Development of a Survivorship Care Plan (SCP) Program for Rural Latina Breast Cancer Patients: Proyecto Mariposa— Application of Intervention Mapping

Eunjeong Ko, María Luisa Zúñiga, Susan I. Woodruff, Yolanda Serra-Martinez and Veronica Cardenas
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Eunjeong Ko: School of Social Work, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-4119, USA
María Luisa Zúñiga: School of Social Work, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-4119, USA
Susan I. Woodruff: School of Social Work, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-4119, USA
Yolanda Serra-Martinez: School of Public Health, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-4119, USA
Veronica Cardenas: Moores Cancer Center, 3855 Health Sciences Dr. La Jolla, University of California, San Diego, CA 92093-0658, USA

IJERPH, 2020, vol. 17, issue 16, 1-13

Abstract: Latina breast cancer survivors are less likely to receive a comprehensive Survivorship Care Plan (SCP) than non-Latina Whites. Evidence-based and theory driven interventions are needed to promote a culturally and linguistically responsive SCP. This paper describes the application of Intervention Mapping (IM) in the development of Proyecto Mariposa , a comprehensive SCP program targeting Latina breast cancer survivors living in a rural U.S.–Mexico border region. We conducted a needs assessment using focus groups ( n = 40) and individual interviews ( n = 4) with stakeholders to elicit their needs and preferences relating to SCPs and SCP aid (Step1). Content analysis of transcripts was conducted using Atlas.ti. The findings informed the development of a matrix of change objectives where we selected specific behavioral theories to ground the practical application of the SCP program (Step 2). We identified behavioral theories and the practical application of behavioral change (Step 3) and designed and developed a comprehensive SCP program which consisted of a culturally—and linguistically—adapted SCP document and animated video as an SCP aid (Step 4). The systematic application of the IM framework resulted in the development of a comprehensive and culturally tailored SCP intervention. Stakeholder active involvement in the cultural tailoring of the program was imperative and strengthens the SCP intervention.

Keywords: survivorship care planning; breast cancer; rural Latinas; intervention mapping (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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