Abstract
BackgroundBreast cancer is the most common cancer diagnosed in women worldwide. In developed countries, 80–90% of women will survive five years after diagnosis but the transition from hospital-based care to health self-management and self-efficacy can be difficult. Text messaging programs offer a simple and proven way to provide support to people with chronic diseases. This study aims to test the effectiveness of a text message support program at improving women’s health self-efficacy, and physical and mental health outcomes after breast cancer treatments compared to usual care at 6-months and to understand the barriers and enablers to widespread implementation.MethodsSingle-blind randomised control trial (RCT; N = 160) comparing a text message support intervention to usual care in women with breast cancer (recruited from a large tertiary referral hospital in Sydney, Australia). The intervention group will receive a six-month text message support program, which consists of semi-personalised, supportive, lifestyle-focused text messages (4 messages/week) in addition to usual care. The control group will receive usual care without the text message program. Outcomes will be assessed at 6-months. The primary outcome is change in self-efficacy for managing chronic disease. Secondary outcomes include change in clinical outcomes (body mass index), lifestyle outcomes (physical activity levels, dietary behaviours), mood (depression and anxiety scales), quality of life, satisfaction with, and usefulness of the intervention. Analyses will be performed on the principle of intention-to-treat to examine differences between intervention and control groups.DiscussionThis study will test if a scalable and cost-effective text-messaging intervention is effective at improving women’s health self-efficacy, as well as physical and mental health outcomes. Moreover, this study will provide essential preliminary data to bolster a large multicentre RCT to helpsupport breast cancer survivors throughout recovery and beyond.Trial registrationAustralia New Zealand Clinical Trials Registry (ANZCTR) number ACTRN12618002020268, 17 December 2018
Highlights
Breast cancer is the most common cancer diagnosed in women worldwide [1]
Due to improvements in diagnostics and treatments in developed countries, 80–90% of women survive at least 5 years after their initial diagnosis [2]. Patients typically visit their doctors weekly and gradually reduce to annual visits [3]. During this transition from hospital-based care to health selfmanagement, breast cancer survivors are encouraged to exercise, maintain a healthy diet and weight [4], and, in the majority of cases, adhere to endocrine treatments [5] to reduce the risk of breast cancer recurrence
The current study aims to improve self-efficacy in multiple domains related to chronic disease risk factors by providing educational, motivational and supportive information via text message during the difficult transition from hospital-based care
Summary
Breast cancer is the most common cancer diagnosed in women worldwide. In developed countries, 80–90% of women will survive five years after diagnosis but the transition from hospital-based care to health selfmanagement and self-efficacy can be difficult. Patients typically visit their doctors weekly and gradually reduce to annual visits [3] During this transition from hospital-based care to health selfmanagement, breast cancer survivors are encouraged to exercise, maintain a healthy diet and weight [4], and, in the majority of cases, adhere to endocrine treatments [5] to reduce the risk of breast cancer recurrence. Many survivors find this transition physically and mentally difficult due to reduced interaction with, and psychological support from, medical professionals [6] and/or ongoing treatment side effects [5]. Simple and cost-effective strategies are needed to support breast cancer survivors during their recovery and beyond
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
