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Torres-Blasco N, Costas-Muñiz R, Zamore C, Porter L, Claros M, Bernal G, Shen MJ, Breitbart W, Rosario L, Peña-Vargas C, Castro-Figueroa EM. Family as a Bridge to Improve Meaning in Latinx Individuals Coping with Cancer. Palliat Med Rep 2022; 3:186-193. [PMID: 36203712 PMCID: PMC9531875 DOI: 10.1089/pmr.2022.0035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2022] [Indexed: 11/30/2022] Open
Abstract
Background: Family and meaning-making resources are culturally congruent and help support Latinx coping with cancer. Objectives: To explore Latinx advanced cancer patients' perspectives on the role of family and meaning/purpose in adjustment to advanced cancer. Methods: A qualitative study was conducted. In-depth interviews were performed and transcripts were analyzed using the method from applied thematic analysis. Setting/Subject: Participants were patients with any advanced cancer diagnosis, recruited from Memorial Sloan Kettering Cancer Center (MSKCC), New York; Lincoln Medical Center (LMC), New York; and Ponce Health Science University (PHSU), Puerto Rico. Measurements: Sociodemographic and semistructured interview. Results: N = 24 in-depth interviews were completed by Latinx advanced cancer patients (Stage III and IV). When evaluating patients' perspectives on the role of family and meaning/purpose in adjustment to advanced cancer, the team generated three categories: (1) family support, (2) family communication, and (3) include support for the family. Many patients reported the importance of family as a source of meaning and social support in the process of cancer diagnosis and treatment. They also reported communication as central to process information and planning. Also, participants describe their desire to incorporate family members into therapy and for encouraging them to seek counseling. Conclusions: Results highlight the need to include syntonic cultural values such as family and meaning for Latinx individuals coping with advanced cancer in psychological interventions.
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Affiliation(s)
- Normarie Torres-Blasco
- Department of Psychiatry and Human Behavior, School of Behavioral and Brain Science, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
| | - Rosario Costas-Muñiz
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, Immigrant Health & Cancer Disparities, New York, New York, USA
| | - Carolina Zamore
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, Immigrant Health & Cancer Disparities, New York, New York, USA
| | - Laura Porter
- Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA
| | - Maria Claros
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, Immigrant Health & Cancer Disparities, New York, New York, USA
| | - Guillermo Bernal
- Caribbean Alliance of National Psychological Associations, San Juan, Puerto Rico
| | - Megan J. Shen
- Division of Geriatrics and Palliative Medicine, Department of Medicine, New York, New York, USA
| | - William Breitbart
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, Immigrant Health & Cancer Disparities, New York, New York, USA
| | - Lianel Rosario
- Department of Psychiatry and Human Behavior, School of Behavioral and Brain Science, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
| | - Cristina Peña-Vargas
- Department of Psychiatry and Human Behavior, School of Behavioral and Brain Science, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
| | - Eida M. Castro-Figueroa
- Department of Psychiatry and Human Behavior, School of Behavioral and Brain Science, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
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Effendy C, Kurianto E, Darmayanti ARI, Noviana U, Nurjannah I. Palliative Care Education to Enhance Informal Caregivers’ Skills in Caring for Patients with Cancer: A Scoping Review. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.7796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background: Living with cancer causes stress for both patients and caregivers. Empowering family caregivers is critical in palliative care. It is well known that a lack of proper knowledge and training of informal caregivers is a barrier to palliative care provision at home.
Objectives: This scoping review aimed to explore palliative care education to enhance informal caregiver skills in caring for cancer patient.
Methods: A scoping literature review was conducted with systematic searches in multiple databases – PubMed, Cochrane, PsycINFO and SCOPUS (2000 to 2021). Studies were selected based on programmes content and its impact evaluation.
Findings: The remaining 181 citations were examined at full-text level; 173 studies did not meet inclusion criteria, yielding eight included papers. Four papers focused on palliative care educational programs for family caregivers, and four papers included patients and caregivers. There was a diverse variation in the mode of delivery and duration of educational input. The programs offered an insight into the main elements of working with individuals at a palliative care bundle. Most studies reported that participants improved their knowledge, self-efficacy, and competency and prepared for their roles.
Conclusion: The findings indicate the need of family caregivers for more regular and reliable palliative education programs. Randomized controlled trials with rigorous randomization processes, more significant sample numbers and more appropriate control groups focused explicitly on caregiver education may improve the evidence.
