Nuevo Amanecer-II: Results of a randomized controlled trial of a community-based participatory, peer-delivered stress management intervention for rural Latina breast cancer survivors

Autor: Silvia Araceli Cervantes, Carmen Ortiz, Anna María Nápoles, Aday Urias, Vicken Y. Totten, Cathy Samayoa, Jasmine Santoyo-Olsson, LaVerne Coleman, Alma Torres-Nguyen, Nayeli Gonzalez, Anita L. Stewart, Helen Palomino
Rok vydání: 2020
Předmět:
Counseling
Rural Population
Coping (psychology)
Stress management
rural communities
Anxiety
law.invention
0302 clinical medicine
Randomized controlled trial
Cancer Survivors
psychological distress
law
Adaptation
Psychological
030212 general & internal medicine
School education
Community based
Hispanic or Latino
Middle Aged
Psychiatry and Mental health
Oncology
030220 oncology & carcinogenesis
Papers
Female
medicine.symptom
Adult
Paper
breast cancer survivors
stress management
Community-based participatory research
Experimental and Cognitive Psychology
Breast Neoplasms
Peer Group
03 medical and health sciences
Breast cancer
medicine
Humans
cancer
Cognitive Behavioral Therapy
business.industry
Community Participation
medicine.disease
quality of life
psycho‐oncology
community‐based participatory research
randomized controlled trial
business
Stress
Psychological
Latino/Hispanic
Demography
Zdroj: Psycho-Oncology
ISSN: 1099-1611
Popis: Author(s): Napoles, Anna Maria; Santoyo-Olsson, Jasmine; Stewart, Anita L; Ortiz, Carmen; Samayoa, Cathy; Torres-Nguyen, Alma; Palomino, Helen; Coleman, LaVerne; Urias, Aday; Gonzalez, Nayeli; Cervantes, Silvia Araceli; Totten, Vicken Y | Abstract: ObjectiveWe report results of a community-based multisite, randomized controlled trial of Nuevo Amanecer (NA-II), a 10-week stress management program for rural, low literacy Latina breast cancer survivors.MethodsTrained peers delivered NA-II to Spanish-speaking Latinas with non-metastatic breast cancer in three rural communities. Women were randomized to receive the program immediately or wait 6 months. Assessments were conducted at baseline, 3 months, and 6 months. Primary outcomes were breast cancer-specific quality of life domains; secondary outcomes included general distress symptoms and stress management skills. Intention-to-treat analyses using repeated-measures linear regression models estimated changes in slope between groups.ResultsOf 153 participants (76 randomized to intervention, 77 to control group), 92% were retained at 6 months. Mean age was 54.8 years (SD = 10.5); 80% had less than high school education. There were no statistically significant treatment × time effects on quality of life. Compared to women in the control group, intervention group women reported greater improvements in anxiety at 6 months (-0.20 vs -0.02, P = .049; range 0-4) as well as three stress management skills: relaxation at 3 months (+0.98 vs -0.07, P l .0001; range 0-4) and 6 months (+0.82 vs +0.04, P l .001), awareness of tension at 3 months (+0.31 vs -0.19, P l .01; range 0-4) and 6 months (+0.29 vs -0.11, P l .05), and coping confidence at 3 months (+0.12 vs -0.23, P l .01; range 0-4).ConclusionsStress management programs delivered by trained peers in rural community settings can reduce anxiety and improve stress management skills among Latina breast cancer survivors.
Databáze: OpenAIRE
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