Practice of psycho‐oncology with Latino patients: An international study

Costas-Muñíz, Rosario; Castro-Figueroa, Eida M; Torres-Blasco, Normarie; Claros, Maria; Galindo-Vázquez, Oscar; Narang, Bharat; Gany, Francesca

doi:10.1002/pon.5552

Cited by 5 publications

(6 citation statements)

References 9 publications

(16 reference statements)

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“…It is critically important the support not only of the integration of psychosocial oncology care in the national cancer care plans, but also the development, dissemination, and implementation of practice guidelines based on expert consensus and/or scientific evidence sponsored or developed by professional organizations, institutes, and other public health entities to support the development and implementation of evidence-based practice. Further, previous research has highlighted the importance of studying the practice of psycho-oncology with underserved populations and in low-resource settings to address disparities in access to psychosocial oncology services and support the use of evidence-based practice ( Costas-Muniz et al, 2021 ). Improving the acceptance and use of general psychosocial care in cancer will facilitate the implementation and sustainability of interventions, such as MCP-L.…”

Section: Discussionmentioning

confidence: 99%

“…In the first part, the MCP manual content was shared with the mental health providers and they were asked questions about comprehension and acceptability of the goals, themes, concepts, and strategies of MCP and acceptability and feasibility of MCP strategies. The questions of the first part were guided by the EVM (cultural adaptation framework) ( Costas-Muniz et al, 2017 ; Costas-Muniz, Torres-Blasco, et al, 2021 ). The second part included questions about implementation barriers and facilitators.…”

Section: Methodsmentioning

confidence: 99%

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International adaptation of Meaning-Centered Psychotherapy for Latinos: Providers’ views on pre-implementation

Costas-Muñíz

Torres-Blasco

Castro-Figueroa

et al. 2022

Implementation Research and Practice

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Background This qualitative study aims to identify facilitators of and barriers to the implementation of Meaning-Centered Psychotherapy (MCP) by providers of mental health services to Latinos in the US and Latin America using the practical, robust implementation and sustainability model (PRISM). This information will be used to increase usability and acceptability of MCP for Latino patients with cancer and their providers in Latin America and the US. Methods A total of 14 Latino cancer patient mental health providers completed in-depth semi-structured interviews. Participants were recruited from 9 countries and 12 different sites. They provided feedback about barriers to and facilitators of implementation of MCP at the patient, provider, and clinic levels in their clinical setting. The qualitative data from the interviews was coded according to PRISM domains. Three analysts independently coded the transcripts; discrepancies between analysts were resolved through discussion and consensus. Results Based on PRISM, themes were: clinic environment (protected time for training and supervision), intervention characteristics (adapt the intervention using more simple language, include more visual aids, include more family-oriented content), patient (develop materials for the identification and screening of patients, provide educational materials, increase motivation and knowledge about psychotherapy, assess commitment to psychotherapy, adapt for the inpatient vs. outpatient setting), provider (receive interactive/participatory training, educational materials, ongoing supervision, have flexibility of delivering the intervention in a less structured manner, theoretical framework of the provider) and external environment (work at policy level to integrate services for oncology patients). Conclusion These qualitative data revealed potential facilitators and barriers of this intervention (MCP) on an international scale. Identified cultural, contextual, and healthcare systems factors illustrated the importance of examining pre-implementation needs prior to implementing a trial. We will design and plan a future RCT using the PRISM framework and these pre-implementation data. Plain Language Summary This study integrates frameworks of implementation science and cultural adaptation through the examination of pre-implementation contextual issues at the preparation phase of a cultural adaptation of a psychotherapeutic intervention, Meaning-Centered Psychotherapy (MCP), for Latinos with advanced cancer. By examining implementation needs early in the implementation process, during preparation, the intervention can be adapted in a way that attends to and addresses the providers’ most cited challenges in implementation: having a rigid protocol/structure, complexity of the intervention, disease burden preventing adherence to the intervention, transportation, and competing demands, and limited clinic space to offer the intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

International adaptation of Meaning-Centered Psychotherapy for Latinos: Providers’ views on pre-implementation