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Angane AY, Kadam KS, Ghorpade GS, Unnithan VB. Who will guard the guardians? Cross-sectional study on prevalence of psychiatric morbidity, quality of life, and coping skills in caregivers of children with thalassemia major. J Postgrad Med 2021; 68:72-77. [PMID: 34708694 PMCID: PMC9196284 DOI: 10.4103/jpgm.jpgm_1128_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background: Patients of thalassemia major require frequent hospitalization. Caregivers are more affected than the patient themselves as they better appreciate the magnitude of illness and treatment, resulting in increased risks for psychiatric illness. Aims and Objectives: The purpose of the study was to assess the prevalence of psychiatric morbidity in the caregivers of patients with thalassemia major. The study also examined the quality of life of the caregivers, their coping strategies, and its association with sociodemographic variables. Methodology: A cross-sectional study with 100 caregivers, recruited by convenience sampling technique, attending the thalassemia daycare center, was carried out over 12 months in a tertiary care hospital. They were administered a semistructured proforma along with General Health Questionnaire 12 (GHQ 12), WHO-Quality of Life-BREF (WHO-QOL-BREF), and Coping Inventory for Stressful Situations 21 scale. The GHQ 12 was used for screening and those scoring three or more underwent a clinical psychiatric interview. Those who were diagnosed with psychopathology were ascribed diagnosis as per ICD-10. Descriptive analysis was done. Associations were studied using Fischer's exact test. Comparison of quality of life with blood transfusion variables was done using Mann–Whitney U test. Results: The prevalence of psychiatric morbidity amongst the caregivers was found to be 35% with depressive episode (22%) being the most common. Psychiatric morbidity was found to have a significant association with both, the frequency (P = 0.037) and total number of blood transfusions (P = 0.012). Coping was found to have a strong association with psychiatric morbidity (P = 0.001) and employment (P = 0.009). Conclusions: Caregivers of children with thalassemia major face psychological burden like depression or anxiety, for which treatment is not sought. Improved psychological health of the caregivers will ensure better care of the child and guarantee better adherence to the treatment.
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Affiliation(s)
- A Y Angane
- Department of Psychiatry, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India
| | - K S Kadam
- Department of Psychiatry, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India
| | - G S Ghorpade
- Department of Psychiatry, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India
| | - V B Unnithan
- Undergraduate Intern, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India
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Marshall CA, Curran MA, Trejo J, Gonzalez AA, Armin J, Hamann HA, Badger TA, Garcia FAR. The Evolution of Un Abrazo Para La Familia: Implications for Survivors of Cancer. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2021; 36:1075-1080. [PMID: 32239477 DOI: 10.1007/s13187-020-01737-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Un Abrazo Para La Familia™ (Abrazo) is a 3-h modular preventive intervention designed for low-income caregivers who are co-survivors of cancer. Here we (1) consider the benefit to survivors of cancer, that is, the care recipients who participate in Abrazo; (2) summarize the literature specific to research outreach to low-income, underserved populations when they are faced with cancer; and (3) describe current steps being taken in Southern Arizona to reach these populations via Abrazo. Specific to considering the benefit to care recipients, we analyzed care recipient data derived from three existing cohorts of Abrazo participants. Analyses of the combined cohorts of these data demonstrate that Abrazo is effective with care recipients given statistically significant higher cancer knowledge and self-efficacy scores, pre- vs. post-intervention. We can now report benefit to care recipients who participate in Abrazo. This allows us, with confidence, to expand research recruitment efforts to include care recipients as part of the Abrazo intervention in our efforts to serve low-income, underserved populations when faced with cancer.
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Affiliation(s)
- Catherine A Marshall
- Department of Disability and Psychoeducational Studies, The University of Arizona, Tucson, AZ, USA.
| | - Melissa A Curran
- Department of Family Studies and Human Development, Tucson, AZ, USA
| | - Juanita Trejo
- Un Abrazo Para La Familia, The University of Arizona, Tucson, AZ, USA
- Department of Psychology, The University of Arizona, Tucson, AZ, USA
| | - Alma A Gonzalez
- Department of Disability and Psychoeducational Studies, The University of Arizona, Tucson, AZ, USA
- Un Abrazo Para La Familia, The University of Arizona, Tucson, AZ, USA
| | - Julie Armin
- Department of Family and Community Medicine, The University of Arizona, Tucson, AZ, USA
| | - Heidi A Hamann
- Department of Psychology, The University of Arizona, Tucson, AZ, USA
| | - Terry A Badger
- Community and Systems Health Science Division, College of Nursing, The University of Arizona, Tucson, AZ, USA
- Department of Psychiatry, The University of Arizona, Tucson, AZ, USA
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Hebdon M, Badger TA, Segrin C, Pasvogel A. Social support and healthcare utilization of caregivers of Latinas with breast cancer. Support Care Cancer 2021; 29:4395-4404. [PMID: 33740132 PMCID: PMC8475626 DOI: 10.1007/s00520-020-05983-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 12/29/2020] [Indexed: 10/21/2022]
Abstract
BACKGROUND Family caregivers experience significant health consequences related to caregiving, including higher mortality rates. Latino caregivers may have additional challenges related to social determinants of health. Gender and social support are key factors to consider in the context of chronic illnesses and healthcare use in caregivers of Latinos diagnosed with cancer. PURPOSE The purpose of this study was to examine the moderating effect of gender and social support on the relationship between chronic illnesses and healthcare utilization in caregivers of Latina breast cancer survivors. METHODS This was a secondary analysis of family caregivers from an experimental study with breast cancer survivors and their designated family caregivers. Participants completed telephone surveys about demographics, presence of chronic illnesses, frequency of emergency department, urgent care, and hospital visits, social support, and acculturation. Data were analyzed for direct and moderated relationships. RESULTS There was a significant relationship between number of chronic illnesses and healthcare utilization, informational support, and social isolation. Income and acculturation were not related to chronic illnesses or healthcare utilization. Gender did not moderate the relationship between chronic illnesses and healthcare utilization. Informational support was a marginal moderator of the relationship between chronic illnesses and healthcare utilization alone and with acculturation and income included as covariates. CONCLUSIONS Clinicians should consider the influence of informational support and social isolation on chronic illnesses and healthcare use in caregivers of Latina breast cancer survivors, specifically, how these factors may influence navigation of the healthcare system.
