title: Understanding the Stress Management Needs and Preferences of Latinas Undergoing Chemotherapy.
abstract: This exploratory study provides insights into everyday realities, concerns, and cultural perspectives of Latinas undergoing chemotherapy, and elicits information on stress management and information needs. Informed by a community-based participatory research approach using qualitative methods, we conducted ten interviews with providers, and two focus groups (n = 13) and 20 in-depth interviews with Latinas recently diagnosed with breast cancer. Providers and Latina patients acknowledged multiple physical and emotional stressors associated with cancer treatment, viewed a positive aspect of the cancer experience to include connection with God and enhanced spirituality, saw family as a motivating factor for recovery, and expressed a need to draw on existing coping strategies. Findings show considerable overlap between providers and Latina cancer patients' perceptions of stressors during chemotherapy. However, a few notable differences in perceptions of stress management needs during this treatment period emerged. While Latina cancer patients mentioned similar social/structural stressors (e.g., economic problems, lack of information) they tended to emphasize more of the interpersonal stressors related to family communication and relationships (e.g., providing and caring for family, distance from family), and intrapersonal stressors such as fear, changes in physical appearance, and side effects of chemotherapy. Our study illustrates the importance of including multiple perspectives. The information gained by including both providers and patient perspectives yielded a more complete understanding of the stress management needs of Latinas undergoing chemotherapy. Findings suggest that stress management educational interventions should aim to develop self-care skills, be culturally relevant and language-specific, and build upon stress-reducing strategies Latinas may already employ.
authors.affiliation: College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC56, Tampa, FL, 33612-3805, USA. dmarti20@health.usf.edu.
authors.forename: Dinorah Dina
authors.initials: DD
authors.lastname: Martinez Tyson
authors.affiliation: Moffitt Cancer Center, Population Science, Health Outcomes & Behavior, Department of Oncologic Sciences, College of Medicine, University of South Florida, 12901 Magnolia Drive, Tampa, FL, 33612, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Jacobsen
authors.affiliation: Moffitt Cancer Center, Population Science, Health Outcomes & Behavior, Department of Oncologic Sciences, College of Medicine, University of South Florida, 12901 Magnolia Drive, Tampa, FL, 33612, USA.
authors.forename: Cathy D
authors.initials: CD
authors.lastname: Meade
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy / Q000523:psychology*; D019468:Disease Management; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D013315:Stress, Psychological / Q000628:therapy*
keywords: Cancer survivorship; Latino health; Qualitative methods; Stress management; Women’s health