title: Latina a Latina: developing a breast cancer decision support intervention.
abstract: Latinas have the fastest rising incidence of breast cancer. Yet, little data are available about Latinas' breast cancer treatment experiences. Aims were to: (1) identify factors in Latinas' treatment decision making and (2) develop and pilot a decision support intervention. Thirty-seven Latinas diagnosed with breast cancer participated. Qualitative data were used to identify intervention messages. Most women desired help in asking questions. Women were most concerned about chemotherapy side effects. Cultural values (e.g. personalismo, familismo) helped structure intervention messages. In phase two, participants completed a face-to-face skill-building session with a trained breast cancer survivor. Women found the intervention acceptable and reported better communication and decision-making skills. Interventions that focus on cultural strengths may improve Latinas treatment experiences and informed decision making.
authors.affiliation: Cancer Control Program, Georgetown University, Washington, DC, USA.
authors.forename: Vanessa B
authors.initials: VB
authors.lastname: Sheppard
authors.forename: Melissa
authors.initials: M
authors.lastname: Figueiredo
authors.forename: Janet
authors.initials: J
authors.lastname: Cañar
authors.forename: Michelle
authors.initials: M
authors.lastname: Goodman
authors.forename: Larisa
authors.initials: L
authors.lastname: Caicedo
authors.forename: Adriana
authors.initials: A
authors.lastname: Kaufman
authors.forename: Gretchen
authors.initials: G
authors.lastname: Norling
authors.forename: Jeanne
authors.initials: J
authors.lastname: Mandelblatt
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000188:drug therapy / Q000523:psychology*; D017024:Chemotherapy, Adjuvant / Q000523:psychology; D003142:Communication; D054521:Cultural Competency; D003469:Culture; D003657:Decision Making; D005260:Female; D015438:Health Behavior; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008611:Mentors; D008875:Middle Aged; D010353:Patient Education as Topic; D010379:Peer Group; D010865:Pilot Projects; D011340:Problem Solving; D020377:Self Efficacy; D012944:Social Support; D017741:Survivors / Q000523:psychology