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Acquati C, Chen TA, Martinez Leal I, Connors SK, Haq AA, Rogova A, Ramirez S, Reitzel LR, McNeill LH. The Impact of the COVID-19 Pandemic on Cancer Care and Health-Related Quality of Life of Non-Hispanic Black/African American, Hispanic/Latina and Non-Hispanic White Women Diagnosed with Breast Cancer in the U.S.: A Mixed-Methods Study Protocol. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413084. [PMID: 34948695 PMCID: PMC8702073 DOI: 10.3390/ijerph182413084] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 11/30/2021] [Accepted: 12/06/2021] [Indexed: 02/07/2023]
Abstract
The COVID-19 pandemic has had critical consequences for cancer care delivery, including altered treatment protocols and delayed services that may affect patients’ quality of life and long-term survival. Breast cancer patients from minoritized racial and ethnic groups already experience worse outcomes, which may have been exacerbated by treatment delays and social determinants of health (SDoH). This protocol details a mixed-methods study aimed at comparing cancer care disruption among a diverse sample of women (non-Hispanic White, non-Hispanic Black/African American, and Hispanic/Latina) and assessing how proximal, intermediate, and distal SDoH differentially contribute to care continuity and health-related quality of life. An embedded mixed-methods design will be implemented. Eligible participants will complete an online survey, followed by a semi-structured interview (with a subset of participants) to further understand factors that influence continuity of care, treatment decision-making, and self-reported engagement. The study will identify potentially modifiable factors to inform future models of care delivery and improve care transitions. These data will provide the necessary evidence to inform whether a subsequent, multilevel intervention is warranted to improve quality of care delivery in the COVID-19 aftermath. Additionally, results can be used to identify ways to leverage existing social resources to help manage and support patients’ outcomes.
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Affiliation(s)
- Chiara Acquati
- Graduate College of Social Work, University of Houston, 3511 Cullen Blvd, Houston, TX 77204, USA
- Department of Health Disparities Research, The UT MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA;
- Correspondence: ; Tel.: +1-713-743-4343
| | - Tzuan A. Chen
- HEALTH Research Institute, University of Houston, 4849 Calhoun Road, Houston, TX 77204, USA; (T.A.C.); (I.M.L.); (L.R.R.)
- Department of Psychological, Health and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA; (S.K.C.); (A.A.H.); (A.R.)
| | - Isabel Martinez Leal
- HEALTH Research Institute, University of Houston, 4849 Calhoun Road, Houston, TX 77204, USA; (T.A.C.); (I.M.L.); (L.R.R.)
- Department of Psychological, Health and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA; (S.K.C.); (A.A.H.); (A.R.)
| | - Shahnjayla K. Connors
- Department of Psychological, Health and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA; (S.K.C.); (A.A.H.); (A.R.)
- Department of Social Sciences, University of Houston-Downtown, Houston, TX 77002, USA
| | - Arooba A. Haq
- Department of Psychological, Health and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA; (S.K.C.); (A.A.H.); (A.R.)
| | - Anastasia Rogova
- Department of Psychological, Health and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA; (S.K.C.); (A.A.H.); (A.R.)
| | - Stephanie Ramirez
- College of Natural Sciences and Mathematics, University of Houston, 3507 Cullen Blvd, Houston, TX 77204, USA;
| | - Lorraine R. Reitzel
- HEALTH Research Institute, University of Houston, 4849 Calhoun Road, Houston, TX 77204, USA; (T.A.C.); (I.M.L.); (L.R.R.)
- Department of Psychological, Health and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX 77204, USA; (S.K.C.); (A.A.H.); (A.R.)
| | - Lorna H. McNeill
- Department of Health Disparities Research, The UT MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA;
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Davey S, Bazzett-Matabele L, Monare B, Seiphetleng A, Ramontshonyana G, Vuylsteke P, Chiyapo S, Luckett R, Ramogola-Masire D, Grover S. Gynecologic Cancer: New and Follow-Up Patient Appointments in Botswana During the COVID-19 Pandemic. JCO Glob Oncol 2021; 7:453-454. [PMID: 33822642 PMCID: PMC8081498 DOI: 10.1200/go.20.00590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Affiliation(s)
- Sonya Davey
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Lisa Bazzett-Matabele
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Barati Monare
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Alexander Seiphetleng
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Gaobakwe Ramontshonyana
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Peter Vuylsteke
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Sebathu Chiyapo
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Rebecca Luckett
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Doreen Ramogola-Masire
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - Surbhi Grover
- Sonya Davey, MD, MPhil, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lisa Bazzett-Matabele, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; Barati Monare, RN, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Alexander Seiphetleng, RN, BPH and GaobakweRamontshonyana, RN, Princess Marina Hospital, Gaborone, Botswana; Peter Vuylsteke, MD, Department of Internal Medicine, University of Botswana, Gaborone, Botswana; Sebathu Chiyapo, MD, Gaborone Private Hospital, Gaborone, Botswana; Rebecca Luckett, MD, MPH, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA; Doreen Ramogola-Masire, MD, Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana; and Surbhi Grover, MD, MPH, Botswana-UPenn Partnership, Gaborone, Botswana; Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
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