Table 2

Lifestyle habits, anxiety, depression, deprivation, social and professional data collected in the questionnaire booklet sent to patients during the quantitative component

Questionnaire modulesBrief description
Module on lifestyle habitsConsumption of alcohol and tobacco will be recorded. Data on alcohol consumption will be collected using the validated French version of AUDIT-C questionnaire. AUDIT-C is a 3-question screening test to reveal problematic alcohol use.47 A score ≥3 in women should suggest misuse, while a score ≥10 suggests dependence.
Anxiety and depression module (HADS questionnaire)The HADS questionnaire validated and adapted in French by Lepine et al48 will be used to detect anxiety and depressive disorders. This scale has 14 items rated from 0 to 3 and describes two dimensions, anxiety and depression, with subscale scores ranging from 0 to 21. A subscale score of 11 or more indicates the presence of anxiety or depression.
Module on socioeconomic deprivation (EPICES questionnaire)Socioeconomic deprivation will be assessed using the French EPICES questionnaire.49 This questionnaire developed specifically for the French context, contains 11 items that take into account the overall living conditions and generates a deprivation score. Scores vary from 0 to 100 and allow classification of patients as deprived or not deprived (>30 and ≤30, respectively).
Module on social lifeSocial support will be assessed by Sarason’s social support questionnaire (SSQ6) validated and adapted in French by Rascle et al.50 This 6-item questionnaire measures the availability of social support and the satisfaction with the perceived support. Availability scores range from 0 to 54 and satisfaction scores range from 6 to 36.51 A higher social support satisfaction score represents better perceived social support. Additional questions on social life including the following data will be collected: being in contact with a patient association or a social worker, having received psychological assistance following the diagnosis of BC and the role played by spiritual life or religion.
Professional life moduleProfessional reintegration will be evaluated using another study-specific questionnaire developed in conjunction with sociologists and psychologists. The questionnaire gathers items from diverse French population-based surveys. It includes items from a large survey on cancer survivorship named VICAN.26 40 52 These items were tested in an exploratory sample of 74 people with cancer in April 2004. It provided information on the impact of cancer on work, access to loans and professional reintegration. These items, not captured by any validated questionnaire, deal with factual elements about work. This study does not provide for any validation plan for the use of the professional life module. Data collected include problems relating to obtaining loans, income since diagnosis, ability to work (after treatment and at the time of the survey), impact of cancer and perceived discrimination in the patient’s professional life.
  • AUDIT-C, Alcohol Use Disorders Identification Test-Consumption; BC, breast cancer; EPICES, Evaluation de la Précarité et des Inégalités de santé pour les Centres d’Examen de Santé; HADS, Hospital Anxiety and Depression Scale; Sarason's SSQ6, Sarason’s Social Support Questionnaire.