83 On MBC advocate member websites, not enough attention is paid to the MBC patient populations or even to informing caregivers and early stage breast cancer patients about MBC facts. Opportunities exist to create more specific MBC content, social networking, and up-to- date information and to design more user-friendly websites. Regarding breadth of information, no single website among the Alliance members’ sites provided MBC information and support, such as webinars and chat rooms, across all the desired topics, even when PDFs available on the sites were considered. Most topics are covered by fewer than 50% of the websites. Of the websites that do provide information on MBC, the depth and breadth of coverage varies (see Figure 11a). Figure 11a: Breadth and Depth of MBC Information in Advocate Member Websites Excludes Avon Foundation for Women, Research Advocacy Network, and Sisters Network Inc., which do not provide MBC information on their websites. Most Alliance member websites provide information about clinical trials and encourage patients to discuss options with their health care team to enroll in trials. Some websites also provide services that match clinical trials to patients. For example, BreastCancerTrials.org (which joined the Alliance in March 2014) encourages patients to enroll in clinical trials as a routine care option. However, enrollment in clinical trials remains low owing to multiple factors, including lack of encouragement from physicians, the inconvenience of trial participation, fear of receiving a placebo, and difficulty meeting inclusion criteria[97] . advancedbc.org bcrfcure.org breastcancer.org cancercare.org cancersupportcommunity.org dslrf.org facingyourrisk.org komen.org lbbc.org mbcn.org sharecancersupport.org youngsurvival.org complete more less diagnosis current treatment options latest research/new treatments symptoms/side effects monitoring treatment clinical trials complementary medicine pain management communication psycho/social support parenting issues hospice/end of life care advance directives