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Understanding Barriers to Initiation and Adherence to Endocrine Therapy in Young Breast Cancer Survivors of Diverse Backgrounds

Completed
Conditions
Breast Cancer
Interventions
Other: Phone interview
Registration Number
NCT03447886
Lead Sponsor
Dana-Farber Cancer Institute
Brief Summary

The overall goal of this study is to qualitatively explore how behavioral, cultural, psychosocial, and economic barriers and facilitators affect the decision to start and adhere to endocrine therapy (ET) among young breast cancer survivors of diverse racial, ethnic, and socio-economic backgrounds with hormone receptor positive (HR+) breast cancer

Detailed Description

A qualitative study that will use interviews to gain an in depth understanding of factors affecting the decision to start and adhere to endocrine therapy (ET) among young breast cancer survivors of diverse racial, ethnic, and socio-economic backgrounds with hormone receptor positive (HR+) breast cancer

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
17
Inclusion Criteria
  • Are Hispanic, Latina, Black, or identify as socio-economically disadvantaged (any racial/ethnic background) as measured by an item of financial distress answering that they are "having difficulty paying the bills no matter what they do" to a question about their current household financial situation.18, 19
  • report a history of Stage 1-3 breast cancer
  • reports HR+ breast cancer and confirm that they have had a discussion with their doctor about adjuvant ET; OR indicate that they are taking ET, even if they do not know their HR status, answer they are HR-, or do not recall having a discussion about ET)
  • not in active treatment (e.g., chemotherapy, radiation), with the exception of Herceptin
  • at least 3 months, but no more than 3 years out of completion of active treatment
  • no evidence of recurrent/metastatic disease
  • at least 18, but< 45 years of age at diagnosis of first invasive breast cancer
  • English or Spanish speaking
  • are willing to consent to the interview
Exclusion Criteria
  • HR- breast cancer and indicate they are not taking ET
  • HR+ breast cancer but do not confirm discussion of ET or indicate they are taking ET
  • Stage 0 (DCIS) breast cancer
  • Recurrent or metastatic disease
  • Less than 3 months or more than 3 years post-active treatment
  • Less than 18 years old or ≥45 years old at diagnosis

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Quality Of LifePhone interviewThis study uses qualitative research methods, specifically semi-structured interviews. * This will include moderator guide development, * Phone interviews with breast cancer survivors will be conducted * Qualitative data analysis of the phone interviews will be conducted
Primary Outcome Measures
NameTimeMethod
Decision-making around endocrine therapy in young women with HR+ breast cancer.3 months-3 years post active treatment

Open ended questions

Secondary Outcome Measures
NameTimeMethod
Barriers and challenges to endocrine therapy adherence3 months-3 years post active treatment

Open ended questions

Menopausal symptoms3 months-3 years post active treatment

BCPT Symptom Checklist

Social support3 months-3 years post active treatment

Open ended questions

Health behaviors3 months-3 years post active treatment

Open ended questions

Endocrine therapy adherence intervention preferences3 months-3 years post active treatment

Open ended questions

Health literacy3 months-3 years post active treatment

Brief Health Literacy Screener (Chew items)

Trial Locations

Locations (1)

Dana Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

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