A Self-Administered Stress Management Intervention for Hispanic Patients Undergoing Cancer Chemotherapy
| Autor: | Vida L. Tyc, Viki Huegel, Teletia R. Taylor, Teresa M. Nesman, Ping Xu, Margaret Gross-King, Jeffrey P. Krischer, Susan McMillan, Claudia X. Aguado Loi |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Stress management medicine.medical_specialty Epidemiology Health Status Antineoplastic Agents 03 medical and health sciences 0302 clinical medicine Quality of life Intervention (counseling) Neoplasms medicine Humans 030212 general & internal medicine Longitudinal Studies Depression (differential diagnoses) Aged Psychotropic Drugs business.industry Public health Public Health Environmental and Occupational Health Hispanic or Latino Middle Aged Mental health Self Care Distress Mental Health Socioeconomic Factors 030220 oncology & carcinogenesis Physical therapy Quality of Life Anxiety Patient Compliance Female medicine.symptom business Stress Psychological |
| Zdroj: | Journal of immigrant and minority health. 19(5) |
| ISSN: | 1557-1920 |
| Popis: | This study evaluated whether a self-administered stress management training (SSMT) could improve quality of life (QOL) and reduce distress among Hispanics receiving chemotherapy across multiple community clinical settings. Participants were randomized to receive SSMT (n = 106) or usual care (UCO) (n = 113). The primary outcome—QOL (SF-36) and secondary outcomes depression (CES-D), and anxiety (STAI) were assessed longitudinally over four chemotherapy cycles. Acculturation (BAS) and patients’ intervention adherence were assessed. About 63% of participants reported distress after the initial chemotherapy cycle. Hispanics with lower acculturation reported greater STAI-Trait scores (p = .003). No significant treatment effects on outcomes measures were observed for participants receiving SSMT. SSMT intervention techniques were reported useful and improved mental health scores were observed with patients on a psychotropic agent (p = .04). Hispanics experience an elevated level of distress, yet SSMT did not significantly improve primary outcomes. SSMT may be potentially effective when combined with a psychotropic agent. SSMT enhancing strategies are discussed. |
| Databáze: | OpenAIRE |
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