Domains and Measures | # items | Baseline | Months 3, 6, 18 | Month 12 | Month 24 |
---|---|---|---|---|---|
Socio-demographics: | |||||
 Alliance Patient Questionnaire (select items): Age, gender, ethnicity, race, language, education, marital status, health insurance, household size, income, employment status | 13 (9 items at Months 12, 24) | X |  | X • Marital status • Health insurance • Household size/income • Employment | X • Marital status • Health insurance • Household size/income • Employment |
Medical and Family History: | |||||
 Medical and Family History | 7 | X |  | X | X |
Quality of Life/ Psychosocial: | |||||
 PROMIS Global Health Questionnaire | 10 | X |  | X | X |
 Breast Cancer Prevention Trial (BCPT) Symptom Questionnaire | 25 | X |  | X | X |
 PROMIS Depression Short Form 8a | 8 | X |  | X | X |
 Concerns About Cancer Recurrence (CARS); overall concerns subscale only | 4 | X |  | X | X |
 Perceived Stress Scale | 10 | X |  | X |  |
 Modified Medical Outcomes Study Social Support (mMOS-SS) Questionnaire | 8 | X |  | X |  |
ET Medication Use: | |||||
 Medication Understanding and Use Self-Efficacy Scale (MUSE) | 8 | X | X | X | X |
 Self-reported ET adherence and persistence | 17 | X | X | X | X |
Intervention Acceptability: | |||||
 Intervention Evaluation: Acceptability, Appropriateness, Ease of Use | 15 |  |  | X |  |
 Was It Worth It (WIWI) Questionnaire for Alliance clinical trial participation | 5 |  |  | X |  |
TOTAL ITEMS: | 130 | 110 | 25 | 126 | 88 |
TOTAL ESTIMATED TIME: | Â | 37 | 10 | 42 | 30 |