Costas-Muñíz

Torres-Blasco

Castro-Figueroa

et al. 2022

Implementation Research and Practice

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“…Our publications have focused on the practice of PO, instrument validation, training, and collaborative projects. 3,[6][7][8][9][10] We have 4 studies currently in the data collection or analysis phases, described below.…”

Section: Research Initiativesmentioning

confidence: 99%

“…Little is known of the implementation, availability and practice of PO [1][2][3][4] in Latin America. 5 FIPOL was founded in response to the need for collaborative support and development of PO in the region.…”

Section: Introductionmentioning

confidence: 99%

FIPOL: An initiative to support research collaborations, resource development, scientific communication, and educational opportunities in psychosocial oncology for Latin America

et al. 2022

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� The goal of FIPOL (Training and Resources in Psychosocial Oncology for Latin America) is to support the development of psychosocial oncology (PO) in Latin American countries � FIPOL aims to increase global awareness of academic opportunities in PO and behavioral medicine and facilitates exchanges and collaborations between Spanish-speaking clinicians and researchers from diverse backgrounds and Spanish-speaking countries who work in cancer and psychosocial care 160 - Psycho-Oncology.

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“…25 Furthermore, mental health professionals who treat Latino patients with cancer have reported addressing concerns and coping strategies pertinent to issues of family, emotions, experience with cancer and its trajectory, end of life, communication, education, socioeconomic factors, and physical symptoms. 26 Given the scope of mental health providers' work and professional experiences, they can be key informants about the concerns and emotional, health-related, and socioeconomic needs of Latino patients with cancer. The main strength of this article was to provide longitudinal data on adult Latino people with cancer about the impact of the COVID-19 pandemic in 2020 and 2021 from the perspective of mental health professionals.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 pandemic–related emotional, social, and medical concerns of Latino patients with cancer: perspectives of mental health providers

Costas-Muñiz,

Montaña,

Ruda-Santolaria

et al. 2024

Journal of Psychosocial Oncology Research and Practice

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Introduction: Latino people with cancer might face additional health, emotional, and socioeconomic burdens of the COVID-19 pandemic. Methods: This study included data from two waves of (independent) assessments with providers of mental health services to Latino/Hispanic people with cancer from the United States, Spain, and Latin America (first wave: May–July 2020; second wave: March–July 2021) who completed a cross-sectional online survey with open-ended and closed-ended questions, including concerns of people with cancer with/without COVID-19. Results: The response rates were 15% for Wave 1 (N = 88) and 14% for Wave 2 (N = 115). For Wave 1, 74 surveys were completed by clinicians and included in the analyses; for Wave 2, 115 surveys were included. Providers (first [77%] and second [84%] waves) reported that most patients had concerns about stress/symptoms of anxiety, followed by concerns about COVID-19 exposure (first [74%] and second [82%] waves) and family members' exposure (second wave 75%), hospital visits or appointments (82%, 79%, respectively), treatment/testing delays (69%, 72%, respectively), general health (58%, 71%, respectively), and income/salary loss or reduction (60%, 50%, respectively). According to providers, concerns of patients diagnosed with COVID-19 included fear of death and dying, spreading the disease, getting worse, and lack of appropriate medical care. Conclusion: Our findings reveal the need to address health, emotional, and socioeconomic burdens of the COVID-19 pandemic throughout Latin America, Spain, and the United States for Latino people with cancer. Interventions targeting the health care access, emotional, and socioeconomic needs of Latino people with cancer are warranted.

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Practice of psycho‐oncology with Latino patients: An international study

Cited by 5 publications

References 9 publications

International adaptation of Meaning-Centered Psychotherapy for Latinos: Providers’ views on pre-implementation

International adaptation of Meaning-Centered Psychotherapy for Latinos: Providers’ views on pre-implementation

FIPOL: An initiative to support research collaborations, resource development, scientific communication, and educational opportunities in psychosocial oncology for Latin America

COVID-19 pandemic–related emotional, social, and medical concerns of Latino patients with cancer: perspectives of mental health providers

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