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A randomised online experimental study to compare responses to brief and extended surveys of health-related quality of life and psychosocial outcomes among women with breast cancer

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Abstract

Purpose

Collecting patient-reported outcomes is important in informing the well-being of women with breast cancer. Consumer perceptions are important for successful implementation of monitoring systems, but are rarely formally assessed. We compared reactions to two different surveys (assessing psychosocial outcomes and/or Health-related Quality of Life (HrQoL) outcomes) among Australian women with breast cancer.

Methods

Women (18 + years) within 5 years diagnosis of breast cancer were randomly allocated to complete one of two online surveys: (i) minimum HrQoL measures or (ii) minimum HrQoL measures plus psychosocial outcomes (body image, depression, anxiety stress, fear of cancer recurrence, decisional difficulties and unmet need). Participants completed questions regarding their perceptions of the survey, including qualitative feedback.

Results

Data were available for 171 participants (n(i) = 89; n(ii) = 82), with 92% (n = 158) providing 95–100% complete data. Perceptions were comparable between survey groups, and high (80–100%) regarding time burden, ease of completion, comprehensible, appropriateness and willingness to participate again and moderately high (67–74%) regarding willingness to answer more questions and relevance. Qualitative feedback indicated gaps across both surveys, including financial/work-related issues, satisfaction with information and care, need for nuanced questions, and impact of side effects/treatment, and from the minimum set only, emotional well-being and support. Impairment in some HrQoL and psychosocial outcomes were observed among participants.

Conclusions

Assessment of HrQoL and psychosocial outcomes was well received by consumers. Results alleviate concern regarding possible patient burden imposed by longer more in-depth surveys. The importance placed on assessment brevity should not outweigh the need to assess outcomes that consumers consider important.

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Data availability

The data may be available from the authors on reasonable request and with appropriate ethical approval/clearance.

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Acknowledgements

We acknowledge the contribution of all of the women who participated in this research, including those from Breast Cancer Network Australia's (BCNA) Review and Survey group, a national online group of Australian women living with breast cancer who are interested in receiving invitations to participate in research.

Funding

This work was supported by a grant from the National Breast Cancer Foundation. The funders had no role in study design, collection, analysis and interpretation of data, in the writing of the report or in the decision to submit the article for publication.

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Contributions

KE conceptualised and led the study with substantial contributions from IP, KGS, KW, CM and DR. JC and KGS undertook data cleaning and scoring, and KE conducted analyses and drafted the paper. All the authors reviewed drafts and contributed to interpretation of the results.

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Correspondence to Kerry Ettridge.

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The authors declare that they have no conflict of interest.

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This study was approved by the University of Adelaide Human Research Ethics Committee (H-2018–072).

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Participants were informed that completing the online survey was considered providing consent.

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Participants were informed of all potential use(s) of the data, including publication prior to providing consent to participate in this study.

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Ettridge, K., Caruso, J., Roder, D. et al. A randomised online experimental study to compare responses to brief and extended surveys of health-related quality of life and psychosocial outcomes among women with breast cancer. Qual Life Res 30, 407–423 (2021). https://doi.org/10.1007/s11136-020-02651-x

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