Web-Based Communication Education for Breast Cancer Survivorship Care
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Breast Cancer
- Sponsor
- Georgetown University
- Enrollment
- 141
- Locations
- 1
- Primary Endpoint
- Perceived Personal Control Scale
- Last Updated
- 5 years ago
Overview
Brief Summary
This two-phase research plan will develop and test a culturally relevant, web-based patient education program, hereafter known as E-Talkcare. The intervention aims to empower Chinese cancer patients to effectively communicate with different providers in different healthcare settings.
Detailed Description
This two-phase study develops and tests the usability and efficacy of a culturally relevant, web-based patient education program, hereafter known as E-Talkcare, in improving Chinese immigrant breast cancer survivors' competence, perceived control, and self-efficacy in cancer care communication (intermediate outcomes), and patient-reported symptoms, adherence to breast cancer survivorship care guidelines, and quality of life (distal outcomes) versus the usual care control arm. In Phase I, community-based participatory research (CBPR) principles will be used to develop the intervention to educate participants about culture and communication by demonstrating how to ask for and verify information with doctors and use personalized symptom reports, and by providing question prompt lists for doctor visits. In Phase II, the intervention will be tested in a pilot randomized control trial (RCT). Using cases from Los Angeles Cancer Surveillance Program, California Cancer Registry, Maryland Cancer Registry, and clinics from California, 118 Chinese immigrant women (diagnosed with stage 0-III breast cancer and 1-3 years post-diagnosis) will be enrolled and randomized to either the E-Talkcare intervention or a usual care control arm. Participants will be interviewed via telephone at baseline (i.e., pre-randomization), 3-, and 6-months post-randomization.
Investigators
Judy Wang
Associate Professor
Georgetown University
Eligibility Criteria
Inclusion Criteria
- •Eligible Chinese women
- •foreign-born speaking Mandarin and/or Cantonese,
- •diagnosed with breast cancer at stage 0, I, II or III,
- •1-3 years post-diagnosis and completed primary treatment (surgery, radiation, and chemotherapy); and
- •no recurrence, and 6) internet access.
Exclusion Criteria
- •Women with other cancer types are ineligible due to different treatment complications.
Outcomes
Primary Outcomes
Perceived Personal Control Scale
Time Frame: 6 months
4-item measure of patients' perceived personal control over breast cancer; α=.71 in Chinese
Medical Communication Competence Scale
Time Frame: 6 months
16 items to assess information provision, seeking, and verifying; α=.80-.89.
Assessment of Patient Experiences of Cancer Care
Time Frame: 6 months
10-item patient-reported communication quality with follow-up care doctors; α=.75 in Chinese
Decision-making Participation Self-efficacy Scale
Time Frame: 6 months
5-item measure of patient's efficacy in engaging in medical communication; α=.89 in Chinese
Secondary Outcomes
- PROMIS Fatigue(6 months)
- PROMIS Pain Interference(6 months)
- PROMIS Anxiety(6 months)
- Adherence to Breast Care Guidelines(6 months)
- PROMIS Sleep Disturbance(6 months)
- PROMIS Depression(6 months)
- PROMIS Cognitive Function(6 months)
- PROMIS Physical Function(6 months)
- Side/late Effect Assessments(6 months)