Standard of care:

• a short overview of the physician on adjuvant endocrine therapy
• a brochure on adjuvant endocrine therapy
• a voluntary group session on adjuvant endocrine therapy

and a monthly questionnaire on the patient reported outcomes

Standard care with the access of to the online tool Co'moon and a monthly questionnaire on patient reported outcomes.

The outcome of the questionnaires are summarized for the physician to discuss during the follow-up consultation.

The tool contains three parts:

1. e-learning based on the brochure on adjuvant endocrine therapy (AET) in the University Hospital Leuven,
2. serious game where patients are confronted with scenes of their daily life and motivational guidelines to stimulate their self-management,
3. a patient-reported-outcome questionnaire (PROMs), reported in the patient medical file.

The tool is designed to stimulate patients self-management of their menopausal AET-related complaints and to discuss them with their health care professionals .

Total score of Functional Assessment of Chronic Illness Therapy system of Quality of Life questionnaires of endocrine symptoms (FACT-ES) combined with additional questions B5 and H18. A validated questionnaire with a 5-point Likert scale and a total score of 180 (high QoL).

patient reported impact on the side effects of AET

patient reported intentional or accidental forgot the medication

patient reported their experience of the follow-up consultation in a 5 point Likert scale questionnaire

patient reported a change in the communication of patients with their relatives in a 5 point Likert scale questionnaire

Subscales of FACT-ES combined with additional questions B5 and H18.