Breast Cancer
Conditions
Keywords
Breast Cancer, Surveillance, Mammography, Adherence
Brief summary
Evidence-based guidelines recommend cancer surveillance procedures for breast cancer survivors including physical examination, mammography, breast self-exam, and gynecologic follow-up. The early detection of recurrent and new cancers can best be achieved through the combined, on schedule use of these surveillance procedures. Yet, data suggest that up to 55% of breast cancer survivors do not undergo these procedures as recommended. This study tests a telephone-based psychosocial intervention aimed at improving adherence to recommended surveillance in breast cancer survivors. The psychosocial intervention for improving adherence is compared to treatment as usual.
Interventions
BEHAVIORALPsychosocial Intervention
Telephone-based psychosocial intervention involving six telephone encounters. Each encounter focuses on teaching skills for improving adherence and overcoming barriers to obtaining recommended surveillance.
Sponsors
National Cancer Institute (NCI)
Duke University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 21 years of age or older * Diagnosis of Stage I to IIIA breast cancer * Within 1 to 5 years post primary cancer treatment (i.e., surgery, chemotherapy, and/or radiation therapy) * No diagnosis of recurrent breast cancer or a new primary cancer * Able to provide meaningful consent
Exclusion criteria
* \< 21 years of age * Unable to provide meaningful consent * Surgically treated with bilateral mastectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surveillance adherence | 15 month follow-up | Receipt of recommended mammograms and clinical breast exams (coded 0=no, 1=yes) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gynecologic exam adherence | 15 month follow-up | Receipt of recommended gynecologic exams (coded 0=no, 1=yes) |
| Breast self-exam adherence | 6 month follow-up | Frequency of conducting breast self-exams assessed via patient report. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Perceived benefits of surveillance | 6 month follow-up | Patient reported perceived benefits of breast cancer surveillance |
| Perceived barriers to breast cancer surveillance | 6 month follow-up | Patient reported perceived barriers to completing recommended breast cancer surveillance |
Countries
United States
Outcome results
None listed