Evaluating the Implementation of a Translational Peer-Delivered Stress Management Program for Spanish-Speaking Latina Breast Cancer Survivors.
Evaluating the Implementation of a Translational Peer-Delivered Stress Management Program for Spanish-Speaking Latina Breast Cancer Survivors.
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DOI：
10.1007/s13187-017-1202-y
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发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
García-Jímenez M
中科院分区：
文献类型：
--
作者：
Nápoles AM;Santoyo-Olsson J;Stewart AL;Ortiz C;García-Jímenez M
需要关于将EBI转化为健康差距社区的实施过程的信息。在一项随机对照试验中，努埃沃Amanecer是一种由乳腺癌幸存者（compañeras）在社区环境中向讲西班牙语的拉丁裔乳腺癌幸存者提供的认知行为压力管理（CBSM）计划，可有效改善生活质量，减少乳腺癌担忧以及抑郁和身体症状。使用混合方法，我们评估了实施努埃沃Amanecer的过程。通过直接观察评估方案交付情况。通过参与者的掌握和家庭作业完成情况评估治疗接受情况。通过参与者调查和对参与者和同伴的半结构化访谈，对感知的好处、质量、易用性、组件的有用性和建议的改进进行了评价。80%的妇女完成了8个疗程中的6个或更多疗程。观察员对方案交付的评级表明，公司在三个组成部分（例如，遵循手册），但对于两个组件仅为10%（例如，建模技能）。关于接受治疗，大多数参与者完成了所有作业。知识和技能掌握率很高（大多数>85%）。在项目评估中，93%的人表示该项目帮助他们科普乳腺癌“相当多/非常多”。参与者报告说，自我管理技能和知识有所提高。建议的改进措施是增加更多的课程来练习认知行为应对技能，简化练习和家庭作业。我们的结论是，CBSM程序可以在社区环境中提供训练有素的同行具有高保真度，可接受性和感知的有用性。结果提供了一些领域，该方案可以改进。我们严格的评估说明了用于评估将EBI翻译为社区实施的过程的方法。
Information is needed on implementation processes involved in translating EBIs into health disparity communities. In an RCT, Nuevo Amanecer, a cognitive-behavioral stress management (CBSM) program delivered by breast cancer survivors (compañeras) in community settings to Spanish-speaking Latina breast cancer survivors, was effective in improving quality of life and decreasing breast cancer concerns and depressive and bodily symptoms. Using mixed methods, we evaluated the processes of implementing Nuevo Amanecer. Program delivery was assessed by direct observation. Treatment receipt was assessed by participants' mastery and homework completion. Perceived benefits, quality, ease of use, usefulness of components, and suggested improvements were evaluated through participant surveys and semi-structured interviews of participants and compañeras. Eighty percent of women completed 6 or more of 8 sessions. Observer ratings of program delivery indicated compañeras demonstrated fidelity 80-90% of the time for three components (e.g., following the manual), but only 10% for two components (e.g., modeling skills). Regarding treatment receipt, most participants completed all homework. Knowledge and skills mastery was high (mostly >85%). In program evaluations, 93% indicated the program helped them cope with breast cancer “quite a bit/extremely.” Participants reported improved self-management skills and knowledge. Suggested improvements were to add more sessions to practice cognitive-behavioral coping skills and simplify exercises and homework. We conclude that CBSM programs can be delivered in community settings by trained peers with high fidelity, acceptability, and perceived usefulness. Results provided some areas where the program could be improved. Our rigorous evaluation illustrates methods for evaluating processes of translating EBIs for community implementation.
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影响因子：
1.9
作者：
Napoles-Springer, Anna M.;Ortiz, Carmen;Diaz-Mendez, Marynieves
通讯作者：
Diaz-Mendez, Marynieves
影响因子：
12.7
作者：
Nápoles AM;Ortíz C;Santoyo-Olsson J;Stewart AL;Gregorich S;Lee HE;Durón Y;McGuire P;Luce J
通讯作者：
Luce J
影响因子：
105.7
作者：
Hawe, P;Shiell, A;Riley, T
通讯作者：
Riley, T
影响因子：
1
作者：
Lavinghouze, S. Rene;Snyder, Kimberly
通讯作者：
Snyder, Kimberly
影响因子：
2.7
作者：
Napoles, Anna M.;Santoyo-Olsson, Jasmine;Stewart, Anita L.
通讯作者：
Stewart, Anita L.