The Impact of COVID-19 Pandemic on Cancer Care and Health-Related Quality of Life of Racial and Ethnic Minority Women Diagnosed with Breast Cancer

COVID-19 大流行对诊断患有乳腺癌的少数族裔妇女的癌症护理和健康相关生活质量的影响

• 批准号: 10188130
• 负责人: Lorraine R Reitzel
• 金额: $ 15.3万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-22 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10188130
• 关键词: Achievement; Acute; Address; Adherence; Administrative Supplement; Admission activity; Adoption; Affect; Algorithms; Biological; Breast Cancer Patient; Breast Cancer Treatment; COVID-19; COVID-19 pandemic; Cancer Center; Cancer Model; Cancer Patient; Caring; Cessation of life; Characteristics; Clinical; Communities; Continuity of Patient Care; Data; Development; Diagnosis; Disease; Disease Outbreaks; Distal; Early treatment; Emergency Situation; Environment; Ethnic group; Family Caregiver; Fostering; Future; General Population; Goals; Grant; Hand; Health; Health Professional; Hispanics; Hurricane; Immunocompromised Host; Incidence; Individual; Infection; Insurance; Intensive Care Units; Interruption; Intervention; Literature; Local Therapy; Maintenance; Malignant Neoplasms; Measures; Medical; Medical Care Costs; Mentors; Minority; Minority Groups; Mission; Modification; Natural Disasters; Not Hispanic or Latino; Operative Surgical Procedures; Outcome; Participant; Pathway interactions; Patient Care; Patient-Focused Outcomes; Patients; Play; Policies; Protocols documentation; Quality of Care; Quality of life; Radiation therapy; Recommendation; Recurrence; Reporting; Research; Resources; Risk; Risk Behaviors; Role; Screening for cancer; Service delivery model; Severe Acute Respiratory Syndrome; Social Network; Socioeconomic Factors; Time; Training Activity; Treatment Protocols; Triage; Unemployment; Universities; University of Texas M D Anderson Cancer Center; Viral; Vulnerable Populations; Woman; adjuvant endocrine therapy; adverse outcome; behavioral/social science; burden of illness; cancer care; cancer health disparity; cancer therapy; care delivery; care outcomes; career; ethnic minority population; experience; health care availability; health care service utilization; health care settings; health equity; health related quality of life; high risk; improved; innovation; malignant breast neoplasm; member; mortality; novel; pandemic disease; prevent; programs; psychosocial; racial and ethnic; racial minority; screening; skills; social; social health determinants; sociodemographic variables; survivorship; tumor

The unprecedented burden of the COVID-19 pandemic has critical consequences for the delivery of cancer care: patients present greater vulnerability to the disease and newly implemented treatment pathways and protocols may affect long-term survival because of suboptimal or delayed care. For racial and ethnic minority women receiving treatment for breast cancer, institutional measures implemented to regulate access of patients to medical settings and modifications in therapy sequence may exacerbate the existing disproportionate burden of the disease. Therefore, understanding the impact of COVID-19 on the cancer care received by minority groups and identifying potentially modifiable factors to inform future models of care delivery is critical. The U-HAND (University of Houston/MD Anderson) Program to Reduce Cancer Disparities (P20CA221697; 9/22/17-8/31/21) is a collaborative partnership between the University of Houston and The University of Texas MD Anderson Cancer Center that supports excellence in educational programming and innovation in research that affects health equity among racial/ethnic groups disproportionately affected by cancer disparities. The proposed Administrative Supplement application is a natural extension of the aims of the UHAND partnership and it is reflective of its overarching mission to execute innovative social/behavioral science aimed at mitigating cancer inequities for Black and Hispanic groups. Specifically, the proposed Supplement will be an extension of this goal by investigating the impact that the COVID-19 pandemic has on the receipt of optimal breast cancer care among women from racial and ethnic communities disproportionately affected by the illness and its psychosocial sequelae. This proposal is a logical next step building upon the Administrative Applicant’s expertise on the intermediate determinants of cancer-related outcomes. Pilot data collected will assess differential rates of cancer care disruption and health-related quality of life among Black and Hispanic women diagnosed with early-stage breast cancer (as compared with non-Hispanic white women), and examine how proximal, intermediate, and distal determinants of disparities contribute to these outcomes. It is envisioned that the study will yield information about “at-risk” patients and ways to leverage existing social resources. Finally, these findings will be used to inform future multilevel interventions able to sustain effective models of care delivery in a post-acute COVID-19 environment. During the one-year Administrative Supplement grant period, research and mentored training activities will help the applicant complete the research aims of the proposed project, and develop skills that will support her understanding of mechanisms that contribute to disparities in both health care utilization and outcomes among diverse groups to foster a successful career in reducing and eliminating cancer disparities.

