Background/Aims A woman who is newly diagnosed with breast cancer faces immediate informational and social support needs. She must learn about her disease and its treatment, cope with emotional distress, and make decisions about her treatment. To answer the need for information and support, an Interactive Cancer Communication System (“CHESS”) was developed, validated in several randomized trials, and is now being implemented to provide access to integrated information for decision-making, behavior change, and emotional support.

Methods This NIH R01 implementation project offers CHESS to all newly-diagnosed breast cancer patients as standard care in two Denver healthcare systems, Kaiser Permanente Colorado (KPCO) and Exempla St. Joseph’s Hospital. Through implementation tracking, patient interviews and surveys, and provider surveys, this study is evaluating the real-world feasibility of CHESS by answering the “how much” and “why” questions of utilization at both the institutional and patient levels.

Results Preliminary results indicate consistent offering of CHESS by multiple providers, and utilization of the CHESS tool by 50% of all newly diagnosed breast cancer patients. Of those accessing CHESS, most are currently using the tool at least once and visiting multiple pages. Based on interview and survey data conducted two months post-diagnosis, we will also present preliminary data on why some women use CHESS and some do not. Through provider surveys, we will show how staff perceptions and actions affect patient perceptions and use, and how organizational strategies affect CHESS adoption and use.

Conclusions Conclusions from this study provide information on logistics, challenges and successes of the dissemination of a new standard of care for breast cancer patient support, and why patients choose to utilize this tool or not. This will provide evidence of how much reach an intervention like CHESS can achieve in two real-world settings, and be relevant to decisions about whether and how to disseminate CHESS more broadly.