Sisters Peer Counseling in Reproductive Issues After Treatment (SPIRIT): a peer counseling program to improve reproductive health among African American breast cancer survivors.
Sisters Peer Counseling in Reproductive Issues After Treatment (SPIRIT): a peer counseling program to improve reproductive health among African American breast cancer survivors.
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DOI：
10.1002/cncr.26139
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发表时间：
2011-11-01
期刊：
影响因子：
6.2
通讯作者：
Jackson KE
中科院分区：
文献类型：
--
作者：
Schover LR;Rhodes MM;Baum G;Adams JH;Jenkins R;Lewis P;Jackson KE
非洲裔美国乳腺癌幸存者可能面临生殖健康问题的高风险，包括更年期症状，性功能障碍和癌症相关不孕症的困扰。我们与姐妹篇网络公司合作。创建SPIRIT计划，这是一个结合书面工作手册和同伴咨询的文化敏感干预计划。300名女性被随机分配接受工作手册加三次与训练有素的同伴顾问的面对面会议，或工作手册加≤ 30分钟的电话咨询，由参与者发起。在基线、治疗后以及6个月和12个月的随访中，研究人员评估了情绪困扰、性功能、关系满意度、灵性、更年期症状和知识。对该计划的满意度和医疗服务的利用率也进行了评估。两组妇女的知识都有显著提高，痛苦减少，潮热减少。性活跃的女性在6个月的随访中性功能有所改善，但在一年内没有改善。然而，同伴咨询与电话咨询组相比几乎没有增量效益。66%的妇女认为SPIRIT方案非常有用。结果证明继续使用的工作手册和进一步的研究，以优化同伴咨询的影响。
African-American breast cancer survivors may be at high risk for reproductive health problems, including menopause symptoms, sexual dysfunction, and distress about cancer-related infertility. We partnered with Sisters Network® Inc. to create the SPIRIT program, a culturally sensitive intervention program combining a written workbook and peer counseling. Three hundred women were randomized either to receive the workbook plus three in-person sessions with a trained peer counselor, or the workbook plus ≤ 30 minutes of telephone counseling, to be initiated by the participant. Questionnaires at baseline, post-treatment, and 6- and 12-month follow-ups assessed emotional distress, sexual function, relationship satisfaction, spirituality, menopause symptoms, and knowledge. Satisfaction with the program and utilization of medical care were also assessed. Both groups of women improved significantly in knowledge, decreased in distress, and had decreased hot flashes. Sexually active women had improved sexual function at 6-month follow-up, but not at one year. Peer counseling had little incremental benefit over the telephone counseling group, however. The SPIRIT program was rated very useful by 66% of women. Outcomes justify continued use of the workbook and further research to optimize the impact of peer counseling.
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