Efficacy of a Spanish‐Language Self‐Administered Stress Management Training intervention for Latinas undergoing chemotherapy

Hoogland, Aasha I.; Lechner, Suzanne C.; Gonzalez, Brian D.; Small, Brent J.; Tyson, Dinorah Martinez; Asvat, Yasmin; Barata, Anna; Gómez, María Fernanda; Rodriguez, Yvelise; Jim, Heather; Antoni, Mike; Jacobsen, Paul B.; Meade, Cathy D.

doi:10.1002/pon.4673

Cited by 10 publications

(59 citation statements)

References 41 publications

(52 reference statements)

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“…Of these, 41 met inclusion criteria (Table 1). 35‐75 Each study contributed between 1 and 8 effect size estimates, with a median of 2 effect sizes per study and a total of 88 effect size estimates. Studies contributing multiple effects involved multiple active intervention arms 40,42,48,53 or assessed SpWb at multiple follow‐up times 35‐38,40,42,44,47,48,50‐54,56,61‐63,68,70‐73 …”

Section: Resultsmentioning

confidence: 99%

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A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

et al. 2020

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Objective Spiritual well‐being (SpWb) is an important dimension of health‐related quality of life for many cancer patients. Accordingly, an increasing number of psychosocial intervention studies have included SpWb as a study endpoint, and may improve SpWb even if not designed explicitly to do so. This meta‐analysis of randomized controlled trials (RCTs) evaluated effects of psychosocial interventions on SpWb in adults with cancer and tested potential moderators of intervention effects. Methods Six literature databases were systematically searched to identify RCTs of psychosocial interventions in which SpWb was an outcome. Doctoral‐level rater pairs extracted data using Covidence following Preferred Reporting Items for Systematic reviews and Meta‐Analyses guidelines. Standard meta‐analytic techniques were applied, including meta‐regression with robust variance estimation and risk‐of‐bias sensitivity analysis. Results Forty‐one RCTs were identified, encompassing 88 treatment effects among 3883 survivors. Interventions were associated with significant improvements in SpWb (g = 0.22, 95% CI [0.14, 0.29], p < 0.0001). Studies assessing the FACIT‐Sp demonstrated larger effect sizes than did those using other measures of SpWb (g = 0.25, 95% CI [0.17, 0.34], vs. g = 0.10, 95% CI [−0.02, 0.23], p = 0.03]. No other intervention, clinical, or demographic characteristics significantly moderated effect size. Conclusions Psychosocial interventions are associated with small‐to‐medium‐sized effects on SpWb among cancer survivors. Future research should focus on conceptually coherent interventions explicitly targeting SpWb and evaluate interventions in samples that are diverse with respect to race and ethnicity, sex and cancer type.

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Section: Resultsmentioning

confidence: 99%

“…Studies contributing multiple effects involved multiple active intervention arms 40,42,48,53 or assessed SpWb at multiple follow-up times. [35][36][37][38]40,42,44,47,48,[50][51][52][53][54]56,[61][62][63]68,[70][71][72][73]…”

Section: Study Selectionmentioning

confidence: 99%

A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

et al. 2020

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“…25 The MAC is an 8item questionnaire examining Hispanic acculturation in relation to language use, media preferences, and ethnic social relations. Four additional items derived by Hoogland et al 31 addressing language preferences for receiving health information were included. Items are scored on a 1-5 scale.…”

Section: Methodsmentioning

confidence: 99%

Spiritual well‐being, distress and quality of life in Hispanic women diagnosed with cancer undergoing treatment with chemotherapy

et al. 2022

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Objective Previous studies have examined whether spiritual well‐being is associated with cancer outcomes, but minority populations are under‐represented. This study examines associations of baseline spiritual well‐being and change in spiritual well‐being with change in distress and quality of life, and explores potential factors associated with changes in spiritual well‐being among Hispanic women undergoing chemotherapy. Methods Participants completed measures examining spiritual well‐being, distress, and quality of life prior to beginning chemotherapy and at weeks 7 and 13. Participants' acculturation and sociodemographic data were collected prior to treatment. Mixed models were used to examine the association of baseline spiritual well‐being and change in spiritual well‐being during treatment with change in distress and quality of life, and to explore whether sociodemographic factors, acculturation and clinical variables were associated with change in spiritual well‐being. Results A total of 242 participants provided data. Greater baseline spiritual well‐being was associated with less concurrent distress and better quality of life (p < 0.001), as well as with greater emotional and functional well‐being over time (p values < 0.01). Increases in spiritual well‐being were associated with improved social well‐being during treatment, whereas decreases in spiritual well‐being were associated with worsened social well‐being (p < 0.01). Married participants reported greater spiritual well‐being at baseline relative to non‐married participants (p < 0.001). Conclusions Greater spiritual well‐being is associated with less concurrent distress and better quality of life, as well as with greater emotional, functional, and social well‐being over time among Hispanic women undergoing chemotherapy. Future work could include developing culturally targeted spiritual interventions to improve survivors' well‐being.

