Clinician Communication About Sexual Health

Study Overview
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Brief Summary
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The objective of this study is to adapt a previously tested brief intervention aimed at enhancing clinicians communication about sexual health (iSHARE) to a mobile web-based platform showcasing a two-part podcast and to assess the feasibility, acceptability, and preliminary effects of the intervention in breast cancer clinicians.

Detailed Description
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Specific aims are: 1) To assess the feasibility and acceptability of iSHARE in a mobile learning (mLearning) format and 2) To assess the preliminary effects of iSHARE in a mLearning format.

Official Title
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Enhancing Clinician Communication About Sexual Health in Breast Cancer

Conditions
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Breast Cancer

Intervention / Treatment
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* Behavioral: iShare


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinician is a medical oncologist or medical oncology advanced practice clinician (Nurse Practitioner, Physician Assistant) who treats breast cancer patients Exclusion Criteria: Clinician has participated in previous pilot study of the intervention
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: iShare<br>Participants will be asked to listen to a podcast intervention. | Behavioral: iShare<br>* The iShare intervention consists of a two-episode educational podcast series containing information about breast cancer patients' sexual problems, approaches for addressing sexual concerns, and information about discussing sexual concerns with patients, such as initiating a conversation about sexual health and asking questions to assess sexual concern. Both episodes feature expert guests and relevant discussions or case studies.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of the Intervention Trial - Enrollment | Enrollment will be measured through measures of participant enrollment defined as the percent of eligible candidates approached who enroll in the pilot trial. | Baseline | 
| Feasibility of the Intervention Trial - Retention | Study retention will defined as percentage of enrolled participants who complete all study surveys. | Baseline up to 1 month | 
| Feasibility of the Intervention Trial - Intervention Completion | Intervention completion will defined as percentage of enrolled participants who complete participation in the podcast intervention. | 1 month | 
| Acceptability | Acceptability will be measured through the percentage of the sample endorsing 6 primary acceptability items favorably at two time points (1 week and 1 month; satisfaction, informativeness, relevance, ease of listening, likelihood to recommend, likelihood to impact practice). | 1 week up to 1 month | 
| Change in Clinician Knowledge About Sexual Health and Related Communication | Clinician knowledge about sexual health and communication will be measured using a 10-item scale asking about common sexual problems experienced by breast cancer patients and the most effective ways to communicate with patients about these issues. Knowledge scores range from 0 to 10, with higher scores indicating more knowledge. Knowledge will be reported as the mean of items answered correctly. Positive mean change scores indicate an increase in knowledge over time. | Baseline up to 1 month | 
| Change in Clinician Self-Efficacy About Sexual Health Communication | Clinician self-efficacy about sexual health communication will be measured using a 3-item scale asking about confidence in discussing sexual concerns with patients. Mean scores range from 0-10, with higher scores indicating higher self-efficacy. Positive mean change scores indicate an increase in self-efficacy over time. | Baseline up to 1 month | 
| Change in Clinician Outcome Expectancies for Sexual Health Communication | Clinician outcome expectancies for sexual health communication will be measured using a 7-item scale asking about expected positive results in discussing sexual concerns with patients. Mean scores range from 0-10, with higher scores indicating better expected outcomes. Positive mean change scores indicate an increase in outcome expectancies over time. | Baseline up to 1 month | 
| Change in Clinician Comfort With Communicating About Sexual Health | Clinician comfort with sexual health communication will be measured using a 7-item scale asking about comfort level in discussing sexual concerns with patients. Mean scores range from 0-10, with higher scores indicating a higher level of comfort. Positive mean change scores indicate an increase in comfort level over time. | Baseline up to 1 month | 
| Change in Clinician Communication About Sexual Health | Clinician communication about sexual health will be measured using a 3-item scale asking about recent communication practices around sexual health (initiating conversations, offering information, giving referrals). Mean scores range from 1-5, with higher scores indicating higher amounts of communication. Positive mean change scores indicate an increase in communication behaviors over time. | Baseline up to 1 month |