/her\/cyl051","volume":"22","author":"BR Shaw","year":"2007","unstructured":"Shaw BR, Han JY, Baker T, Witherly J, Hawkins RP, McTavish F, et al. How women with breast cancer learn using interactive cancer communication systems. Health Educ Res. 2007;22:108\u201319. https:\/\/doi.org\/10.1093\/her\/cyl051.","journal-title":"Health Educ Res"},{"key":"1073_CR27","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.pec.2009.12.015","volume":"78","author":"JH Hibbard","year":"2010","unstructured":"Hibbard JH, Mahoney E. Toward a theory of patient and consumer activation. Patient Educ Couns. 2010;78:377\u201381. https:\/\/doi.org\/10.1016\/j.pec.2009.12.015.","journal-title":"Patient Educ Couns"},{"key":"1073_CR28","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1377\/hlthaff.2012.1061","volume":"32","author":"JH Hibbard","year":"2013","unstructured":"Hibbard JH, Greene J. What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Aff. 2013;32:207\u201314. https:\/\/doi.org\/10.1377\/hlthaff.2012.1061.","journal-title":"Health Aff"},{"key":"1073_CR29","doi-asserted-by":"publisher","first-page":"1947","DOI":"10.1007\/978-1-4614-5583-7_311","volume-title":"Thematic analysis, in: encyclopedia of critical psychology","author":"V Clarke","year":"2014","unstructured":"Clarke V, Braun V. Thematic analysis, in: encyclopedia of critical psychology. New York: Springer; 2014. p. 1947\u201352. https:\/\/doi.org\/10.1007\/978-1-4614-5583-7_311."},{"key":"1073_CR30","doi-asserted-by":"publisher","first-page":"e35","DOI":"10.2196\/jmir.2439","volume":"15","author":"M Stellefson","year":"2013","unstructured":"Stellefson M, Chaney B, Barry AE, Chavarria E, Tennant B, Walsh-Childers K, et al. Web 2.0 chronic disease self-Management for Older Adults: a systematic review. J Med Internet Res. 2013;15:e35. https:\/\/doi.org\/10.2196\/jmir.2439.","journal-title":"J Med Internet Res"},{"key":"1073_CR31","doi-asserted-by":"publisher","unstructured":"Murray E, Burns J, See TS, Lai R, Nazareth I. Interactive health communication applications for people with chronic disease. Cochrane Database Syst Rev. 2005:CD004274. https:\/\/doi.org\/10.1002\/14651858.CD004274.pub4.","DOI":"10.1002\/14651858.CD004274.pub4"},{"key":"1073_CR32","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1286","volume":"12","author":"D Samoocha","year":"2010","unstructured":"Samoocha D, Bruinvels DJ, Elbers NA, Anema JR, van der Beek AJ. Effectiveness of web-based interventions on patient empowerment: a systematic review and meta-analysis. J Med Internet Res. 2010;12:e23. https:\/\/doi.org\/10.2196\/jmir.1286.","journal-title":"J Med Internet Res"},{"key":"1073_CR33","volume-title":"Breast cancer survivorship care plan","author":"NCI Community Cancer Centers Program","year":"2008","unstructured":"NCI Community Cancer Centers Program. Breast cancer survivorship care plan; 2008."},{"key":"1073_CR34","unstructured":"Cote RA. Architecture of SNOMED: its contribution to medical language processing. Proc Annu Symp Comput Appl Med Care. 1986:74\u201380. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2245000\/. ."},{"key":"1073_CR35","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1007\/978-1-4419-9893-4_11","volume-title":"STOP, THAT and one hundred other sleep scales","author":"A Shahid","year":"2011","unstructured":"Shahid A, Wilkinson K, Marcu S, Shapiro CM. Brief fatigue inventory. In: STOP, THAT and one hundred other sleep scales. New York: Springer; 2011. p. 75\u20137. https:\/\/doi.org\/10.1007\/978-1-4419-9893-4_11."},{"key":"1073_CR36","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/S0749-3797(18)30622-6","volume":"10","author":"EM Andresen","year":"1994","unstructured":"Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med. 1994;10:77\u201384.","journal-title":"Am J Prev Med"},{"key":"1073_CR37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/00926230590475206","volume":"31","author":"M Wiegel","year":"2005","unstructured":"Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31:1\u201320. https:\/\/doi.org\/10.1080\/00926230590475206.","journal-title":"J Sex Marital Ther"},{"key":"1073_CR38","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","volume":"28","author":"DJ Buysse","year":"1989","unstructured":"Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index (PSQI): a new instrument for psychiatric research and practice. Psychiatry Res. 1989;28:193\u2013213.","journal-title":"Psychiatry Res"},{"key":"1073_CR39","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1093\/jncimonographs\/lgq007","volume":"2010","author":"J Sussman","year":"2010","unstructured":"Sussman J, Baldwin L-M. The Interface of primary and oncology specialty care: from diagnosis through primary treatment. J Natl Cancer Inst Monogr. 