Skip to main content
Erschienen 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

verfasst von: Kimlin T. Ashing-Giwa

Erschienen in: Journal of Cancer Survivorship | Ausgabe 3/2008

Einloggen, um Zugang zu erhalten

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.
Literatur
2.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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. 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.
7.
Zurück zum Zitat Ashing-Giwa KT, Tejero JS, Kim J, Padilla GV, Hellemann G. Examining predictive models of HRQOL in a population-based, multiethnic sample of women with breast carcinoma. Qual Life Res 2007;16:413–28. doi:10.1007/s11136-006-9138-4.PubMedCrossRef Ashing-Giwa KT, Tejero JS, Kim J, Padilla GV, Hellemann G. Examining predictive models of HRQOL in a population-based, multiethnic sample of women with breast carcinoma. Qual Life Res 2007;16:413–28. doi:10.​1007/​s11136-006-9138-4.PubMedCrossRef
8.
Zurück zum Zitat Ashing-Giwa K, Kim J, Tejero JS. Measuring quality of life among cervical cancer survivors: preliminary assessment of instrumentation validity in a cross-cultural study. Qual Life Res 2008;17:147–57. doi:10.1007/s11136-007-9276-3.PubMedCrossRef Ashing-Giwa K, Kim J, Tejero JS. Measuring quality of life among cervical cancer survivors: preliminary assessment of instrumentation validity in a cross-cultural study. Qual Life Res 2008;17:147–57. doi:10.​1007/​s11136-007-9276-3.PubMedCrossRef
9.
Zurück zum Zitat 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. 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.
11.
Zurück zum Zitat Meyerowitz B, Formenti S, Ell K, Leedham B. Depression among Latina cervical cancer patients. J Soc Clin Psychol 2000;19:352–71. Meyerowitz B, Formenti S, Ell K, Leedham B. Depression among Latina cervical cancer patients. J Soc Clin Psychol 2000;19:352–71.
14.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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. 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.
17.
Zurück zum Zitat 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 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.
20.
Zurück zum Zitat 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 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.
Zurück zum Zitat Ashing-Giwa K, Padilla G, Bohorquez DE, Tejero JS, Garcia M, Meyers EA. Survivorship: a qualitative investigation of Latinas diagnosed with cervical cancer. J Psychosoc Oncol 2006;24:53–88. doi:10.1300/J077v24n04_04.PubMedCrossRef Ashing-Giwa K, Padilla G, Bohorquez DE, Tejero JS, Garcia M, Meyers EA. Survivorship: a qualitative investigation of Latinas diagnosed with cervical cancer. J Psychosoc Oncol 2006;24:53–88. doi:10.​1300/​J077v24n04_​04.PubMedCrossRef
22.
Zurück zum Zitat 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 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
30.
31.
Zurück zum Zitat Paavonen J. Sexual dysfunction associated with treatment of cervical cancer. Sex Transm Infect 1999;75:375–6.PubMed Paavonen J. Sexual dysfunction associated with treatment of cervical cancer. Sex Transm Infect 1999;75:375–6.PubMed
32.
Zurück zum Zitat 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 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
36.
Zurück zum Zitat Anderson B. Predicting sexual and psychologic morbidity and improving the quality of life for women with gynecologic cancer. Cancer 1993;71:1678–90. Anderson B. Predicting sexual and psychologic morbidity and improving the quality of life for women with gynecologic cancer. Cancer 1993;71:1678–90.
38.
Zurück zum Zitat 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 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
43.
Zurück zum Zitat Steginga SK, Dunn J. Women’s experiences following treatment for gynecological cancer. Oncol Nurs Forum 1997;28:1403–8. Steginga SK, Dunn J. Women’s experiences following treatment for gynecological cancer. Oncol Nurs Forum 1997;28:1403–8.
48.
Zurück zum Zitat 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 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.
Zurück zum Zitat Lev E, Owen S. Counseling women with breast cancer using principles developed by Alvert Bandura. Perspect Psychiatr Care 2000;36:2000. Lev E, Owen S. Counseling women with breast cancer using principles developed by Alvert Bandura. Perspect Psychiatr Care 2000;36:2000.
52.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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
60.
Zurück zum Zitat Shingleton H, Orr J. Cancer of the cervix. Philadelphia, PA: JB Lippincott Co; 1995. Shingleton H, Orr J. Cancer of the cervix. Philadelphia, PA: JB Lippincott Co; 1995.
64.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat Alter C, Fleishman S, Kornblith A. Supportive telephone intervention for patients receiving chemotherapy: a pilot study. Psychosomatics 1996;37:425–31.PubMed Alter C, Fleishman S, Kornblith A. Supportive telephone intervention for patients receiving chemotherapy: a pilot study. Psychosomatics 1996;37:425–31.PubMed
67.
Zurück zum Zitat Sandgren AK, McCaul KD. Short-term effects of telephone therapy for breast cancer patients. Health. Psychology (Savannah, Ga.) 2003;22:310–5. Sandgren AK, McCaul KD. Short-term effects of telephone therapy for breast cancer patients. Health. Psychology (Savannah, Ga.) 2003;22:310–5.
69.
70.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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
74.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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. 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.
77.
Zurück zum Zitat American Cancer Society. Cancer facts and figures 2008. Atlanta, GA: American Cancer Society; 2007. American Cancer Society. Cancer facts and figures 2008. Atlanta, GA: American Cancer Society; 2007.
78.
Zurück zum Zitat Ashing-Giwa K. The recruitment and retention of African American women into cancer control studies. J Natl Med Assoc 1999;91:255–60.PubMed 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.
Zurück zum Zitat 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 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
Metadaten
Titel
Enhancing physical well-being and overall quality of life among underserved Latina-American cervical cancer survivors: feasibility study
verfasst von
Kimlin T. Ashing-Giwa
Publikationsdatum
01.09.2008
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 3/2008
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-008-0061-2

Weitere Artikel der Ausgabe 3/2008

Journal of Cancer Survivorship 3/2008 Zur Ausgabe

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

CUP-Syndrom: Künstliche Intelligenz kann Primärtumor finden

30.04.2024 Künstliche Intelligenz Nachrichten

Krebserkrankungen unbekannten Ursprungs (CUP) sind eine diagnostische Herausforderung. KI-Systeme können Pathologen dabei unterstützen, zytologische Bilder zu interpretieren, um den Primärtumor zu lokalisieren.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.