Verbal and Written Instruction Versus Verbal and Written Plus Simulation in Patients With Breast Cancer and Their Caregivers

control injection teaching

The first 25 subjects recruited into the study will be that control group. Subjects accrued during the control phase will receive the control injection teaching, which at MSKCC is verbal instruction. To minimize practice variation, the teaching will be provided by the office-practice nurse guided by a verbal script. The consented subjects will complete a questionnaire before the teaching, immediately after the teaching, and after performing the injection the following day. The nurse who administered the teaching will also complete an evaluation immediately following the teaching.

Outro: Verbal and Written Instruction

Pre-teaching Evaluation: Patient

• Pre-teaching Evaluation: Caregiver

  o To be completed immediately before the teaching. Administered by the nurse who will provide the teaching. The form utilized will depend on if the patient or caregiver will be administering the injection.

• Post-teaching Evaluation: Patient Post-teaching Evaluation: Caregiver To be completed immediately after the teaching. Administered by the nurse who provided the teaching. The form utilized will depend on if the patient or caregiver will be administering the injection.

intervention group

The subsequent 25 subjects enrolled into the study will be in the intervention group. Subjects accrued during the intervention phase will receive the verbal and written injection teaching, plus demonstration and return demonstration using an injection model. It is anticipated that the intervention teaching will take no longer then 5 additional minutes, however time will be evaluated as a secondary objective as well in both groups. The consented subjects will complete a questionnaire before the teaching, immediately after the teaching, and after performing the injection the following day. The nurse who administered the teaching will also complete an evaluation immediately following the teaching.

Outro: Verbal and Written Plus Simulation

Post-injection Evaluation: Patient

• Post-injection Evaluation: Caregiver

  o To be completed after the injection is administered (outside of MSKCC) by the patient or caregiver. The form utilized will depend on if the patient or caregiver has administered the injection. They will return this evaluation at the patient's next visit (2 weeks later).

• Nurse Evaluation: Control
• Nurse Evaluation: Model o To be completed immediately following the completion of the teaching by the nurse. The form utilized will depend on if the teaching was part of the control or intervention phase of the study.

compare verbal and written teaching for injection teaching

with verbal and written teaching + simulation using an injection model, in terms of:

• Patient/caregiver satisfaction
• Patient/caregiver self-confidence
• Nurse satisfaction

Assess for changes in patient self-reported

worry about injection before and after the injection teaching

Compare nurses' perceptions of patient/caregiver confidence levels

after injection teaching to actual patient/caregiver reported confidence levels

Compare the amount of nurses' time spent teaching

between the teaching modalities