title: Un Abrazo Para La Familia: an evidenced-based rehabilitation approach in providing cancer education to low-SES Hispanic co-survivors.
abstract: We discuss Un Abrazo Para La Familia as an effective, rehabilitation-informed evidence-based model of education, information-sharing, and skill teaching for use with low-income Hispanic co-survivors of cancer. Over 2 years, 120 co-survivors participated in the intervention. The majority of participants (96 %) were women and all but one reported being Hispanic. Both in years 1 and 2, we followed the same pre- and post-intervention evaluation design. Based on pre- and post-intervention assessments of cancer-related knowledge and self-efficacy, the percentage of questions answered correctly about cancer significantly increased for co-survivors. Self-efficacy significantly increased as well. Using item analysis, we explored skill teaching as a mechanism for the effective delivery of Un Abrazo and recommend the use of promotoras in providing the intervention. Of the 12 cancer knowledge items resulting in statistically significant increases of cancer knowledge, 5 were taught via interactive skill teaching. Given the projected rise in the incidence of cancer in Hispanic populations, coupled with the fact that people from low-income backgrounds face unique challenges in cancer prevention and management, implications of the Un Abrazo model for future research and policy regarding cancer and families are considered.
authors.affiliation: Department of Disability and Psychoeducational Studies, University of Arizona, P.O. Box 210477, Tucson, AZ, 85721-0477, USA, marshall@email.arizona.edu.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Marshall
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Curran
authors.forename: Susan Silverberg
authors.initials: SS
authors.lastname: Koerner
authors.forename: Thilo
authors.initials: T
authors.lastname: Kroll
authors.forename: Amy C
authors.initials: AC
authors.lastname: Hickman
authors.forename: Francisco
authors.initials: F
authors.lastname: García
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology* / Q000534:rehabilitation*; D005190:Family / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000193:education* / Q000523:psychology; D006801:Humans; D033181:Information Dissemination; D008875:Middle Aged; D020380:Needs Assessment; D011379:Prognosis; D020377:Self Efficacy; D012923:Social Class; D012944:Social Support; D017741:Survivors / Q000523:psychology*; D055815:Young Adult