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A Self-Administered Stress Management Intervention for Hispanic Patients Undergoing Cancer Chemotherapy.
- Source :
- Journal of Immigrant & Minority Health; Oct2017, Vol. 19 Issue 5, p1121-1131, 11p
- Publication Year :
- 2017
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of psychological stress
ACCULTURATION
PSYCHOLOGICAL adaptation
ANXIETY
CANCER chemotherapy
CANCER patient psychology
CHI-squared test
CONFIDENCE intervals
MENTAL depression
HEALTH surveys
PSYCHOLOGY of Hispanic Americans
LONGITUDINAL method
MEDICAL cooperation
PATIENT compliance
PROBABILITY theory
PSYCHOLOGICAL tests
QUALITY of life
QUESTIONNAIRES
RESEARCH
RESEARCH funding
SELF medication
STATISTICAL hypothesis testing
STRESS management
T-test (Statistics)
PSYCHOSOCIAL factors
SOCIOECONOMIC factors
POSITIVE psychology
RANDOMIZED controlled trials
REPEATED measures design
RELAXATION techniques
DATA analysis software
STATE-Trait Anxiety Inventory
DESCRIPTIVE statistics
INTRACLASS correlation
Subjects
Details
- Language :
- English
- ISSN :
- 15571912
- Volume :
- 19
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Immigrant & Minority Health
- Publication Type :
- Academic Journal
- Accession number :
- 124864509
- Full Text :
- https://doi.org/10.1007/s10903-016-0524-x