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Affiliation(s)
- Megan Hebdon
- College of Nursing, University of Utah, Salt Lake City, UT, USA.
| | - Terry A Badger
- College of Nursing, University of Arizona, Tucson, AZ, USA
| | - Chris Segrin
- Department of Communication, University of Arizona, Tucson, AZ, USA
| | - Alice Pasvogel
- College of Nursing, University of Arizona, Tucson, AZ, USA
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Marshall CA. Reflections: a Daughter's Experience of Parental Cancer and the Beginnings of Un Abrazo Para La Familia™. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2021; 36:431-434. [PMID: 32500454 PMCID: PMC7272137 DOI: 10.1007/s13187-020-01782-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
The author describes her impetus and journey in developing Un Abrazo Para La Familia™ [Embracing the Family] (Abrazo), 3 hours of cancer information presented in an educational and modular format and designed for low-income informal caregivers who are co-survivors of cancer. A rehabilitation-informed preventive intervention, Abrazo reflects the importance of family, culture, and socioeconomic background in its approach.
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Affiliation(s)
- Catherine A Marshall
- Department of Disability and Psychoeducational Studies, The University of Arizona, Tucson, AZ, 85721, USA.
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Thomas Hebdon MC, Coombs LA, Reed P, Crane TE, Badger TA. Self-efficacy in caregivers of adults diagnosed with cancer: An integrative review. Eur J Oncol Nurs 2021; 52:101933. [PMID: 33799022 DOI: 10.1016/j.ejon.2021.101933] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 03/03/2021] [Accepted: 03/04/2021] [Indexed: 02/02/2023]
Abstract
PURPOSE Cancer caregivers experience health challenges related to their caregiving role, and self-efficacy can contribute to health outcomes through behavioral, environmental, and personal factors. The purpose of this integrative review was to examine self-efficacy in caregivers of adults diagnosed with cancer, including its association with health factors. METHOD A systematic search of PubMed, CINAHL, and PsychInfo yielded 560 articles. Following duplicate removal, 232 articles were screened for inclusion criteria with 71 articles remaining for final review. RESULTS Studies were generally quantitative (n = 67), with predominantly female (n = 55), White (n = 36) caregivers, between the ages of 45-60 (n = 48). Self-efficacy was significantly associated with quality of life, caregiver function, social support, hope, depression, anxiety, and burden as a predictor, mediator, and outcome. Physical health and social determinants of health (social support and financial well-being) were addressed among fewer studies than mental and emotional health outcomes. CONCLUSIONS Addressing self-efficacy in diverse populations and within physical, mental, and social health contexts will enhance understanding of how self-efficacy impacts caregivers of adults diagnosed with cancer. Nurses and other health care professionals can then effectively address supportive needs of caregivers in the personal, behavioral, and environmental domains.
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Affiliation(s)
| | - Lorinda A Coombs
- University of North Carolina Chapel Hill, School of Nursing, Lineberger Comprehensive Cancer Center, USA.
| | - Pamela Reed
- University of Arizona College of Nursing, 1305 N. Martin Ave., Tucson, AZ, 85721, USA.
| | - Tracy E Crane
- University of North Carolina Chapel Hill, School of Nursing, Lineberger Comprehensive Cancer Center, USA.
| | - Terry A Badger
- University of North Carolina Chapel Hill, School of Nursing, Lineberger Comprehensive Cancer Center, USA.