COVID-19大流行的前所未有的烧伤对癌症护理的提供有关键的后果：患者对疾病的脆弱性更大，新实施的治疗途径和方案可能会影响长期生存，因为次优或延迟的护理。对于接受乳腺癌治疗的种族和少数民族妇女，采取的机构措施以调节患者进入医疗环境和治疗序列的修改可能会加剧现有的疾病烧伤。因此，了解Covid-19对少数群体所接受的癌症护理的影响，并确定可能修改的因素以告知未来的护理交付模型。 U手（休斯顿大学/MD安德森大学）旨在减少癌症差异的计划（P2A221697; 9/22/22/17-8/31/21）是休斯敦大学与德克萨斯大学MD Anderson癌症中心之间的合作伙伴关系，该合作伙伴关系在教育计划和创新方面受到癌症/种族疾病的影响，在教育计划和创新方面具有良好的影响。拟议的行政补充应用程序是UHAND合作伙伴关系目标的自然扩展，它反映了其总体使命是执行旨在减轻黑人和西班牙裔群体的癌症不平等的创新社会/行为科学。具体而言，拟议的补充剂将通过研究COVID-19大流行对受到疾病及其心理社会后遗症影响不成比例的妇女的最佳乳腺癌护理的影响来扩展这一目标。该提案是基于行政申请人在与癌症相关结果的中间决定者的专业知识上的逻辑下一步。收集到的试点数据将评估被诊断出患有早期乳腺癌（与非西班牙裔白人妇女相比）的黑人和西班牙裔妇女的癌症护理中断和与健康相关的生活质量的差异率，并检查近端，中间和独特的差异决定者如何对这些出现产生影响。可以预见的是，该研究将产生有关“处于危险”患者的信息以及利用现有社会资源的方法。最后，这些发现将用于告知未来的多层次干预措施，以维持急性后的Covid-19环境中的有效护理模型。在为期一年的行政补充授予期内，研究和指导的培训活动将帮助应用程序完成拟议项目的研究目的，并发展技能，以支持她对机制的理解，这些机制有助于促进医疗保健利用的机制和潜水员群体之间的差异，以促进降低和消除癌症疾病的成功职业。

项目成果

Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness.

• DOI: 10.4148/2572-1836.1033
• 发表时间: 2019-03-01
• 期刊: Health behavior research
• 作者: Hernandez, Daphne C;Daundasekara, Sajeevika S;Businelle, Michael S
• 通讯作者: Businelle, Michael S

Understanding the Associations between Smoking-Related Risk Perception, Interest in Quitting Smoking, and Interest in Lung Cancer Screening among Homeless Adult Smokers.

• DOI: 10.3390/ijerph17238817
• 发表时间: 2020-11-27
• 期刊: International journal of environmental research and public health
• 作者: Agrawal P;Taing M;Chen TA;Reuven SM;Businelle MS;Kendzor DE;Bernicker EH;Reitzel LR
• 通讯作者: Reitzel LR

Feasibility and Efficacy of the "FUNPALs Playgroup" Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial.

• DOI: 10.3390/ijerph18157828
• 发表时间: 2021-07-23
• 期刊: International journal of environmental research and public health
• 作者: Cepni AB;Taylor A;Crumbley C;Thompson D;Moran NE;Olvera N;O'Connor DP;Arlinghaus KR;Johnston CA;Ledoux TA
• 通讯作者: Ledoux TA