Skip to main content

Table 3 Survey structure and example questions

From: A feasibility study of the Mini-AFTER telephone intervention for the management of fear of recurrence in breast cancer survivors: a mixed-methods study protocol

Section

Example questions

Question type

1. Consent

• Do you consent to taking part in this survey?

• Multiple choicea

2. About you

• No. of years working with people affected by breast cancer?

• How many breast care nurses work on your team?

• Approx. what proportion of your role is spent in the following areas?

• Multiple choice

• Multiple choice

• Scaleb

3. About the patients you meet with breast cancer

• What psychological care interventions do you provide to patients with breast cancer?

• Multiple choice

FoR definition provided

 

• In your opinion, what proportion of your patients experience FoR at a moderate level? At a severe level?

• Multiple choice

4. About the work you do

• Approx. what proportion of patients do you discuss FoR with?

• How is the issue of FoR generally raised? (I always raise a discussion on FoR vs. I only discuss FoR if the patient raises it)

• In your experience, what factors trigger FoR in a breast cancer patient?

• What barriers do you encounter using assessment tools in clinical practice?

• Multiple choice

• Scale

• Freetextc

• Freetext

4. About the support within your team

• What kind of formal support do you receive to fulfil your role?

• How would you rate the support you get from your team when helping patients deal with psychological issues? (Extremely supportive vs. Not at all supportive)

• How would you rate the formal support you receive to fulfil your role?

• Multiple answerd

• Scale

• Scale

5. About your preferred support

• Have you received training to deal specifically with the area of FoR?

• Multiple choice

Brief explanation of the Mini-AFTER intervention provided

 

• If you were offered a one-day training course to implement the Mini-AFTER intervention, would you accept it?

• Multiple choice

6. About other support services you use

• If you identify a patient with moderate FoR, which of the following services do you refer them to? With severe FoR?

• How do you decide which service to refer your patient to when they have FoR?

• Multiple answer

• Freetext

7. Follow-up

Explanation of Phase 2 of the study provided

 

• Would you be willing to take part in a telephone interview?

• Would you be interested in delivering the Mini-AFTER intervention in a future study?

• Multiple choice

• Multiple choice

  1. aMultiple choice questions allow respondents to pick just one answer from a list of pre-defined answers
  2. bScale questions ask respondents whether they agree or disagree with a number of statements, to rate items on a scale, or to rank items in order of importance
  3. cFreetext questions allow respondents to type their answers in their own words
  4. dMultiple answer questions allow respondents to pick more than one answer from a list of pre-defined answers