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Valle CG, Padilla N, Gellin M, Manning M, Reuland DS, Rios P, Lane G, Lewis V, Rosenstein DL. ¿Ahora qué?: Cultural Adaptation of a Cancer Survivorship Intervention for Latino/a Cancer Survivors. Psychooncology 2019; 28:1854-1861. [PMID: 31260139 DOI: 10.1002/pon.5164] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Revised: 05/08/2019] [Accepted: 06/17/2019] [Indexed: 12/18/2022]
Abstract
OBJECTIVE With a steadily increasing number of Latino/a cancer survivors, there is a need for supportive care programs for this underserved survivor subgroup. METHODS In this study, the authors culturally adapted an evidence-based survivorship program, Cancer Transitions: Moving Beyond Treatment (CT) for this population. Guided by Barrera and Castro's heuristic model for cultural adaptation of interventions, we conducted five focus groups (FG) among Latino/a cancer survivors (n = 54) in several US sites to inform the preliminary adaptation of program materials. We conducted four additional FGs (n = 38) to obtain feedback on adapted materials. RESULTS Common themes from initial FGs were related to program delivery and logistics, and general recommendations for CT modification. Program adaptations addressed information needs, including health care system navigation, employment concerns, and sexuality. Other adaptations included an emphasis on family, spirituality, culturally appropriate translation and features, and role plays. Participants in the second round of FGs confirmed adaptations incorporated earlier findings and suggested additional refinements. CONCLUSION This project helps guide the cultural adaptation of survivorship programs for Latino/a cancer survivors.
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Affiliation(s)
- Carmina G Valle
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC.,Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Neda Padilla
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Mindy Gellin
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Michelle Manning
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Daniel S Reuland
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC.,Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Peggy Rios
- Cancer Support Community, Washington, DC.,Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL
| | | | - Virginia Lewis
- Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Donald L Rosenstein
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC.,Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC
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Choi WI, Choi J, Kim MA, Lee G, Jeong J, Lee CW. Higher Age Puts Lung Cancer Patients at Risk for Not Receiving Anti-cancer Treatment. Cancer Res Treat 2018; 51:1241-1248. [PMID: 30653747 PMCID: PMC6639216 DOI: 10.4143/crt.2018.513] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2018] [Accepted: 12/28/2018] [Indexed: 02/07/2023] Open
Abstract
PURPOSE We aimed to determine the demographic and epidemiologic variables that are associated with no treatment in lung cancer patients. Materials and Methods Patient data were collected from the Korean National Health Insurance Database. The lung cancer group included patients with an initial diagnosis of lung cancer between January 2009 and December 2014. Treated cases were defined as those that underwent surgery, radiation, or chemotherapy until death, after the diagnosis of lung cancer. Risk of no treatment was calculated by multiple logistic regression analysis. RESULTS Among the 2148 new cases of lung cancer from 2009 to 2104, 612 (28.4%) were not treated. Risk of no treatment was higher in the following patients: patients in their 60s (odds ratio [OR], 1.18; 95% confidence interval [CI], 0.75 to 1.84), 70s (OR, 3.64; 95% CI, 2.41 to 5.50), and >80 years old (OR, 16.55; 95% CI, 10.53 to 25.03) than those in their 50s; patients with previous myocardial infarction (OR, 2.07; 95% CI, 1.01 to 4.25) or chronic kidney disease (OR, 2.88; 95% CI, 1.57 to 5.30); and patients diagnosed at a non-referral hospital (OR, 1.40; 95% CI, 1.01 to 1.92) or primary care provider (OR, 1.81; 95% CI, 1.43 to 2.29) compared with referral hospital. Low-income patients receiving Medicaid were 1.75 times (95% CI, 1.14 to 2.68) more likely to forgo treatment than high-income patients (upper 20%). Risk was not associated with sex or the year in which the lung cancer was diagnosed. CONCLUSION Age predominantly determines whether patients with lung cancer undergo anti-cancer treatment.
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Affiliation(s)
- Won-Il Choi
- Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Jiah Choi
- Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Mi-Ae Kim
- Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Gyumin Lee
- Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea
| | - Jihyeon Jeong
- Department of Statistics, Kyungpook National University, Daegu, Korea
| | - Choong Won Lee
- Department of Occupational and Environmental Medicine, Sungso Hospital, Andong, Korea
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Marshall CA, Curran MA, Brownmiller G, Solarte A, Armin J, Hamann HA, Crist JD, Niemelä M, Badger TA, Weihs KL. Oregon's Familias en Acción replicates benefits for underserved cancer co-survivors through Un Abrazo Para la Familia. Psychooncology 2018; 27:2405-2411. [PMID: 30047167 DOI: 10.1002/pon.4841] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Revised: 07/12/2018] [Accepted: 07/15/2018] [Indexed: 11/05/2022]
Abstract
OBJECTIVE Our goal in this study was to determine if we could replicate initial findings when providing the intervention, Un Abrazo Para La Familia ("Abrazo"). Abrazo is a community-focused psychoeducational preventive intervention addressing the cancer information and coping needs of low-income, underserved family members of cancer survivors, developed and first implemented in Tucson, Arizona. METHODS We used a preintervention and postintervention evaluation design to assess the effectiveness of replicating the Abrazo intervention with underserved Hispanic/Latino family members facing cancer as co-survivors. We describe lessons learned in an expansion of Abrazo from one region of the United States to another. RESULTS Portland promotoras demonstrated that when the Abrazo intervention is provided via a culturally congruent, accessible format, the significant gains in cancer knowledge and self-efficacy reported by underserved co-survivors can be replicated. This is important because Oregon represents a US region different from Abrazo's origins in the Southwest. CONCLUSION Our replication study provides a useful roadmap for others focusing on the psychosocial needs of Hispanic/Latino cosurviving family members of cancer. A manualized 12-hour training program based on the initial discovery and efficacy work was developed to train promotoras as a part of this study. The manual provides a clear protocol for others to replicate our intervention and evaluation procedures. Abrazo may be particularly important for family-centered care if the family does not have the cancer knowledge or self-confidence needed to fully participate.
