The Impact of Education Level on Satisfaction and Efficacy of a Healthy Weight Educational Pamphlet for Breast Cancer Survivors

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Nafisha Lalani
Sara Urowitz
Aleksandra Chafranskaia
Joyce Nyhof-Young


Breast cancer survivorship, patient education, socioeconomic status.


INTRODUCTION: Weight gain in breast cancer survivors (BCS) is associated with recurrence. BCS of differing socioeconomic backgrounds require educational resources tailored to their needs to improve health outcomes. This study evaluates patients’ perceptions of an educational pamphlet for BCS.

METHODS: A cross-sectional survey was conducted. Parameters assessed included: content, relevance, anticipated behaviour change, overall impression and patient education level. Respondents were divided into higher (HEG) and lower (LEG) education groups; two-tailed, unpaired T-tests were used to determine how education impacted satisfaction.

RESULTS: Of the 69 completed questionnaires, 98% of HEG and 100% of LEG felt that the content was accessible. 79% of HEG and 80% of LEG felt that the pamphlet was above average or excellent. 85% of HEG and 91% of LEG felt that the information was helpful. Although patients were satisfied with the resource, 62% of HEG and 55% LEG felt that this tool alone would precipitate behavioural modification. No significant differences existed between groups on any of these parameters (p= 0.4744, 0.7295, 0.6652 and 0.7992).

CONCLUSIONS: Preliminary evaluation results suggest that although this educational tool showed high levels of acceptance and satisfaction among BCS from both high and low education groups, a multifaceted approach is required to initiate behaviour change.