Nuevo Amanecer: results of a randomized controlled trial of a community-based, peer-delivered stress management intervention to improve quality of life in Latinas with breast cancer.
Nuevo Amanecer: results of a randomized controlled trial of a community-based, peer-delivered stress management intervention to improve quality of life in Latinas with breast cancer.
复制标题
DOI：
10.2105/ajph.2015.302598
复制
发表时间：
2015-07
影响因子：
12.7
通讯作者：
Luce J
中科院分区：
文献类型：
--
作者：
Nápoles AM;Ortíz C;Santoyo-Olsson J;Stewart AL;Gregorich S;Lee HE;Durón Y;McGuire P;Luce J
我们评估了一项以社区为基础的转化性压力管理计划，以改善说西班牙语的拉丁裔乳腺癌患者的健康相关生活质量。我们采用了一种认知-行为压力管理计划，整合了循证和社区最佳实践，以满足拉丁裔乳腺癌患者的需求。说西班牙语的拉丁裔乳腺癌患者被随机分配到干预组或常规护理对照组。受过培训的同事在2011年2月至2014年2月期间进行了为期8周的干预。主要结果是乳腺癌特有的生活质量和痛苦，以及普遍的痛苦症状。在151名参与者中，95%的人在6个月内(2011年5月至2014年5月期间)被保留。在从基线到6个月的生活质量改善方面，干预组在身体健康、情感健康、乳腺癌问题和总体生活质量方面比对照组改善得更多。抑郁和躯体化方面的干预组从基线到6个月的降幅更大。结果表明，循证方案的翻译可以减少患有乳腺癌的拉丁裔人的心理社会健康差距。将这一方案纳入以社区为基础的组织，增强了其传播潜力。
We evaluated a community-based, translational stress management program to improve health-related quality of life in Spanish-speaking Latinas with breast cancer. We adapted a cognitive–behavioral stress management program integrating evidence-based and community best practices to address the needs of Latinas with breast cancer. Spanish-speaking Latinas with breast cancer were randomly assigned to an intervention or usual-care control group. Trained peers delivered the 8-week intervention between February 2011 and February 2014. Primary outcomes were breast cancer–specific quality of life and distress, and general symptoms of distress. Of 151 participants, 95% were retained at 6 months (between May 2011 and May 2014). Improvements in quality of life from baseline to 6 months were greater for the intervention than the control group on physical well-being, emotional well-being, breast cancer concerns, and overall quality of life. Decreases from baseline to 6 months were greater for the intervention group on depression and somatization. Results suggest that translation of evidence-based programs can reduce psychosocial health disparities in Latinas with breast cancer. Integration of this program into community-based organizations enhances its dissemination potential.