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Affiliation(s)
- Catherine A Marshall
- Department of Disability and Psychoeducational Studies, The University of Arizona, Tucson, AZ, USA
| | - Melissa A Curran
- Department of Family Studies and Human Development, The University of Arizona, Tucson, AZ, USA
| | | | | | - Julie Armin
- Department of Family & Community Medicine, The University of Arizona, Tucson, AZ, USA
| | - Heidi A Hamann
- Departments of Psychology and Family & Community Medicine, The University of Arizona, Tucson, AZ, USA
| | - Janice D Crist
- College of Nursing, The University of Arizona, Tucson, AZ, USA
| | - Mika Niemelä
- Department of Psychiatry, Oulu University Hospital and Center for Life Course Health, Research, University of Oulu, Oulu, Finland
| | - Terry A Badger
- College of Nursing and Department of Psychiatry, The University of Arizona, Tucson, AZ, USA
| | - Karen L Weihs
- Department of Psychiatry, The University of Arizona, Tucson, AZ, USA
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Coughlin SS, Williams V, Moore N, Bowen D, Anglin J, Mansur N, Leo GD. The Augusta, Georgia Breast Cancer Survivor Study. JOURNAL OF CANCER TREATMENT & DIAGNOSIS 2018; 2:10-15. [PMID: 30320304 PMCID: PMC6183059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Several studies have provided important information about health conditions and other challenges faced by women diagnosed with breast cancer and how they can improve their quality of life and reduce their risk of cancer recurrence. Although African American and Hispanic breast cancer patients have a poorer survival than their white counterparts, few studies have compared the experiences of African American, Hispanic, and non-Hispanic white breast cancer survivors. OBJECTIVES To facilitate collaborative studies on breast cancer survivorship in a multicultural population, including future intervention research on nutrition, and physical activity, and clinical substudies. METHODS This cohort study consists of a postal survey of up to 1,000 women with a history of a breast cancer diagnosis who reside in Augusta-Richmond County, Georgia, USA, and a repeat survey in 4 to 5 years to obtain longitudinal data. The follow-up survey in 4 to 5 years will allow for longitudinal changes in health to be assessed. CONCLUSION The survey will provide a comprehensive picture of the health of breast cancer survivors, across the lifespan, in a large Southern city. A broad range of health issues will be addressed including physical activity, diet, nutrition, personal and family history of cancer, quality-of-life, psychosocial concerns, and beliefs about cancer recurrence risk reduction through lifestyle changes. Through its longitudinal design, the study will also provide important information about changes in physical and mental health as breast cancer survivors advance in age.
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Affiliation(s)
- Steven S Coughlin
- Department of Clinical and Digital Health Sciences, Augusta University, Augusta, GA
- Research Service, Charlie Norwood Veterans Administration Medical Center, Augusta, GA
| | | | - Nicole Moore
- Department of Clinical and Digital Health Sciences, Augusta University, Augusta, GA
| | - Deborah Bowen
- University of Washington School of Medicine, Seattle, WA
| | - Judith Anglin
- Department of Clinical and Digital Health Sciences, Augusta University, Augusta, GA
| | - Nadine Mansur
- Department of Clinical and Digital Health Sciences, Augusta University, Augusta, GA
| | - Gianluca De Leo
- Department of Clinical and Digital Health Sciences, Augusta University, Augusta, GA
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McNulty J, Kim W, Thurston T, Kim J, Larkey L. Interventions to Improve Quality of Life, Well-Being, and Care in Latino Cancer Survivors: A Systematic Literature Review. Oncol Nurs Forum 2017; 43:374-84. [PMID: 27105198 DOI: 10.1188/16.onf.374-384] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PROBLEM IDENTIFICATION Hispanic/Latino cancer survivors are at risk for increased psychosocial burden, in part, because of lower survival rates and lower quality of life (QOL) when compared with other populations. Despite this, very few interventional studies have been conducted in this population. This review synthesizes research on supportive care interventions to improve QOL, well-being, and cancer care in Hispanic/Latino cancer survivors.
. LITERATURE SEARCH Data sources included MEDLINE®, CINAHL®, and PsycINFO®. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guideline was employed.
. DATA EVALUATION This review includes studies conducted with cancer survivors from diagnosis to survivorship and addresses any type of intervention for Hispanic/Latino survivors of all cancer types and sites. Studies were written in English and had a sample of at least 25% Hispanics/Latinos. Key study attributes were extracted and tabled.
. SYNTHESIS Of the 15 studies reviewed, types of interventions included were psychosocial (n = 6), educational (n = 4), exercise/diet (n = 4), and navigational (n = 1). Most studies were pilot and feasibility studies, and nine were randomized, controlled trials (RCTs).
