title: The role of a clinician-led reflective interview on improving self-efficacy in breast cancer survivors: a pilot study.
abstract: Breast cancer survivors experience a wide range of survivorship issues that are not always adequately addressed. This study is an assessment of the Survivorship Consult (SC), a one-to-one clinician-led reflective interview used to capture a comprehensive summary of the survivor experience, to determine its impact on self-efficacy and the perceived likelihood that it initiates behavior change. Using a pre-test/post-test design, data were collected from participants (N = 40) using validated instruments and opened-ended questions to evaluate the SC. Participants found the SC to be a useful tool for planning and goal setting and improved self-efficacy as measured by the Cancer Behavior Inventory with an increase of 2.0 (p = 0.03). The SC demonstrates promise in improving the ability and confidence of breast cancer survivors to manage their care, but further research is required to understand the optimal implementation of this intervention and its impact on the delivery of survivorship services.
authors.affiliation: Knowledge Management and Innovation, Oncology Education and Radiation Medicine Program, Princess Margaret Hospital/University Health Network, Toronto, ON, Canada. David.Wiljer@rmp.uhn.on.ca
authors.forename: David
authors.initials: D
authors.lastname: Wiljer
authors.forename: Sara
authors.initials: S
authors.lastname: Urowitz
authors.forename: Erika
authors.initials: E
authors.lastname: Frasca
authors.forename: Joyce
authors.initials: J
authors.lastname: Nyhof-Young
authors.forename: Scott
authors.initials: S
authors.lastname: Secord
authors.forename: Tara
authors.initials: T
authors.lastname: Walton
authors.forename: Pamela
authors.initials: P
authors.lastname: Catton
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010819:Physician's Role; D010817:Physician-Patient Relations; D010865:Pilot Projects; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000639:trends; D012649:Self Concept; D020377:Self Efficacy; D017741:Survivors / Q000523:psychology*
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