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“…Detailed description of the study intervention and groups has been previously published. 20 Questionnaires were administered again at five or seven weeks after baseline, depending on chemotherapy schedule.…”

Section: Methodsmentioning

confidence: 99%

“…Participants were women enrolled in a randomized controlled trial evaluating the impact of a stress management intervention versus usual care on quality of life in Latina women undergoing chemotherapy. 20 The following were the eligible patients: 1) aged more than 18 years, 2) female, 3) self-identified as Hispanic or Latina, 4) capable of speaking and reading Spanish, 5) diagnosed with cancer, 6) scheduled to begin outpatient intravenous chemotherapy for reasons other than symptom palliation at Moffitt Cancer Center or Sylvester Comprehensive Cancer Center, and 7) able to provide written informed consent. Patients were ineligible if they had received chemotherapy in the previous two months or had a documented or observable visual, auditory, psychiatric, or neurological disorder that would interfere with study participation.…”

Section: Participantsmentioning

confidence: 99%

Evaluation of the Psychometric and Structural Properties of the Spanish Version of the Hospital Anxiety and Depression Scale in Latina Cancer Patients

Hyland

Hoogland

Gonzalez

et al. 2019

Journal of Pain and Symptom Management

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Context. The Hospital Anxiety and Depression Scale (HADS) is a brief self-report measure commonly used to screen for symptoms of anxiety and depression in cancer patients. The HADS has demonstrated validity in over 100 languages, including Spanish. However, validation studies have largely used European Spanish-speaking samples with a variety of medical diagnoses. Objectives. The aim of this study was to examine the psychometric properties of the Spanish version of the HADS in a sample of Spanish-speaking Latina women with cancer in the U.S. Methods. Participants (N ¼ 242) completed self-report measures of anxiety and depression (HADS), quality of life (Functional Assessment of Cancer TherapyeGeneral Version), cancer-related distress (Impact of Events ScaleeRevised Version Intrusion Subscale), and cancer symptomatology (Memorial Symptom Assessment ScaleeShort Form) before initiating chemotherapy and five to seven weeks later. Analyses evaluated internal consistency and test-retest reliability, construct validity, and convergent validity. Results. Factor analysis supported a two-factor structure as proposed by the original HADS developers (X 2 [76, N ¼ 242] ¼ 143.3, P < 0.001, comparative fit index ¼ 0.94, root-mean-square error of approximation ¼ 0.06, and standardized root-mean-square residual ¼ 0.06). The HADS and its subscales demonstrated good internal consistency (a ¼ 0.83e0.88) and test-retest reliability (intraclass correlation coefficient ¼ 0.76e0.82). Construct validity was evidenced by factor analysis and item-subscale, item-total, and subscale-total correlations. Convergent validity was demonstrated by strong positive correlations with cancer-related distress (r ¼ 0.51e0.71) and symptom severity (r ¼ 0.54e0.62) and strong negative correlations with quality of life (r ¼ À0.63 to À0.76) (all P's < 0.001). Conclusion. The Spanish version of the HADS evidenced sound psychometric properties in Latinas with cancer in the U.S., supporting its use in clinical oncology research and practice.

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Efficacy of a Spanish‐Language Self‐Administered Stress Management Training intervention for Latinas undergoing chemotherapy

Abstract: To be effective, stress management interventions for Latinas receiving chemotherapy may necessitate more attention from an interventionist, delivery of the intervention over a longer interval, and/or a group-based format.

Cited by 10 publications

References 41 publications

A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

Spiritual well‐being, distress and quality of life in Hispanic women diagnosed with cancer undergoing treatment with chemotherapy

Evaluation of the Psychometric and Structural Properties of the Spanish Version of the Hospital Anxiety and Depression Scale in Latina Cancer Patients

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