. CONCLUSIONS Interventional studies for Hispanic/Latino cancer survivors are at the very early stages of scientific development and are feasible and accepted by the Hispanic/Latino population. Culturally relevant psychosocial support and educational, exercise, and navigational interventions are beneficial for this population.
. IMPLICATIONS FOR RESEARCH To advance the science, as the Hispanic/Latino population rapidly increases, a great need exists for additional research in this area. A theoretical basis for interventions is needed for development of additional research. Efficacy of culturally relevant supportive care interventions needs to be tested through RCTs, replication, and multisite studies. A need exists for these developing interventions to be translated into practice to improve QOL and well-being for Hispanic/Latino cancer survivors.
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Schlehofer MM, Brown-Reid TP. Breast health beliefs, behaviors, and barriers among latina permanent resident and migratory farm workers. J Community Health Nurs 2016; 32:71-88. [PMID: 25970102 DOI: 10.1080/07370016.2015.1024541] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
There is a dearth of research on the breast health behaviors of migratory farm workers. This research used focus group methodology to compare the breast cancer beliefs and barriers of Latina women working as migratory farmers (n = 33) and permanent residents (n = 31). In comparison to their permanent resident counterparts, migrant farmers had low knowledge about the causes of breast cancer, and experienced significant barriers to care. Many barriers were cultural-specific, including culturally-based gender roles. These findings have significant implications for designing culturally-relevant interventions to improve access to care among this population.
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Lally RM, Brooks C. Psychoeducational Interventions for Supporters of Women with Breast Cancer: an Integrative Review. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2016; 31:626-632. [PMID: 26166444 DOI: 10.1007/s13187-015-0883-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The purpose of this review was to identify and evaluate psychoeducational intervention studies addressing the psychological adjustment needs of family members, spouses, and friends (supporters) providing support to women with early-stage breast cancer with the goal of guiding future research and practice. This is an integrative review initiated by a systematic search conducted within the PubMed, CINAHL, and PsycINFO databases among literature published from 2003 to 2014. Articles were retained for evaluation if the sample was from a western culture, and outcomes were reported separately for supporters of women with early-stage breast cancer after receipt of a psychosocial/educational intervention. Studies using qualitative, pilot, and pre-experimental designs were included for review. Six studies meeting the inclusion criteria were identified. Of these, three were randomized controlled trials (one pilot) and three used a pre-experimental, single-group design. All of the interventions demonstrated some efficacy; however, limitations in design, sample, and reporting of outcomes were identified. The pre-experimental and pilot design of the majority of the research identified in this review limits the ability to make firm recommendations for translation to clinical practice although the psychoeducational interventions appear clinically useful. Future research should define samples of supporters consistently across studies, report behavioral and psychological outcomes separately for individuals with differing relationships with the affected woman, increase racial diversity among samples, consider time and cost when designing psychoeducational interventions, and focus interventions on specific characteristics and needs of the diverse groups of individuals who provide support for women with early-stage breast cancer.
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Affiliation(s)
- Robin M Lally
- University at Buffalo School of Nursing, The State University of New York, 3435 Main Street, Buffalo, NY, 14214, USA.
- School of Nursing, University at Buffalo SUNY, 3435 Main Street, Wende Hall 301A, Buffalo, NY, 14214, USA.
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Carrion IV, Nedjat-Haiem F, Macip-Billbe M, Black R. "I Told Myself to Stay Positive" Perceptions of Coping Among Latinos With a Cancer Diagnosis Living in the United States. Am J Hosp Palliat Care 2016; 34:233-240. [PMID: 26764346 DOI: 10.1177/1049909115625955] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
PURPOSE This study contributes to the sparse body of literature examining perceptions of coping among Latino men and women with a cancer diagnosis living in the United States. There are currently 50 million Latinos in the United States and, by 2050, projected to grow to 128 million. Although some research indicates that Latinos have unique sociocultural beliefs that influence their cancer care, very little is known about their perceptions of coping after being diagnosed with cancer. We examined Latino men and women's perceptions of coping to understand the meaning of their experience with cancer Method: Using criterion sampling technique, 60 immigrant and migrant Latino men and women diagnosed with cancer within the past 5 years were recruited from community-based organizations, clinics, and churches. The study consisted of 60- to 90-minute semistructured interviews asking open-ended questions pertaining to coping. The qualitative design facilitated an understanding of coping within the participants' social and cultural contexts. RESULTS Median age of the participants was 55 years. Among the women, 80% had breast cancer; 12% had ovarian cancer; and 8% had throat, thyroid, stomach, or skin cancers. Among the men, 94% had prostate cancer and 6% had brain, colorectal, or lung cancers. Emerging themes associated with the development of coping strategies involved positive reframing, family support, religion and spirituality, and support from health care providers. The term "positive reframing" relates to finding meaning and positive emotions that help sustain the coping process, despite having a cancer diagnosis. In addition, when medical and helping professionals provided tangible support, participants engaged in meaning-based coping. CONCLUSION This study provides insights regarding the existing coping strategies which Latinos utilize and provides clinician-tangible information pertaining to participant's engagement in meaning-based coping. Family support facilitated coping among the Latino men and women. The role of religion and spirituality in the lives of the participants enabled them to cope with the cancer diagnosis. Future research is necessary to examine coping strategies regarding specific cancers at end of life.
