Effects of smartphone interventions on cancer knowledge and coping among Latina breast cancer survivors: Secondary analysis of a pilot randomized controlled trial.

Autor: Oswald LB; Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA., Baik SH; Department of Supportive Care Medicine, City of Hope, Duarte, California, USA., Buscemi J; Department of Psychology, DePaul University, Chicago, Illinois, USA.; Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois, USA., Buitrago D; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA., Iacobelli F; Department of Computer Science, Northeastern Illinois University, Chicago, Illinois, USA., Guitelman J; ALAS-WINGS, Latina Association for Breast Cancer, Chicago, Illinois, USA., Penedo FJ; Department of Psychology, University of Miami, Coral Gables, Florida, USA., Yanez B; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Jazyk: angličtina
Zdroj: Journal of psychosocial oncology [J Psychosoc Oncol] 2022; Vol. 40 (6), pp. 695-707. Date of Electronic Publication: 2021 Oct 07.
DOI: 10.1080/07347332.2021.1983688
Abstrakt: Objective: The My Guide smartphone application was developed to improve quality of life and symptom burden (primary outcomes) for Latina breast cancer survivors (BCS) and tested in a pilot randomized controlled trial compared to an attention-control condition ( My Health smartphone application). This secondary analysis examined effects on breast cancer knowledge, coping, and cancer-related self-efficacy (intervention targets). Method: Latina BCS (N = 78) were randomized to My Guide or My Health for six weeks. Linear mixed-effects modeling evaluated the effects of time and study condition on the intervention targets. Effects by engagement were explored. Results: Both conditions showed improved breast cancer knowledge ( p  < 0.001), with a trend for greatest improvement among My Guide high users ( p  = 0.082). My Guide participants reported less self-blame overall than My Health participants ( p  = 0.020). There were no effects on cancer-related self-efficacy ( p s > 0.05). Conclusion: Culturally-informed smartphone applications may enhance breast cancer knowledge and promote adaptive coping among Latina BCS.
Databáze: MEDLINE