Pilot Project

长期暴露在与癌症相关的痛苦中，可能会导致生活的身心质量下降，以及导致疾病风险和作为生存生物标志物的因素的生理失调。尽管社会支持计划已被证明可以缓解癌症幸存者的痛苦，但拉美裔美国人获得和吸收癌症幸存者支持资源的可能性和接受度有限。随着许多癌症风险的增加 在拥有多年美国居住地和世代文化适应的拉美裔美国人中，预计到2050年，美国拉美裔人口将增长到美国人口的25%，因此需要解决拉美裔癌症SUN/IVORS社会支持资源的差距。为了解决这一问题，这项初步研究建议为拉美裔癌症幸存者开发适合文化的西班牙语课程。 30名西班牙裔男性(n=15)和女性(n=15)目前是亚基马山谷的居民，并且已经完成了任何癌症的初级治疗，他们将有资格参加。研究将分两个阶段进行。第一阶段将利用定性方法调查16名(男性=8人，女性=8人)农村社区癌症患者的需求、关注和信仰。目标将是，与文献中确定的因素一起，促进开发一种适合文化的支助资源，为西班牙裔SUN/艾佛尔人提供信息和社会情感支助。在第二阶段，将制定一个半结构化西班牙语支助方案，并对该方案进行初步评估 采用定量和定性相结合的方法。该计划的会议将由一名推动者领导，他们是非专业卫生工作者，曾接受过领导社会支持小组的培训，癌症101，并具有在社区提供癌症教育的丰富经验。结果测量将包括使用西班牙语版本的情绪苦恼量表、简短应对、简短文化适应量表、Facit-G、唾液皮质醇和C反应蛋白。

Prolonged exposure to cancer-related distress, can result in diminished physical and mental quality of life, as well as, physiological dysregulation of factors implicated in disease risk and as biomarkers of survivorship. Although social support programs have been shown to alleviate distress among cancer survivors, the availability and uptake of cancer survivor support resources by Hispanics are limited. As the risk for many cancers increases among Hispanics with years of U.S. residence and generational acculturation, and the population of U.S. Hispanics grows to a projected 25% ofthe U.S. population by 2050, so does the need to address the disparity in social support resources for Hispanic cancer sun/ivors. To address this, this pilot study proposes development of a culturally-appropriate Spanish language program for Hispanic cancer survivors. Thirty Hispanic men (n=15) and women (n=15), that are current residents ofthe Yakima Valley, and have completed primary treatment for any cancer will be eligible to participate. The study will be conducted in two stages. The first stage will utilize qualitative methods to probe needs, concerns, and beliefs of 16 (men=8, women=8) cancer sun/ivors living in a rural community. The goal will be to, togetherwith factors identified in the literature, contribute to the development of a culturally-appropriate support resource that will provide informational and socio-emotional support to Hispanic sun/ivors. During the second stage, a semi-structured Spanish-language support program will be develop and a preliminary evaluation of the program will be conducted using quantiative and qualitative methods. The program sessions will be led by a promotora, lay health worker, that have undergone training in conducting social support groups, cancer 101, and have extensive experience providing cancer education in the community. Outcome measures will include use of Spanish-language versions of the Emotional Distress Scale, Brief COPE, brief acculturation scale, FACIT-G, salivary Cortisol and c-reactive protein.