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Affiliation(s)
- Iraida V Carrion
- 1 University of South Florida, School of Social Work, Tampa, FL, USA
| | | | | | - Ryan Black
- 1 University of South Florida, School of Social Work, Tampa, FL, USA
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Niemelä M, Marshall CA, Kroll T, Curran M, Koerner SS, Räsänen S, García F. Family-Focused Preventive Interventions With Cancer Cosurvivors: A Call to Action. Am J Public Health 2016; 106:1381-7. [PMID: 27196647 DOI: 10.2105/ajph.2016.303178] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Health promotion and preventive action in the context of public health interventions for highly prevalent, long-term conditions such as cancer are rarely geared toward the family as a whole. Yet family members, as cancer cosurvivors, must manage their own substantial stress and multiple caregiving responsibilities and often constitute a critical nexus between individual patients and clinicians. We drew on 2 examples of cancer cosurvivorship from 2 different health service contexts, the United States and Finland. A systemic approach in public health is needed to support family members who not only have to confront the meaning of long-term conditions such as cancer but also may have to manage concurrent social life challenges and stressors such as economic hardship.
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Affiliation(s)
- Mika Niemelä
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Catherine A Marshall
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Thilo Kroll
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Melissa Curran
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Susan Silverberg Koerner
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Sami Räsänen
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Francisco García
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
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Tejada-Tayabas LM, Salcedo LA, Espino JM. Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico. CAD SAUDE PUBLICA 2015; 31:60-70. [PMID: 25715292 DOI: 10.1590/0102-311x00009114] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2014] [Accepted: 08/29/2014] [Indexed: 11/22/2022] Open
Abstract
This study aims to describe the medical itineraries followed by breast cancer women affiliated to the People's Health Insurance in San Luis Potosí, central Mexico. We used an ethnographic approach based on oral histories of 12 women diagnosed with breast cancer in the year prior to the first meeting. Two face-to-face sessions per participant lasting 60 minutes each were conducted followed by a telephone interview. Content and diachronic analyses were used. Three main itineraries were identified: (1) diagnostic process, (2) final diagnosis to treatment, and (3) cancer control and relapse. Findings suggested that infrastructure and human resources to adequately screen and timely diagnose breast cancer were scant and insufficiently trained, respectively. Deferral of medical assessment was related with lack of information about breast cancer consequences, with women being afraid of a positive result, and with economic constraints. The current screening program needs to be redesigned to prevent diagnostic delays, as these seem to explain the high frequency of advanced stages reported at the time of diagnosis.
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Marshall CA, Curran MA, Koerner SS, Kroll T, Hickman AC, García F. Un Abrazo Para La Familia: an evidenced-based rehabilitation approach in providing cancer education to low-SES Hispanic co-survivors. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2014; 29:626-33. [PMID: 24347436 PMCID: PMC4062619 DOI: 10.1007/s13187-013-0593-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
We discuss Un Abrazo Para La Familia as an effective, rehabilitation-informed evidence-based model of education, information-sharing, and skill teaching for use with low-income Hispanic co-survivors of cancer. Over 2 years, 120 co-survivors participated in the intervention. The majority of participants (96 %) were women and all but one reported being Hispanic. Both in years 1 and 2, we followed the same pre- and post-intervention evaluation design. Based on pre- and post-intervention assessments of cancer-related knowledge and self-efficacy, the percentage of questions answered correctly about cancer significantly increased for co-survivors. Self-efficacy significantly increased as well. Using item analysis, we explored skill teaching as a mechanism for the effective delivery of Un Abrazo and recommend the use of promotoras in providing the intervention. Of the 12 cancer knowledge items resulting in statistically significant increases of cancer knowledge, 5 were taught via interactive skill teaching. Given the projected rise in the incidence of cancer in Hispanic populations, coupled with the fact that people from low-income backgrounds face unique challenges in cancer prevention and management, implications of the Un Abrazo model for future research and policy regarding cancer and families are considered.
