Purpose

The purpose of this study is learn more about how being treated for breast cancer affects patients' employment. Researchers are testing an early version of a mobile app designed to help breast cancer patients keep their jobs during and after treatment. The app provides advice for patients to use when having conversations about breast cancer with their employers and their doctors. The app is called TEAMWork (Talking to Employers And Medical staff about Work). In this study, the investigators are asking breast cancer patients who are about to receive treatment or who are currently receiving treatment to tell us what aspects of the app work well, so that they can learn how to improve it.

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

Patient Usability Testing Inclusion Criteria:

- History of a cancer diagnosis

- At least 18 years of age

- Male or Female

- The ability to give informed consent in English or Spanish

- Able to use and read a smartphone (iPhone or Android)

- Has a smartphone (iPhone or Android)

Community Usability Testing Inclusion Criteria:

- At least 18 years of age

- Male or Female

- The ability to give informed consent in English or Spanish

- Able to use and read a smartphone (iPhone or Android)

- Has a smartphone (iPhone or Android)

Focus Group and Interview Inclusion Criteria:

- Completed chemotherapy treatment for stage I-III breast cancer.

- Age 18 to 64 (inclusive)

- Female

- Paid employment (full time or part time) in the three months prior to diagnosis or at time of consent to MSK protocol #10-071 (PI: Blinder)

- The ability to give informed consent in English or Spanish

- Able to use and read a smartphone (iPhone or Android)

- Has a smartphone (iPhone or Android)

For Cohort 2:

- Participants was covered by Emergency Medicaid at the time of diagnosis and/or at any point during their treatment for breast cancer

RCT Inclusion Criteria:

- Planning to undergo adjuvant or neoadjuvant chemotherapy for stage I-III breast cancer*

- Age 18 to 64 (inclusive)

- Female

- Paid employment (full time or part time) at time of consent

- The ability to give informed consent English or Spanish

- Able to use and read a smartphone (iPhone or Android)

- Has a smartphone (iPhone or Android)

- Has low confidence in requesting workplace accommodations (based on a brief screening survey included as Appendix C). Low confidence is defined by having a score of 7 or lower on any of the five measures included in this appendix.

Exclusion Criteria

Focus Group and RCT Exclusion Criteria:

- Recurrence with metastases of breast cancer

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
TEAMWork App
The 2-pronged approach of the intervention is operationalized through 2 menus, 1 focused on interactions with the employer and the other with the clinic team. Each menu has a list of features from which participants can choose to learn about a particular topic. A "My notes" button allows participants to take notes directly on the app. These notes will not be available to the research team, such that participants may use the tool without concerns about privacy. The workplace accommodations menu includes sample videos using trained actors to demonstrate how to approach an employer to request accommodations. Additional features include suggestions for accommodations that may be helpful, templates for letters participants can use when requesting accommodations, links to relevant websites, information about legal protections, and contact information for lawyers and firms that provide pro bono assistance.
  • Other: TEAMWork App
    The 2-pronged approach of the intervention is operationalized through 2 menus, 1 focused on interactions with the employer and the other with the clinic team. Each menu has a list of features from which participants can choose to learn about a particular topic. A "My notes" button allows participants to take notes directly on the app. These notes will not be available to the research team, such that participants may use the tool without concerns about privacy. The workplace accommodations menu includes sample videos using trained actors to demonstrate how to approach an employer to request accommodations. Additional features include suggestions for accommodations that may be helpful, templates for letters participants can use when requesting accommodations, links to relevant websites, information about legal protections, and contact information for lawyers and firms that provide pro bono assistance.
    Other names:
    • Talking to Employers and Medical Staff About Work (TEAMWork)
Active Comparator
Information Booklet (control)
Participants will receive a booklet that includes the information in the app that can practicably be converted to paper. These participants will not have access to the multimedia aspects of the intervention, such as the videos, but they will have all of the relevant information in the app described above, including suggestions for accommodations, written templates for letters, links to websites, information about legal protections, and contact information for pro bono legal assistance. The booklet will also contain information about chemotherapy, radiation therapy and surgery, recommendations for management of common symptoms, and advice for communicating with the clinic team. The information booklet will be provided entirely on paper, although participants may independently access websites recommended in the booklet. The booklet content will mirror the app with regard to cultural responsiveness and appropriateness for different job types and characteristics.
  • Other: Information Booklet
    Participants in the control arm will receive a booklet that includes the information in the app that can practicably be converted to paper. These participants will not have access to the multimedia aspects of the intervention, such as the videos, but they will have all of the relevant information in the app described above, including suggestions for accommodations, written templates for letters, links to websites, information about legal protections, and contact information for pro bono legal assistance. The booklet will also contain information about chemotherapy, radiation therapy and surgery, recommendations for management of common symptoms, and advice for communicating with the clinic team. The information booklet will be provided entirely on paper, although participants may independently access websites recommended in the booklet. The booklet content will mirror the app with regard to cultural responsiveness and appropriateness for different job types and characteristics.

Recruiting Locations

Montefiore Medical Center
Bronx, New York 10467
Contact:
Della Makower, MD
718-862-8840

More Details

Status
Recruiting
Sponsor
Memorial Sloan Kettering Cancer Center

Study Contact

Victoria Blinder, M.D., M.Sc.
646-888-4808
blinderv@mskcc.org

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.