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Journal of Cancer Survivorship
Published in: Journal of Cancer Survivorship 3/2008

01-09-2008

Enhancing physical well-being and overall quality of life among underserved Latina-American cervical cancer survivors: feasibility study

Author: Kimlin T. Ashing-Giwa

Published in: Journal of Cancer Survivorship | Issue 3/2008

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Abstract

Introduction

Evidence for the effectiveness of behavioral interventions are lacking for cervical cancer survivors (CCS). Disparities in survivorship outcomes exist for CCS, especially Latina-Americans. This study assessed the feasibility of implementing a culturally sensitive intervention delivered in a telephonic format.

Methods

A convenience sample of 23 Latina-Americans diagnosed with stages 1–3 invasive cervical cancer who were 1–3 years post diagnosis and disease free participated. A random assignment, pre- and post-test design was used with 15 intervention and 8 control participants. Intervention group participants completed 6 sessions that included problem-focused, telephone counseling. The areas covered included family and partner concerns and communication; relaxation and stress management; psychological, medical and treatment concerns; and self-nurturing activities. Outcomes were measured by the FACT-G QOL scale.

Results

Increases in physical well-being and overall QOL were observed for the intervention group only (p < 0.05). The intervention group showed a non significant trend towards improvements in family/social, emotional and functional well-being from pre- to post-test.

Discussion

Results demonstrate the feasibility of implementing a culturally responsive, telephonic behavioral intervention. The intervention was associated with an improvement in physical and overall quality of life. A randomized controlled trial with a long term follow-up is warranted.

