title: Nuevo Amanecer: results of a randomized controlled trial of a community-based, peer-delivered stress management intervention to improve quality of life in Latinas with breast cancer.
abstract: OBJECTIVE
  We evaluated a community-based, translational stress management program to improve health-related quality of life in Spanish-speaking Latinas with breast cancer.
  
  
  METHODS
  We adapted a cognitive-behavioral stress management program integrating evidence-based and community best practices to address the needs of Latinas with breast cancer. Spanish-speaking Latinas with breast cancer were randomly assigned to an intervention or usual-care control group. Trained peers delivered the 8-week intervention between February 2011 and February 2014. Primary outcomes were breast cancer-specific quality of life and distress, and general symptoms of distress.
  
  
  RESULTS
  Of 151 participants, 95% were retained at 6 months (between May 2011 and May 2014). Improvements in quality of life from baseline to 6 months were greater for the intervention than the control group on physical well-being, emotional well-being, breast cancer concerns, and overall quality of life. Decreases from baseline to 6 months were greater for the intervention group on depression and somatization.
  
  
  CONCLUSIONS
  Results suggest that translation of evidence-based programs can reduce psychosocial health disparities in Latinas with breast cancer. Integration of this program into community-based organizations enhances its dissemination potential.
authors.affiliation: Anna María Nápoles, Jasmine Santoyo-Olsson, and Steven Gregorich are with the Department of Medicine, Division of General Internal Medicine, University of California, San Francisco. Carmen Ortíz is with Círculo de Vida Cancer Support and Resource Center, San Francisco, CA. Anita L. Stewart is with the Institute for Health and Aging at the University of California, San Francisco. At the time of the study, Howard E. Lee was with the San Mateo Medical Center, San Mateo, CA. Ysabel Durón is with Latinas Contra Cancer, San José, CA. Peggy McGuire is with the Women's Cancer Resource Center, Oakland, CA. Judith Luce is with San Francisco General Hospital, San Francisco, CA.
authors.forename: Anna María
authors.initials: AM
authors.lastname: Nápoles
authors.forename: Carmen
authors.initials: C
authors.lastname: Ortíz
authors.forename: Jasmine
authors.initials: J
authors.lastname: Santoyo-Olsson
authors.forename: Anita L
authors.initials: AL
authors.lastname: Stewart
authors.forename: Steven
authors.initials: S
authors.lastname: Gregorich
authors.forename: Howard E
authors.initials: HE
authors.lastname: Lee
authors.forename: Ysabel
authors.initials: Y
authors.lastname: Durón
authors.forename: Peggy
authors.initials: P
authors.lastname: McGuire
authors.forename: Judith
authors.initials: J
authors.lastname: Luce
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000208:ethnology* / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D003153:Community Health Services / Q000458:organization & administration*; D055812:Community-Based Participatory Research; D005260:Female; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D018579:Patient Selection; D010379:Peer Group; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome