Nuevo Amanecer II: Translating a Stress Management Program for Latinas
| Status: | Completed |
|---|---|
| Conditions: | Breast Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/6/2019 |
| Start Date: | September 2016 |
| End Date: | February 2019 |
Translating a Stress Management Program for Latinas
The primary aim is to assess the effectiveness of the Nuevo Amanecer-II (NA-II)
cognitive-behavioral stress management program through a 6-month RCT with 150
Spanish-speaking Latinas with breast cancer in three rural settings in terms of improving
quality of life (QoL) and reducing distress, compared to a usual care control group (that is
offered the program at the end of the 6 months). The investigators will also test the effects
of the program on biomarkers of stress (hair and saliva cortisol) and aging (telomere length
from saliva). Trained Latinas, called Compañeras (Companions), who have had breast cancer
deliver the stress management program in-person to Spanish-speaking Latinas with breast
cancer.
cognitive-behavioral stress management program through a 6-month RCT with 150
Spanish-speaking Latinas with breast cancer in three rural settings in terms of improving
quality of life (QoL) and reducing distress, compared to a usual care control group (that is
offered the program at the end of the 6 months). The investigators will also test the effects
of the program on biomarkers of stress (hair and saliva cortisol) and aging (telomere length
from saliva). Trained Latinas, called Compañeras (Companions), who have had breast cancer
deliver the stress management program in-person to Spanish-speaking Latinas with breast
cancer.
The purpose of this study is to adapt Nuevo Amanecer (NA-I) for use in rural populations and
test the effects of the new adapted program, NA-II, in a 6-month RCT among 150 rural, low
literacy Latinas with non-metastatic breast cancer. Primary outcomes will consist of quality
of life and distress. In an ancillary study, the investigators will compare the intervention
and wait-list control groups on biomarkers of stress (hair and saliva cortisol) and aging
(telomere length from saliva). Finally, to facilitate statewide dissemination of Nuevo
Amanecer-II (NA-II), the investigators will develop a guide to implementation for
community-based organizations.
The investigators will adapt NA-I to be appropriate for rural and low-literacy Latinas with
breast cancer. Needed program adaptations will be identified through a formative evaluation
consisting of semi-structured interviews with key informants (e.g., rural Latina breast
cancer survivors, advocates, health care providers) and iterative consultations with
community representatives in three rural areas with large Latino populations. Results will be
applied by the study team and community advisors to adapt NA-I to create NA-II and create the
implementation guide.
The investigators will identify key individual, organizational, and community factors that
facilitate implementation and support scalability and statewide dissemination through a
process evaluation where the investigators will track key implementation activities and
debrief program participants, interventionists, and advocates. Products will include NA-II
interventionist and participant manuals and a guide to implementation for organizations
seeking to replicate the program.
test the effects of the new adapted program, NA-II, in a 6-month RCT among 150 rural, low
literacy Latinas with non-metastatic breast cancer. Primary outcomes will consist of quality
of life and distress. In an ancillary study, the investigators will compare the intervention
and wait-list control groups on biomarkers of stress (hair and saliva cortisol) and aging
(telomere length from saliva). Finally, to facilitate statewide dissemination of Nuevo
Amanecer-II (NA-II), the investigators will develop a guide to implementation for
community-based organizations.
The investigators will adapt NA-I to be appropriate for rural and low-literacy Latinas with
breast cancer. Needed program adaptations will be identified through a formative evaluation
consisting of semi-structured interviews with key informants (e.g., rural Latina breast
cancer survivors, advocates, health care providers) and iterative consultations with
community representatives in three rural areas with large Latino populations. Results will be
applied by the study team and community advisors to adapt NA-I to create NA-II and create the
implementation guide.
The investigators will identify key individual, organizational, and community factors that
facilitate implementation and support scalability and statewide dissemination through a
process evaluation where the investigators will track key implementation activities and
debrief program participants, interventionists, and advocates. Products will include NA-II
interventionist and participant manuals and a guide to implementation for organizations
seeking to replicate the program.
Inclusion Criteria:
- Self-identifies as Latina
- Diagnosed with Stage 0, I, II, or III (non-metastatic) breast cancer
- Primarily Spanish-speaking, or Spanish monolingual
- Aged 18 or older
- Living in surrounding areas of Tulare (Visalia, Dinuba), Santa Cruz (Eastside Santa
Cruz, Watsonville, Freedom), or Imperial Valley (El Centro) counties, California.
Exclusion Criteria:
- Terminal illness
- Stage IV breast cancer (distant metastasis)
We found this trial at
1
site
1203 North Cherry Street
Multiple Locations, California 93274
Multiple Locations, California 93274
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