A Self-Administered Stress Management Intervention for Hispanic Patients Undergoing Cancer Chemotherapy.
This study evaluated whether a self-administered stress management training (SSMT) could improve quality of life (QOL) and reduce distress among Hispanics receiving chemotherapy across multiple community clinical settings. Participants were randomized to receive SSMT (n = 106) or usual care (UCO) (n = 113). The primary outcome-QOL (SF-36) and secondary outcomes depression (CES-D), and anxiety (STAI) were assessed longitudinally over four chemotherapy cycles. Acculturation (BAS) and patients' intervention adherence were assessed. About 63% of participants reported distress after the initial chemotherapy cycle. Hispanics with lower acculturation reported greater STAI-Trait scores (p = .003). No significant treatment effects on outcomes measures were observed for participants receiving SSMT. SSMT intervention techniques were reported useful and improved mental health scores were observed with patients on a psychotropic agent (p = .04). Hispanics experience an elevated level of distress, yet SSMT did not significantly improve primary outcomes. SSMT may be potentially effective when combined with a psychotropic agent. SSMT enhancing strategies are discussed.
Department of Health Sciences and Human Performace, University of Tampa, 401 W. Kennedy Blvd. Box 30F, Tampa, FL, 33606, USA. caguadoloi@ut.edu.
Claudia X Aguado
CXA
Loi
Department of Child and Family Studies, University of South Florida, Tampa, FL, 33612, USA.
Teresa M
TM
Nesman
Department of Health Sciences and Human Performace, University of Tampa, 401 W. Kennedy Blvd. Box 30F, Tampa, FL, 33606, USA.
Ping
P
Xu
Department of Medicine, Howard University Cancer Center, Washington, DC, 20060, USA.
Teletia R
TR
Taylor
Clinical Research, Shriners Hospitals for Children-Tampa, Tampa, FL, 33612, USA.
Susan
S
McMillan
Department of Health Sciences and Human Performace, University of Tampa, 401 W. Kennedy Blvd. Box 30F, Tampa, FL, 33606, USA.
Jeffrey P
JP
Krischer
Pediatrics Epidemiology Center, University of South Florida, Tampa, FL, 33612, USA.
Vida L
VL
Tyc
Clinical Research, Shriners Hospitals for Children-Tampa, Tampa, FL, 33612, USA.
Margaret
M
Gross-King
Pediatrics Epidemiology Center, University of South Florida, Tampa, FL, 33612, USA.
Viki
V
Huegel
D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy / Q000208:ethnology; D010349:Patient Compliance; D011619:Psychotropic Drugs / Q000627:therapeutic use; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000188:drug therapy / Q000208:ethnology* / Q000628:therapy*
D000970:Antineoplastic Agents; D011619:Psychotropic Drugs
Behavioral intervention; Distress; Hispanics/Latinos; Quality of life; Stress management