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

A.M. Nápoles, C. Ortíz, J. Santoyo-Olsson, A.L. Stewart, S. Gregorich, H.E. Lee, Y. Durón, P. McGuire and J. Luce

American Journal of Public Health, 2015, vol. 105, e55-e63

Abstract: Objectives. We evaluated a community-based, translational stress management program to improve health-related quality of life in Spanish-speaking Latinas with breast cancer. Methods. 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. Results. 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. Conclusions. 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.

Keywords: adult; breast tumor; cognitive therapy; community care; ethnology; etiology; female; health disparity; Hispanic; human; mental stress; organization and management; participatory research; patient selection; peer group; prevention and control; psychology; treatment outcome, Adult; Breast Neoplasms; Cognitive Therapy; Community Health Services; Community-Based Participatory Research; Female; Health Status Disparities; Hispanic Americans; Humans; Patient Selection; Peer Group; Stress, Psychological; Treatment Outcome (search for similar items in EconPapers)
Date: 2015
References: Add references at CitEc
Citations:

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2015.302598

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302598_0

DOI: 10.2105/AJPH.2015.302598

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().