Abstract
Background
Cancer patients often report increased stress during chemotherapy. Stress management training has been shown to reduce this adverse outcome, but few interventions exist for Spanish-speaking Hispanic and Latina women (Latinas).
Methods
Following community feedback (including focus groups/in-depth interviews), we transcreated the Spanish-Language Self-Administered Stress Management Training (SL-SAT) intervention based on our previously developed and implemented English-based intervention. Latinas about to begin chemotherapy were randomized to SL-SAT (n=121) or usual care (UC; n=119). A Spanish-speaking interventionist met with SL-SAT participants who received the SL-SAT toolkit containing instructions in three well-established stress management techniques (deep breathing, progressive muscle relaxation and guided imagery, and use of coping self-statements). UC participants received an educational booklet about coping with chemotherapy. All patients were instructed by nurses on their chemotherapy medications and given a resource listing of local support groups. Outcomes were obtained at baseline, and 7 and 13 weeks after starting chemotherapy. Primary outcomes included anxiety and depression, cancer-related distress, emotional well-being, and spiritual well-being. Secondary outcomes included functional well-being, social/family well-being, physical well-being, symptom severity, and self-efficacy for managing stress. Data were analyzed using mixed models.
Results
In both groups, improvements were observed in emotional well-being (p=.01), and declines were observed in functional well-being (p=.05), and physical well-being (p<.0001). Symptom severity increased across the follow-up period (p<.001).
Conclusions
To be effective, stress management interventions for Latinas receiving chemotherapy may necessitate more attention from an interventionist, delivery of the intervention over a longer interval, and/or a group-based format.
http://ift.tt/2C8pNSd
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου