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3 results on '"Andrew Belfiglio"'

1. Perceived importance of weight loss and exercise among endometrial cancer survivors with overweight or obesity: Implications for lifestyle modification interventions

Author

Erin K. Tagai, Gina M. Mantia‐Smaldone, Andrew Belfiglio, Christina S. Chu, Emmanuel Lapitan, Heather Santos, Enrique Hernandez, David B. Sarwer, and Suzanne M. Miller

Subjects
diet, endometrial cancer, exercise, weight loss, Internal medicine, RC31-1245
Abstract

Abstract Objective Type 1 endometrial cancer (EC) survivors who are overweight or obese are at increased risk of comorbidities and reduced quality of life. Lifestyle modification interventions (e.g., healthy eating, exercise) may help these women reduce excess weight and improve their quality of life. However, existing interventions have shown limited success. Guided by Self‐Determination Theory, the proposed study sought to identify factors associated with perceived importance of weight loss and exercise as well as interest in lifestyle modification interventions (components of extrinsic and intrinsic motivation) among EC survivors with overweight or obesity to inform future intervention development. Methods One hundred type 1 EC survivors [body mass index (BMI) ≥ 25 kg/m2] completed a cross‐sectional survey assessing sociodemographics, medical factors, exercise, risk perceptions and provider communication, quality of life, barriers to dieting and exercise, perceived importance of healthy lifestyles, and desired intervention content. Results EC survivors who were aware obesity is a risk factor for EC were significantly more likely to perceive weight loss as important and were interested in weight loss programs and receiving information about exercise (ps

Published
2023
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2. Development of a text message-based intervention for follow-up colposcopy among predominately underserved Black and Hispanic/Latinx women

Author

Maria Sansoni, Erin K. Tagai, Emmanuel Lapitan, Kuang-Yi Wen, Jenny Xu, Andrew Belfiglio, Shawna V. Hudson, Racquel E. Kohler, Enrique Hernandez, and Suzanne M. Miller

Subjects
Vaginal Smears, Cancer Research, Text Messaging, Cross-Sectional Studies, Oncology, Colposcopy, Pregnancy, Humans, Female, Hispanic or Latino, Article, Follow-Up Studies, Papanicolaou Test
Abstract

PURPOSE: Underserved Black and Hispanic/Latinx women show low rates of follow-up care after an abnormal Pap test, despite the fact that cervical cancer is one of the few preventable cancers if detected early. However, extant literature falls short on efficacious interventions to increase follow-up for this population. A concurrent mixed methods study was completed to evaluate the acceptability of a text message-based intervention and identify perceived barriers and facilitators to follow-up after an abnormal Pap test among underserved predominantly Black and Hispanic/Latinx women. METHODS: Patients who completed follow-up for an abnormal Pap test were recruited to complete a cross-sectional survey, qualitative interview assessing barriers and facilitators to follow-up, and text message content evaluation (N=28). Descriptive statistics were performed to describe background variables and to evaluate the acceptability of text messages. A directed content analysis was completed for the qualitative interviews. RESULTS: Participants expressed interest in a text message-based intervention to increase abnormal Pap test follow-up. In the qualitative interviews, low knowledge about cervical risk and negative affect towards colposcopy/test results were identified as barriers to follow-up. Facilitators of follow-up included feeling relieved after the colposcopy and adequate social support. Participants rated the text messages as understandable, personally relevant, and culturally appropriate. CONCLUSIONS: The findings suggest that underserved Black and Hispanic/Latinx women experience cognitive and emotional barriers that undermine their ability to obtain follow-up care and a text message-based intervention may help women overcome these barriers. Future research should develop and evaluate text message-based interventions to enhance follow-up after an abnormal Pap test.

Published
2021

3. Training Community Leaders to Serve as Equal Partners in Research: Penn Community Scholars Program, 2015-2023.

Author

Solomon SR, Belfiglio A, Tuton LW, and Thomas NA

Subjects
Humans, Program Evaluation, Curriculum, Trust, Community-Based Participatory Research methods, Community-Institutional Relations
Abstract

An implementation and effectiveness evaluation of the Community Scholars Program was conducted at the University of Pennsylvania to enhance community capacity to collaborate with academics in mutually beneficial, equitable, and transformative research. Mixed methods were employed using administrative data, surveys, and key informant interviews. Participants expressed high satisfaction, valued interactive learning, and identified areas for improvement. The program increased knowledge and self-confidence in research-related skills and trust in the research process. The program serves as an institutional model to create long-term, mutually beneficial community-academic partnerships. ( Am J Public Health. 2024;114(3):284-288. https://doi.org/10.2105/AJPH.2023.307549).

Published
2024
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