Oncology| Volume 158, ISSUE 3, P669-675, September 2015

Improving breast cancer survivors’ knowledge using a patient-centered intervention


      Low-income, minority women with breast cancer experience a range of barriers to receiving survivorship information. Our objective was to test a novel, patient-centered intervention aimed at improving communication about survivorship care.


      We developed a wallet card to provide oncologic and follow-up care survivorship information to breast cancer patients. We used a prospective, pre–post design to assess the intervention at a safety net hospital. The intervention was given by a patient navigator or community health worker.


      Patient knowledge (n = 130) of personal cancer history improved from baseline pretest to 1 week after the intervention for stage (66–93%; P < .05), treatment (79–92%; P < .05), and symptoms of recurrence (48–89%; P < .05), which was retained at 3 months. The intervention reduced the number of patients who were unsure when their mammogram was due (15–5% at 1 week and 6% at 3 months; P < .05). Nearly 90% reported they would be likely to share their survivorship card with their providers.


      A patient-centered survivorship card improved short-term recall of key survivorship care knowledge and seems to be effective at reducing communication barriers for this population. Further studies are warranted to assess long-term retention and the impact on receipt of appropriate survivorship follow-up care.
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        • DeSantis C.
        • Ma J.
        • Bryan L.
        • Jemal A.
        Breast cancer statistics, 2013.
        CA Cancer J Clin. 2014; 64: 52-62
        • Ganz P.A.
        • Rowland J.H.
        • Desmond K.
        • Meyerowitz B.E.
        • Wyatt G.E.
        Life after breast cancer: understanding women’s health-related quality of life and sexual functioning.
        J Clin Oncol. 1998; 16: 501-514
        • Ganz P.A.
        • Kwan L.
        • Stanton A.L.
        • Bower J.E.
        • Belin T.R.
        Physical and psychosocial recovery in the year after primary treatment of breast cancer.
        J Clin Oncol. 2011; 29: 1101-1109
        • Ganz P.A.
        • Kwan L.
        • Stanton A.L.
        • Krupnick J.L.
        • Rowland J.H.
        • Meyerowitz B.E.
        • et al.
        Quality of life at the end of primary treatment of breast cancer: first results from the moving beyond cancer randomized trial.
        J Natl Cancer Inst. 2004; 96: 376-387
        • Ganz P.A.
        • Desmond K.A.
        • Leedham B.
        • Rowland J.H.
        • Meyerowitz B.E.
        • Belin T.R.
        Quality of life in long-term, disease-free survivors of breast cancer: a follow-up study.
        J Natl Cancer Inst. 2002; 94: 39-49
        • Hewitt M.
        • Greenfield S.
        • Stovall E.
        From cancer patient to cancer survivor: lost in transition.
        The National Academies Press, Washington, DC2005
        • Erikson C.
        • Salsberg E.
        • Forte G.
        • Bruinooge S.
        • Goldstein M.
        Future supply and demand for oncologist: challenges to assuring access to oncology services.
        J Oncol Pract. 2007; 3: 79-86
        • Burg M.A.
        • Lopez E.D.
        • Dailey A.
        • Keller M.E.
        • Prendergast B.
        The potential of survivorship care plans in primary care follow-up of minority breast cancer patients.
        J Gen Intern Med. 2009; 24: S467-S471
        • Hiatt R.A.
        • Pasick R.J.
        • Stewart S.
        • Bloom J.
        • Davis P.
        • Gardiner P.
        • et al.
        Cancer screening for underserved women: the Breast and Cervical Cancer Intervention Study.
        Cancer Epidemiol Biomarkers Prev. 2008; 17: 1945-1949
        • Khatcheressian J.L.
        • Hurley P.
        • Bantug E.
        • Esserman L.J.
        • Grunfeld E.
        • Halberg F.
        • et al.
        Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update.
        J Clin Oncol. 2013; 31: 961-965
        • Lee C.N.
        • Chang Y.
        • Adimorah N.
        • Belkora J.K.
        • Moy B.
        • Partridge A.H.
        • et al.
        Decision making about surgery for early-stage breast cancer.
        J Am Coll Surg. 2012; 214: 1-10
        • Hawley S.T.
        • Fagerlin A.
        • Janz N.K.
        • Katz S.J.
        Racial/ethnic disparities in knowledge about risks and benefits of breast cancer treatment: does it matter where you go?.
        Health Serv Res. 2008; 43: 1366-1387
        • Katz M.L.
        • Young G.S.
        • Reiter P.L.
        • Battaglia T.A.
        • Wells K.J.
        • Sanders M.
        • et al.
        Barriers reports among patients with breast and cervical abnormalities in the patient navigation research program: impact on timely care.
        Womens Health Issues. 2014; 24: e155-e162
        • Haq R.
        • Heus L.
        • Baker N.A.
        • Dastur D.
        • Leung F.H.
        • Leung E.
        • et al.
        Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: results of a qualitative pilot study.
        BMC Med Inform Decis Mak. 2013; 13: 76