scholarly journals Adapting an Evidence-Based Survivorship Intervention for Latina Breast Cancer Survivors

2015 ◽  
Vol 11 (2) ◽  
pp. 109-119 ◽  
Author(s):  
Karen Meneses ◽  
Silvia Gisiger-Camata ◽  
Yu-Mei Schoenberger ◽  
Robert Weech-Maldonado ◽  
Patrick McNees
Author(s):  
Kathryn H. Schmitz ◽  
Rinad Beidas

Multiple persistent adverse effects of breast cancer treatment are improved with regular exercise. This case study describes a safe and effective exercise program for breast cancer survivors that was adapted into an evidence-based intervention offered through physical therapy (Strength After Breast Cancer). The program was successfully translated and implemented, and it showed equal safety and efficacy as the parent program with regard to lymphedema symptoms, muscular strength, quality of life, and body image. Evaluation of the implementation process revealed multiple facilitators and barriers to implementation. Barriers included the intervention characteristics and challenges with the referral process from oncology. Facilitators included getting the program covered by insurance, a champion in the outpatient clinic, and adaptations to the program and referral process that resulted in successful implementation. Future research is needed to further the goal of ensuring all breast cancer survivors are connected to safe and effective exercise programming.


2018 ◽  
Vol 2 (S1) ◽  
pp. 68-68
Author(s):  
Alejandra Hurtado de Mendoza ◽  
Sara Gómez Trillos ◽  
Marc Schwartz ◽  
Beth Peshkin ◽  
Heidi E. Hamilton ◽  
...  

OBJECTIVES/SPECIFIC AIMS: The overall goal of this project is to enhance the use of GCRA in Latina breast cancer survivors at high risk of hereditary breast and ovarian cancer to reduce disparities in GCRA uptake. The aims of the study are to (1) develop a cultural adaptation of an evidence-based TGC intervention that consists of phone genetic counseling and a booklet, (2) evaluate the impact of TGC Versus Usual Care, and (3) explore the communication patterns in TGC and genetic counseling sessions with an interpreter. METHODS/STUDY POPULATION: We are conducting a 2-phase, mixed methods study. In Phase I we will develop a cultural adaption of an evidence-based intervention (TGC) for high-risk Latina breast cancer survivors using the Learner Verification and Revision Framework (n=15). In Phase II we will use a cluster randomized design with four community sites randomized to Spanish TGC (n=2 sites) or usual care (n=2 sites) (n=60; 15 per site). The primary outcome is genetic counseling uptake. Among women who receive genetic counseling either through TGC (n~30) or with an interpreter (n~15), we will assess counseling quality by reviewing 20 randomly selected audiotaped sessions (10 TGC; 10 interpreters). We will evaluate women’s HBOC knowledge and satisfaction with counseling. Communication processes and outcomes will be assessed using gold standard RIAS quantitative coding system and qualitative discourse analysis. RESULTS/ANTICIPATED RESULTS: We elicited input from transdisciplinary team members to develop an initial adaptation of a TGC print booklet and intervention protocol for use with high-risk Latina breast cancer survivors with limited English proficiency. The booklet contains low-literacy information about HBOC, risk factors, pros and cons of testing, and management strategies. Based on these materials and prior work, we anticipate TGC will consist of one 1 hour or less TGC session by phone. Participants interested in pursuing testing will receive a saliva kit and will participate in a second TGC session (30 min) to discuss test results and management options. DISCUSSION/SIGNIFICANCE OF IMPACT: Given access barriers and the shortage of Spanish-speaking genetic counselors, adapting and translating TGC intervention is a promising strategy that could reduce disparities by broadening the reach and accessibility to genetic counseling while enhancing the quality of the service for Latinas with limited English proficiency.


2016 ◽  
Vol 11 (1) ◽  
pp. 41-47 ◽  
Author(s):  
José A. E. Custers ◽  
Marieke F. M. Gielissen ◽  
Johannes H. W. de Wilt ◽  
Aafke Honkoop ◽  
Tineke J Smilde ◽  
...  

2020 ◽  
Vol 22 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Junga Lee ◽  
Florence Vicil

OBJECTIVES The number of breast cancer survivors throughout the world has increased. Breast cancer survivors need to know how to exercise to improve their clinical outcomes. The purpose of this study was to find the effects of an evidence-based combined exercise intervention on the fitness levels of breast cancer survivors.METHODS A total of 38 female breast cancer survivors were randomly assigned to an exercise group (n=19) or a control group who did usual care (n=19). Subjects in the exercise group participated eight weeks of moderate intensity aerobic exercise and bodyweight strength exercise three times per week. Weight, body mass index (BMI), cardiorespiratory fitness, handgrip strength, and flexibility were measured to assess the effects of the exercise intervention.RESULTS Women who completed the exercise intervention had decreased weight and BMI and increased cardiorespiratory fitness, handgrip strength, and flexibility.CONCLUSIONS Breast cancer survivors had improved health outcomes. A combined exercise intervention of moderate intensity three times per week for eight weeks can help breast cancer survivors improve their health. Participating in aerobic exercise and bodyweight strength exercise, which provide dynamic movements and use large muscle groups with no equipment, can help increase physical fitness levels of breast cancer survivors.


2007 ◽  
Vol 29 (2) ◽  
pp. 230-241 ◽  
Author(s):  
Louise Bordeleau ◽  
Kathleen Pritchard ◽  
Pamela Goodwin ◽  
Charles Loprinzi

2014 ◽  
Vol 2014 (50) ◽  
pp. 338-345 ◽  
Author(s):  
Rinad S. Beidas ◽  
Breah Paciotti ◽  
Fran Barg ◽  
Andrea R. Branas ◽  
Justin C. Brown ◽  
...  

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