Implications for Cancer Survivors

An ethnically sensitive, behaviorally based telephone counseling approach with Latina Americans cervical cancer survivors can achieve short term improvements in physical well-being and overall QOL.
Literature
1.
2.
Krieger N, Quesenberry C, Peng T, Horn-Ross P, Stewart S, Brown S, et al. Social class, race/ethnicity, and incidence of breast, cervix, colon, lung, and prostate cancer among Asian, Black, Hispanic and White residents of the San Francisco Bay Area, 1988–92 (United States). 10, 6;1999.
3.
Liu T, Wang X, Waterbor J, Weiss HL, Soong SJ. Relationships between socioeconomic status and race-specific cervical cancer incidence in the United States 1973–1992. Journal of Health Care for the Poor and Underserved 1998;9:420–32.PubMed
4.
Institute of Medicine. The unequal burden of cancer: an assessment of NIH research and programs for ethnic minorities and the medically underserved. Washington, DC: National Academy Press; 1999.
5.
6.
7.
8.
9.
Napoles-Springer A, Stewart AL. Use of health-related quality of life measures in older and ethnically diverse U.S. populations. J Ment Health Aging. 2001;7:173–9.
10.
11.
Meyerowitz B, Formenti S, Ell K, Leedham B. Depression among Latina cervical cancer patients. J Soc Clin Psychol 2000;19:352–71.
12.
13.
14.
Rehse B, Pukrop R. Effects of psychosocial interventions on quality of life in adult cancer patients: metaanalysis of 37 published controlled outcome studies. Patient Educ Couns 2002;50:179–86.
15.
Sheard T, Maguire P. The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta analysis. Br J Cancer 1999;80:170–80.
16.
17.
Compas B, Haaga D, Keefe F, Leitenberg H, Williams D. Sampling of empirically supported psychological treatments from health psychology: smoking, chronic pain, cancer, and bulimia nervosa. J Consult Clin Psychol 1998;66:89–112. doi:10.​1037/​0022-006X.​66.​1.​89.PubMedCrossRef
18.
19.
20.
Ashing-Giwa K, Kagawa-Singer M, Padilla GV, Tejero JS, Hsiao E, Chhabra R, et al. The impact of cervical cancer and dysplasia: a qualitative, multiethnic study. Psycho-Oncol 2004;13:675–753. doi:10.​1002/​pon.​779.CrossRef
21.
22.
Basen-Engquist K, Paskett ED, Buzaglo J, Miller SM, Schover L, Wenzel LB, et al. Cervical cancer: behavioral factors related to screening, diagnosis, and survivors’ quality of life. Cancer 2003;98:2009–14. doi:10.​1002/​cncr.​11681.PubMedCrossRef
23.
24.
25.
26.
27.
28.
29.
30.
31.
Paavonen J. Sexual dysfunction associated with treatment of cervical cancer. Sex Transm Infect 1999;75:375–6.PubMed
32.
Cull A, Cowie VJ, Farquharson DI, Livingstone JR, Smart GE, Elton RA. Early stage cervical cancer: psychosocial and sexual outcomes of treatment. Br J Cancer 1993;68:1216–20.PubMed
33.
34.
35.
36.
Anderson B. Predicting sexual and psychologic morbidity and improving the quality of life for women with gynecologic cancer. Cancer 1993;71:1678–90.
37.
38.
Zacharias D, Gilg C, Foxall M. Quality of life and coping in patients with gynecologic cancer and their spouses. Oncol Nurs Forum 1994;21:1699–706.PubMed
39.
40.
41.
42.
43.
Steginga SK, Dunn J. Women’s experiences following treatment for gynecological cancer. Oncol Nurs Forum 1997;28:1403–8.
44.
45.
46.
47.
48.
Allison PJ, Edgar L, Nicolau B, Archer J, Black M, Hier M. Results of a feasibility study for a psycho-educational intervention in head and neck cancer. Psycho-Oncol 2004;13:482–5. doi:10.​1002/​pon.​816.CrossRef
49.
Lev E, Owen S. Counseling women with breast cancer using principles developed by Alvert Bandura. Perspect Psychiatr Care 2000;36:2000.
50.
51.
52.
Lev E, Daley K, Conner N, Reith M, Fernandez C, Owen S. An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patients. Sch Inquiry Nurs Pract 2001;15:277–94.
53.
Taylor KL, Lamdan RM, Siegel JE, Shelby R, Moran-Klimi K, Hrywna M. Psychological adjustment among African American breast cancer patients: one year follow-up results of a randomized psychoeducational group intervention. Health Psychol 2003;22:316–23. doi:10.​1037/​0278-6133.​22.​3.​316.PubMedCrossRef
54.
Antoni M, Lehman J, Kilbourn K, Boyers A, Culver J, Alferi S, et al. Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychol 2001;20:20–32. doi:10.​1037/​0278-6133.​20.​1.​20.PubMedCrossRef
55.
56.
57.
58.
59.
60.
Shingleton H, Orr J. Cancer of the cervix. Philadelphia, PA: JB Lippincott Co; 1995.
61.
62.
63.
64.
Sandgren AK, McCaul KD, King B, O’Donnell S, Foreman G. Telephone therapy for patients with breast cancer. Oncol Nurs Forum 2000;27:683–8.PubMed
65.
Mishel MH, Belyea M, Germino BB. Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: nurse delivered psychoeducational intervention over the telephone. Cancer 2002;94:1854–66. doi:10.​1002/​cncr.​10390.PubMedCrossRef
66.
Alter C, Fleishman S, Kornblith A. Supportive telephone intervention for patients receiving chemotherapy: a pilot study. Psychosomatics 1996;37:425–31.PubMed
67.
Sandgren AK, McCaul KD. Short-term effects of telephone therapy for breast cancer patients. Health. Psychology (Savannah, Ga.) 2003;22:310–5.
68.
69.
70.
Coleman EA, Tulman L, Samarel N, Wilmoth MC, Rickel L, Rickel M. The effect of telephone social support and education on adaptation to breast cancer during the year following diagnsois. Oncol Nurs Forum 2005;32:822–9. doi:10.​1188/​05.​ONF.​822-829.PubMedCrossRef
71.
Meneses KD, McNees P, Loerzel VW, Su X, Zhang Y, Hassey LA. Transition from treatment to survivorship: effects of a psychoeducational intervention on quality of life in breast cancer survivors. Oncol Nurs Forum 2007;34:1007–16. doi:10.​1188/​07.​ONF.​1007-1016.PubMedCrossRef
72.
Mishel MH, Germino BB, Gil KM, Belyea M, Laney IC, Stewart J. Benefits from an uncertainity managment intervention for African-American- and Caucasian older long-term breast cancer survivors. Psycho-Oncol 2005;14:962–78. doi:10.​1002/​pon.​909.CrossRef
73.
74.
Wenzel L, Robinson R, Blake D. the effects of problem-focused group counseling early stage gynecologic cancer. J Ment Health Couns 1995;17:81–93.
75.
Office of Minority Health. Office of Minority Health publishes final standards for cultural and linguistic competence. In: editors. Closing the gap (pp.). Washington, DC: Office of Minority Health, DHHS; 2001.
76.
77.
American Cancer Society. Cancer facts and figures 2008. Atlanta, GA: American Cancer Society; 2007.
78.
Ashing-Giwa K. The recruitment and retention of African American women into cancer control studies. J Natl Med Assoc 1999;91:255–60.PubMed
79.
Ashing-Giwa K. Can a culturally responsive model for research design bring us closer to addressing participation disparities? Lessons learnt from cancer survivorship studies. Ethn Dis 2005;15:130–7.PubMed
Metadata
Title
Enhancing physical well-being and overall quality of life among underserved Latina-American cervical cancer survivors: feasibility study
Author
Kimlin T. Ashing-Giwa
Publication date
01-09-2008
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 3/2008
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-008-0061-2

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