Translating a stress management intervention for rural Latina breast cancer survivors: The Nuevo Amanecer-II


Autoři: Jasmine Santoyo-Olsson aff001;  Anita L. Stewart aff002;  Cathy Samayoa aff004;  Helen Palomino aff005;  Aday Urias aff005;  Nayeli Gonzalez aff005;  Alma Torres-Nguyen aff006;  LaVerne Coleman aff007;  Cristian Escalera aff008;  Vicken Y. Totten aff006;  Carmen Ortiz aff009;  Anna Maria Nápoles aff008
Působiště autorů: Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, United States of America aff001;  Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, California, United States of America aff002;  Institute for Health and Aging, University of California San Francisco, San Francisco, California, United States of America aff003;  Health Equity Research Lab, Department of Biology, San Francisco State University, San Francisco, California, United States of America aff004;  Cancer Resource Center of the Desert, El Centro, California, United States of America aff005;  Kaweah Delta Health Care District, Visalia, California, United States of America aff006;  WomenCARE/Entre Nosotras, Family Service Agency of the Central Coast, Soquel, California, United States of America aff007;  National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland, United States of America aff008;  Círculo de Vida Cancer Support and Resource Center, San Francisco, California, United States of America aff009
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0224068

Souhrn

Objectives

Adapt a cognitive-behavioral stress management program (Nuevo Amanecer or NA) to be generalizable to rural, low literacy Spanish-speaking Latinas with breast cancer survivors at all phases of survivorship.

Methods

Apply the Transcreation Framework, a community-engaged translational model, to develop the adapted program (Nuevo Amanecer or NA-II), design a randomized controlled trial for community settings, identify recruiters and interventionists, and recruit participants into the trial.

Results

Adaptations included expanding the program from eight to ten weeks, simplifying materials, and increasing skills practice. We added stress management videos, healthy lifestyles information, and survivorship information. Interventionists were trained Latina breast cancer survivors. All core components of NA were retained in NA-II including managing the impact of cancer, information on breast cancer and its treatment, finding cancer information, getting support, managing thoughts, stress management techniques, and setting goals. Participants receive a program manual. Each session includes a review of that week’s content using the manual, practicing a stress-management skill, setting a specific goal, and reviewing videos. Spanish-speaking Latinas with non-metastatic breast cancer were recruited by community recruiters. Of 231 women approached, 24% refused, 10% were ineligible, and 153 (66%) were randomized to the intervention or a wait-list control group. The sample was vulnerable: 69% had < high school education, more than half had only Medicaid or no insurance, 91% was foreign born, and 48% reported financial hardship in the past year.

Conclusions

Applying the Transcreation Framework to engage stakeholders in designing community-based RCTs enhanced congruence with community contexts and recruitment of this vulnerable population.

Klíčová slova:

Breast cancer – Breathing – Cancer detection and diagnosis – Cancer treatment – Mental health and psychiatry – Oncology – Psychological stress – Relaxation (psychology)


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