BRIM3: Breast Cancer Recurrence Risk Informational Materials Project

The current proposal plans to evaluate a cancer risk communication intervention that has been developed using McGuire's Input-Output theory. Our highly experienced research team will investigate the short-term comparative efficacy of our novel cancer risk communication tool (Breast Risk Informational Materials [BRIM3]: booklet + telephone), which has been tested for acceptability and appropriateness in a series of studies by our team in diverse socioeconomic, regional, and racial populations. Guided by a Dynamic Communication Model, our specific aims include: 1.To assess patient satisfaction with BRIM3 and the overall clinical experience; 2. To understand the impact of our intervention on knowledge, risk perception, and worry; and 3. To determine if the BRIM3 has an impact on communication with physicians and overall well-being. In addition, our secondary aim will explore the impact of our intervention on health behaviors (i.e., screening, treatment decision-making). The study will utilize a randomized control trial methodology (standard of care vs. BRIM3) with assessments at 3 time points (diagnosis, post-intervention, and 6 month follow-up). At the University of Kentucky, participants (n~100) will be breast oncology patients. These individuals will be recruited, consent will be provided, and Time 1 survey assessment and medical record review will be completed and shared with the coordinating site at West Virginia University. In addition, members of the team at the University of Kentucky will participate in conference calls and assist with troubleshooting. They will also assist with preparation of reports from the study.