Clinician Communication About Sexual Health

Primary outcomes

1. Feasibility of the Intervention Trial - Enrollment

   Time frame: Baseline

   Enrollment will be measured through measures of participant enrollment defined as the percent of eligible candidates approached who enroll in the pilot trial.

2. Feasibility of the Intervention Trial - Retention

   Time frame: Baseline up to 1 month

   Study retention will defined as percentage of enrolled participants who complete all study surveys.

3. Feasibility of the Intervention Trial - Intervention Completion

   Time frame: 1 month

   Intervention completion will defined as percentage of enrolled participants who complete participation in the podcast intervention.

4. Acceptability

   Time frame: 1 week up to 1 month

   Acceptability will be measured through the percentage of the sample endorsing 6 primary acceptability items favorably at two time points (1 week and 1 month; satisfaction, informativeness, relevance, ease of listening, likelihood to recommend, likelihood to impact practice).

5. Change in Clinician Knowledge About Sexual Health and Related Communication

   Time frame: Baseline up to 1 month

   Clinician knowledge about sexual health and communication will be measured using a 10-item scale asking about common sexual problems experienced by breast cancer patients and the most effective ways to communicate with patients about these issues. Knowledge scores range from 0 to 10, with higher scores indicating more knowledge.

   Knowledge will be reported as the mean of items answered correctly. Positive mean change scores indicate an increase in knowledge over time.

6. Change in Clinician Self-Efficacy About Sexual Health Communication

   Time frame: Baseline up to 1 month

   Clinician self-efficacy about sexual health communication will be measured using a 3-item scale asking about confidence in discussing sexual concerns with patients. Mean scores range from 0-10, with higher scores indicating higher self-efficacy. Positive mean change scores indicate an increase in self-efficacy over time.

7. Change in Clinician Outcome Expectancies for Sexual Health Communication

   Time frame: Baseline up to 1 month

   Clinician outcome expectancies for sexual health communication will be measured using a 7-item scale asking about expected positive results in discussing sexual concerns with patients. Mean scores range from 0-10, with higher scores indicating better expected outcomes. Positive mean change scores indicate an increase in outcome expectancies over time.

8. Change in Clinician Comfort With Communicating About Sexual Health

   Time frame: Baseline up to 1 month

   Clinician comfort with sexual health communication will be measured using a 7-item scale asking about comfort level in discussing sexual concerns with patients. Mean scores range from 0-10, with higher scores indicating a higher level of comfort. Positive mean change scores indicate an increase in comfort level over time.

9. Change in Clinician Communication About Sexual Health

   Time frame: Baseline up to 1 month

   Clinician communication about sexual health will be measured using a 3-item scale asking about recent communication practices around sexual health (initiating conversations, offering information, giving referrals). Mean scores range from 1-5, with higher scores indicating higher amounts of communication. Positive mean change scores indicate an increase in communication behaviors over time.