Verbal and Written Instruction Versus Verbal and Written Plus Simulation in Patients With Breast Cancer and Their Caregivers

Inclusion Criteria: * English speaking * Over 18 years of age * No history of performing injections * Patient must be receiving pegfilgrastim during adjuvant or neoadjuvant chemotherapy * Patient will have the pegfilgrastim administered at home either by self administering or by a caregiver. Exclusion Criteria: * Patient or caregiver desire to inject (with saline) during or immediately following the injection teaching * Prior self-injection or injection administration experience of any type * Patients with history of anaphylaxis or other severe reactions to latex * Patients that required pegfilgrastim injection be administered in clinic