Disparities in health care for underserved populations have raised questions about the quality of decisions made by these patients. We explored the decision-making experiences and reactions to a decision aid in focus groups of African American, Hispanic, and Rural breast cancer survivors. All groups were taped, transcribed, and thematic analysis was performed. Individual differences were more common than differences among demographic groups. Decision aids appear to be acceptable without extensive targeting to specific groups. However, translating the decision aid would increase its usefulness for Hispanic populations.

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