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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 :
- Academic Search 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