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Affiliation(s)
| | - Melissa A. Curran
- Family Studies and Human Development University of Arizona 650 N. Park McClelland Park Tucson, AZ 85721-0078
| | - Susan Silverberg Koerner
- Department of Human & Community Development University of Illinois at Urbana-Champaign 226 Bevier Hall, M/C 180 Urbana, IL 61801
| | - Thilo Kroll
- Co-Director Social Dimensions of Health Institute (SDHI) University of Dundee and St Andrews School of Nursing & Midwifery University of Dundee
| | - Amy C. Hickman
- Rhetoric and Composition Department of English University of Arizona, Tucson, AZ 85721
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Huang HL, Kung PT, Chiu CF, Wang YH, Tsai WC. Factors associated with lung cancer patients refusing treatment and their survival: a national cohort study under a universal health insurance in Taiwan. PLoS One 2014; 9:e101731. [PMID: 24999633 PMCID: PMC4084901 DOI: 10.1371/journal.pone.0101731] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2014] [Accepted: 06/10/2014] [Indexed: 11/19/2022] Open
Abstract
Background Lung cancer is the leading cause mortality among all cancers in Taiwan. Although Taiwan offers National Health Insurance (NHI), occasionally, patients refuse treatment. This study examined the patient characteristics and factors associated with lung cancer patients refusing cancer treatment in four months after cancer diagnosed and compared the survival differences between treated and non-treated patients. Methods The study included 38584 newly diagnosed lung cancer patients between 2004 and 2008, collected from the Taiwan Cancer Registry, which was linked with NHI research database and Cause of Death data set. Logistic regression was conducted to analyze factors associated with treatment refusal. The Cox proportional hazards model was used to examine the effects of treatment and non-treatment on patient survival and the factors affecting non-treatment patient survival. Results Among the newly diagnosed cancer patients, older adults, or those who had been diagnosed with other catastrophic illnesses, an increased pre-cancer Charlson Comorbidity Index (CCI) score, and advanced stage cancer exhibited an increased likelihood of refusing treatment. Compared with treated patients, non-treated patients showed an increased mortality risk of 2.09 folds. The 1-year survival rate of treated patients (53.32%) was greater than that of non-treated patients (21.44%). Among the non-treated patients, those who were older, resided in lowly urbanized areas, had other catastrophic illnesses, a CCI score of ≥4, advanced cancer, or had received a diagnosis from a private hospital exhibited an increased mortality risk. Conclusions Despite Taiwan's NHI system, some lung cancer patients choose not to receive cancer treatment and the mortality rate for non-treated patients is significantly higher than that of patients who undergo treatment. Therefore, to increase the survival rate of cancer patients, treatment refusal should be addressed.
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Affiliation(s)
- Hsiu-Ling Huang
- Department of Health Services Administration, China Medical University, Taichung, Taiwan, R.O.C
- Hospital and Social Welfare Organizations Administration Commission, Ministry of Health and Welfare, Taiwan, R.O.C
| | - Pei-Tseng Kung
- Department of Healthcare Administration, Asia University, Taichung, Taiwan, R.O.C
| | - Chang-Fang Chiu
- Department of Internal Medicine, China Medical University, Taichung, Taiwan, R.O.C
| | - Yueh-Hsin Wang
- Department of Health Services Administration, China Medical University, Taichung, Taiwan, R.O.C
| | - Wen-Chen Tsai
- Department of Health Services Administration, China Medical University, Taichung, Taiwan, R.O.C
- * E-mail:
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Marshall CA, Curran MA, Koerner SS, Weihs KL, Hickman AC, García FAR. Information and support for co-survivors during or after cancer treatment: Consideration of Un Abrazo Para la Familia as a model for family-focused intervention in cancer rehabilitation. Work 2013; 46:395-405. [PMID: 24004735 DOI: 10.3233/wor-131675] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE The development and evaluation of Un Abrazo Para La Familia, [A Hug for the Family] is described. Un Abrazo is discussed as an effective model of education, information-sharing, and skill-building for use with low-income co-survivors of cancer. PARTICIPANTS Sixty co-survivors participated. The majority were women and all reported being Hispanic. METHODS Using quantitative data (N=60), the needs, concerns, and characteristics of the co-survivor population served through Un Abrazo are presented. Further, we offer three qualitative case studies (with one co-survivor, one survivor, and one non-participant) to illustrate the model and its impact. RESULTS The median level of education level of co-survivors was 12 years. The majority were unemployed and/or identified as homemakers, and indicated receipt of services indicating low-income status. Half reported not having health insurance. The top four cancer-related needs or concerns were: Information, Concern for another person, Cost/health insurance, and Fears. CONCLUSIONS Recognizing the centrality of the family in addressing cancer allows for a wider view of the disease and the needs that arise during and after treatment. Key rehabilitation strategies appropriate for intervening with co-survivors of cancer include assessing and building upon strengths and abilities and making culturally-respectful cancer-related information and support accessible.
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Affiliation(s)
- Catherine A Marshall
- Center of Excellence in Women's Health, and Department of Disability and Psychoeducational Studies, University of Arizona, Tucson, AZ, USA
| | - Melissa A Curran
- Family Studies and Human Development, University of Arizona, Tucson, AZ, USA
| | - Susan Silverberg Koerner
- Department of Human and Community Development, University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | - Karen L Weihs
- Psychosocial Oncology Program, University of Arizona Medical Center, Tucson, AZ, USA
| | - Amy C Hickman
- Department of English, University of Arizona, Tucson, AZ, USA
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