These results lend support to the clinical and cross-cultural validity of the QLQ-BR23 as a supplementary questionnaire for assessing specific quality-of-life issues relevant to patients with breast cancer.

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Level I, prospective comparative outcome study.

This paper analyzes the campus ecology (Renn, 2003, 2004) literature from the perspective of Critical Whiteness specifically problematizing perceptions of safety and inclusion on the college campus. Relying upon Sullivan’s (2006) ontological expansiveness, Mills’s (1997) epistemology of ignorance, and Leonardo and Porter’s (2010) Fanonian interpretation of racial safety, we argue that there is too high a premium placed on social comfort during the undergraduate experience which actually leaves White students at predominantly White institutions in perpetual states of racial arrested development. We conclude that intentional, targeted racial dissonance is necessary for both White students to develop their racial selves while concurrently being aware of the ugly realities of contemporary racism.

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Previous literature demonstrates that as a result of racial microaggressions and hostile campus racial climates, Latina/o students often state they experience psychological, physiological, and behavioral stress responses during and after racialized incidents on campuses. The purpose of this study is to quantitatively test the racial battle fatigue framework for Latina/o students using structural equation modeling. Findings suggest that psychological stress responses for Latinas/os are most impacted by racial microaggressions in the racial battle fatigue framework. ResumenLiteratura previa demuestra que como resultado de micro-agresiones raciales en campos universitarios con medio ambiente hostil, estudiantes latina/os señalan frecuentemente que experimentan respuestas estresantes psicológicas, fisiológicas y conductuales durante y después de incidentes racistas en campos universitarios. El propósito de este estudio fue el de probar cuantitativamente el marco de batalla de fatiga racial de estudiantes latina/os usando el modelo de ecuación estructural. Hallazgos sugirieron que respuestas de estrés psicológico de latina/os son impactadas más por micro-agresiones raciales en un marco de batalla de fatiga racial.

Objective: Relatives of colorectal cancer (CRC) patients are at increased risk for the disease, yet screening rates still remain low. Guided by the Extended Parallel Process Model, we examined the impact of a personalized, remote risk communication intervention on behavioral intention and colonoscopy uptake in relatives of CRC patients, assessing the original additive model and an alternative model in which each theoretical construct contributes uniquely.Methods: We collected intention-to-screen and medical record-verified colonoscopy information on 218 individuals who received the personalized intervention.Results: Structural equation modeling showed poor main model fit (root mean square error of approximation (RMSEA) = 0.109; standardized root mean residual (SRMR) = 0.134; comparative fit index (CFI) = 0.797; Akaike information criterion (AIC) = 11,601; Bayesian information criterion (BIC) = 11,884). However, the alternative model (RMSEA = 0.070; SRMR = 0.105; CFI = 0.918; AIC = 11,186; BIC = 11,498) showed good fit. Cancer susceptibility (B = 0.319, p < 0.001) and colonoscopy self-efficacy (B = 0.364, p < 0.001) perceptions predicted intention to screen, which was significantly associated with colonoscopy uptake (B = 0.539, p < 0.001).Conclusions: Our findings provide support of the utility of Extended Parallel Process Model for designing effective interventions to motivate CRC screening in persons at increased risk when individual elements of the model are considered. Copyright © 2015 John Wiley & Sons, Ltd. Average lifetime risk for developing colorectal cancer (CRC) is approximately 5%; having a first-degree relative (FDR) with CRC increases risk twofold to eightfold [1,2]. Colonoscopy has the potential to reduce both CRC incidence and mortality through early detection and removal of precancerous polyps. The American Cancer Society and the National Comprehensive Cancer Network recommend individuals with an intermediate risk of familial CRC (i.e., CRC diagnosis in an FDR