Enhancing survivorship care among Hispanic/Latino cancer survivors via lay health educators: results of a pilot randomized trial.

IF 3.1 2区医学 Q2 ONCOLOGY Journal of Cancer Survivorship Pub Date : 2025-02-15 DOI:10.1007/s11764-025-01758-9

Eric J Chow, Nancy A Blythe, Kara L Cushing-Haugen, Catherine Duggan, K Scott Baker, Allison M Cole, Spencer Green, Adrianna I Guiterrez, Ethan Lee, Hannah M Linden, Jason A Mendoza, Timothy J D Ohlsen, Katrina F Ortblad, Stephen M Schwartz, Rachel L Yung, Rachel M Ceballos

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Abstract

Purpose: Assess the feasibility, acceptability, and preliminary efficacy of lay health educators to enhance Hispanic/Latino survivors' knowledge of their cancer history, screening needs, and health-related self-efficacy.

Methods: Hispanic/Latino survivors diagnosed within 5 years were recruited from three clinics and a regional cancer registry. Survivors were randomized to receive a personalized survivorship care plan (SCP; control) or SCP plus telephone session with a bilingual-bicultural lay health educator (intervention). Survivors were reassessed after 3 months. Primary outcomes were feasibility (meeting accrual, n = 60-100) and acceptability of the SCP and education session. Secondary outcomes were changes in survivors' knowledge of their cancer history, screening needs, and health-related self-efficacy.

Results: Ninety-fine survivors (median age 55 years, 78% female, 56% low/marginal health literacy) were randomized (n = 48 intervention). Seventy-nine completed the study; most found the SCP useful (82% intervention; 68% control); 84% of the intervention group rated the education session useful. Over time, both groups had improved knowledge of their cancer history (accuracy increased from 71.5 ± 16.4% to 73.8 ± 15.0%; p = 0.19) although differences over time and between groups were not statistically significant. At follow-up compared with baseline, participants were more likely to report plans for future screening: cervical (57% versus 31%, p = 0.002); colorectal (39% versus 26%, p = 0.10). Although the change in self-efficacy did not differ between study groups, self-efficacy significantly improved within the control group over time (0.3; 95% CI 0.1, 0.5).

Conclusions: Hispanic/Latino survivors found the SCP and education session acceptable. SCPs alone may improve knowledge and adherence to cancer screening.

Implications for cancer survivors: Provision of a SCP may benefit Hispanic/Latino survivors.

Clinical trial registration: clinicaltrials.gov NCT04081779.

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目的：评估非专业健康教育者提高西班牙裔/拉美裔幸存者对其癌症病史、筛查需求和健康相关自我效能的认识的可行性、可接受性和初步效果。方法：从三家诊所和一个地区癌症登记处招募 5 年内确诊的西班牙裔/拉美裔幸存者。幸存者被随机分配接受个性化的幸存者护理计划（SCP；对照组）或SCP加双语-文化非专业健康教育者电话指导（干预组）。3 个月后对幸存者进行重新评估。主要结果是 SCP 和教育课程的可行性（符合应计人数，n = 60-100）和可接受性。次要结果是幸存者对癌症病史的了解、筛查需求和健康相关自我效能的变化：90名幸存者（中位年龄55岁，78%为女性，56%为健康知识水平低/边缘）被随机选中（n=48干预者）。79人完成了研究；大多数人认为SCP有用（82%干预组；68%对照组）；84%的干预组认为教育课程有用。随着时间的推移，两组参与者对癌症病史的了解都有所提高（准确率从 71.5 ± 16.4% 提高到 73.8 ± 15.0%；P = 0.19），但不同时间段和不同组之间的差异并无统计学意义。与基线相比，参与者在随访时更有可能报告未来的筛查计划：宫颈癌（57% 对 31%，p = 0.002）；结肠直肠癌（39% 对 26%，p = 0.10）。虽然研究组之间自我效能感的变化没有差异，但对照组的自我效能感随着时间的推移显著提高（0.3；95% CI 0.1，0.5）：结论：西班牙裔/拉美裔幸存者认为 SCP 和教育课程是可以接受的。结论：西语裔/拉美裔幸存者认为 SCP 和教育课程是可以接受的，仅 SCP 就可以提高他们对癌症筛查的了解和依从性：临床试验注册：clinicaltrials.gov NCT04081779。

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来源期刊

Journal of Cancer Survivorship ONCOLOGY-

CiteScore

7.00

自引率

10.80%

发文量

149

审稿时长

>12 weeks

期刊介绍： Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.