2010;2010:18\u201324. https:\/\/doi.org\/10.1093\/jncimonographs\/lgq007.","journal-title":"J Natl Cancer Inst Monogr"},{"key":"1073_CR40","doi-asserted-by":"publisher","first-page":"1117","DOI":"10.1007\/s00520-009-0615-5","volume":"17","author":"JD Harrison","year":"2009","unstructured":"Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009;17:1117\u201328. https:\/\/doi.org\/10.1007\/s00520-009-0615-5.","journal-title":"Support Care Cancer"},{"key":"1073_CR41","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1016\/j.pec.2016.10.008","volume":"100","author":"C Fletcher","year":"2017","unstructured":"Fletcher C, Flight I, Chapman J, Fennell K, Wilson C. The information needs of adult cancer survivors across the cancer continuum: a scoping review. Patient Educ Couns. 2017;100:383\u2013410. https:\/\/doi.org\/10.1016\/j.pec.2016.10.008.","journal-title":"Patient Educ Couns"},{"key":"1073_CR42","doi-asserted-by":"publisher","first-page":"2709","DOI":"10.1200\/JCO.2007.10.7094","volume":"25","author":"W Demark-Wahnefried","year":"2007","unstructured":"Demark-Wahnefried W, Clipp EC, Lipkus IM, Lobach D, Snyder DC, Sloane R, et al. Main outcomes of the FRESH START trial: a sequentially tailored, diet and exercise mailed print intervention among breast and prostate cancer survivors. J Clin Oncol. 2007;25:2709\u201318. https:\/\/doi.org\/10.1200\/JCO.2007.10.7094.","journal-title":"J Clin Oncol"},{"key":"1073_CR43","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1200\/JOP.200009","volume":"6","author":"E Grunfeld","year":"2010","unstructured":"Grunfeld E, Hodgson DC, Del Giudice ME, Moineddin R. Population-based longitudinal study of follow-up care for breast cancer survivors. JOP. 2010;6:174\u201381. https:\/\/doi.org\/10.1200\/JOP.200009.","journal-title":"JOP."},{"key":"1073_CR44","doi-asserted-by":"publisher","first-page":"1253","DOI":"10.1007\/s00520-012-1655-9","volume":"21","author":"JL Bender","year":"2013","unstructured":"Bender JL, Jimenez-Marroquin MC, Ferris LE, Katz J, Jadad AR. Online communities for breast cancer survivors: a review and analysis of their characteristics and levels of use. Support Care Cancer. 2013;21:1253\u201363. https:\/\/doi.org\/10.1007\/s00520-012-1655-9.","journal-title":"Support Care Cancer"},{"key":"1073_CR45","doi-asserted-by":"publisher","first-page":"E9","DOI":"10.1097\/NCC.0b013e3181ba9296","volume":"33","author":"S Power","year":"2010","unstructured":"Power S, Hegarty J. Facilitated peer support in breast cancer: a pre- and post-program evaluation of women\u2019s expectations and experiences of a facilitated peer support program. Cancer Nurs. 2010;33:E9\u201316. https:\/\/doi.org\/10.1097\/NCC.0b013e3181ba9296.","journal-title":"Cancer Nurs"},{"key":"1073_CR46","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1002\/acp.1110","volume":"19","author":"F Gobet","year":"2005","unstructured":"Gobet F. Chunking models of expertise: implications for education. Appl Cogn Psychol. 2005;19:183\u2013204. https:\/\/doi.org\/10.1002\/acp.1110.","journal-title":"Appl Cogn Psychol"}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-020-1073-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12911-020-1073-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-020-1073-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T00:12:15Z","timestamp":1616458335000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedinformdecismak.biomedcentral.com\/articles\/10.1186\/s12911-020-1073-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,23]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1073"],"URL":"https:\/\/doi.org\/10.1186\/s12911-020-1073-8","relation":{},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,23]]},"assertion":[{"value":"7 November 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 March 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 March 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"All procedures performed in this study were in accordance with the ethical standards of the institutional review boards (IRB) at East Carolina University and the University of Wisconsin-Milwaukee, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. All 15 participants in Step 1 of the study provided explicit written consent. For the 51 participants who participated in Step 3 (feasibility evaluation) of the study, consent was obtained online via the click of a button. This step was performed after the display of the consent document and before the participant could proceed to enroll for the study. While online consent was obtained, since Step 3 of the study took place completely online, without any other meeting or contact with the participants, the East Carolina University IRB approved waiver of documentation of consent.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"59"}}