Nueva Vida Intervention for Latina Breast Cancer Survivors and Caregivers
Nueva Vida Intervention: Improving QOL in Latina Breast Cancer Survivors and Their Caregivers
研究概览
详细说明
What is the Nueva Vida Intervention? The "Nueva Vida Intervention: Improving Quality of Life in Latina Breast Cancer Survivors and Their Caregivers" is a randomized controlled trial (RCT) that was co-developed by a Latina breast cancer survivor who is trained as a mental health professional. The program was developed for Nueva Vida, a community-based organization (CBO) in the Washington, DC metropolitan area that serves Latina breast cancer survivors and their families. We are comparing the intervention to the usual services provided at our four partner community-based organizations.
How is the Nueva Vida Intervention Structured? The 8-session psycho-educational quality of life intervention includes group-based skill-building workshops in which Latina survivors and their caregivers are part of concurrently-held but separate groups (survivors in one room; caregivers in another). This separation meets the needs of Latino participants by encouraging them to freely share their experiences and feelings without worrying about upsetting the other person. Five of the eight sessions address core topics: Introduction and The Impact of Cancer on the Family, Stress Management, Improving Communication: Family, Friends, and Providers, Spirituality and Cancer, and Balancing Physical and Emotional Needs.
The remaining three sessions are selected by the intervention participants based on their own needs and interests from the following options: Anger Management, Intimacy after Cancer: Emotional and Sexual, Trauma and Cancer, Role Changes, Understanding Distress and Depression, Myths and Cancer, Including Others in Helping Caregivers, and Putting Our Lives in Order. At the end of the intervention everyone participates in a graduation ceremony.
How does the Nueva Vida Intervention Reflect Latino Values? The Nueva Vida intervention reflects Latino values, including personalismo (warm, personal relationships), familismo (emphasizing the family unit in managing a cancer diagnosis) and framing the sessions as workshops to avoid stigma associated with mental health care.
Where will the Nueva Vida Intervention Study take place? We will evaluate the Nueva Vida Intervention within a multi-site RCT at four community-based organizations in Washington, DC (Nueva Vida), New York, New York (SHARE, Gilda's Club New York City), and San Jose, California (Latinas Contra Cancer).
What is Involved in Study Participation? Latina survivors and their caregivers will be assigned by chance (randomized) to either the Nueva Vida Intervention or to usual care. Survivors and caregivers assigned to usual care can take part in any and all of the services provided at one of the four community-based organizations who are study partners. Both survivors and caregivers will complete informed consent forms and telephone surveys at the beginning of the study, about 4 months later, and again 6 months later. Survivors and caregivers receive gift cards in appreciation of their time for completing the surveys.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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California
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San Jose、California、美国、95110
- Latinas Contra Cancer
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District of Columbia
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Washington、District of Columbia、美国、20007
- Nueva Vida
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New York
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New York、New York、美国、10014
- Gilda's Club New York City
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New York、New York、美国、95110
- SHARE
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Survivors: Latina, has been diagnosed with breast cancer, speaks English or Spanish, has a Caregiver who is willing to participate.
- Caregivers: a primary caregiver for a Latina breast cancer survivor, speak English or Spanish
Exclusion Criteria:
- Inability to understand spoken English and/or Spanish and/or
- Cognitive impairment that precludes informed consent (determined by the PIs or Co-Investigators who are mental health professionals).
学习计划
研究是如何设计的?
设计细节
- 主要用途:支持治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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有源比较器:Nueva Vida Intervention
Nueva Vida Intervention consists of 8 sessions of a skills-building group held twice a month for 4 months.
Latina survivors and their caregivers arrive at the group together, separate into different rooms to learn the coping and communication skills, and then join together for discussion of the topic.
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The psycho-educational format of the Nueva Vida Intervention is led by trained interventionists who have the survivors and caregivers go into different rooms to discuss the same topic.
This format will allows them each to express their thoughts and feelings without inhibitions or concerns over how their survivor or their caregiver might respond.
The specific topics for each wave of the intervention participants will be determined from a larger list of possible topics, with each group including the following core topics: Impact of Cancer on the Family, Spirituality and Cancer, Stress Management, Balancing Physical and Emotional Needs and Improving Communication.
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无干预:Usual Care
Usual care as provided by each of our 4 community-based organization partners.
Usual care can include but is not limited to support groups, patient navigation, individual, couple or family therapy.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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PROMIS Physical Functioning
大体时间:6 months
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Measure Quality of Life physical functioning; 6 items; Sum and then use IRT to standardize the score.
Mean of 50; SD of 10.
Range of the raw score = 6-28; A higher score = higher physical functioning
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6 months
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PROMIS Satisfaction With Social Roles
大体时间:6 months
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Measure Quality of Life satisfaction with social roles domain; 6 items; Sum and then use IRT to standardize the score.
Mean of 50; SD of 10; Range of the raw score = 6-30; A higher score = higher satisfaction with social roles
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6 months
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PROMIS Anxiety
大体时间:6 months
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Quality of life: Anxiety; 6 items; Sum and then use IRT to standardize the score.
Mean of 50; SD of 10.
Range of the raw score = 6 to 30.
A higher score = higher anxiety
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6 months
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PROMIS Depression
大体时间:6 months
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Quality of life: depression; 6 items; Sum and then use IRT to standardize the score.
Mean of 50; SD of 10.
Range of the raw score = 6-30; A higher score = higher depression
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6 months
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PROMIS Fatigue
大体时间:6 months
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Quality of life: fatigue; 4 items; Sum and then use IRT to standardize the score.
Mean of 50; SD of 10.
Range of the raw score = 4-20; A higher score = higher fatigue
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6 months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Communication - Survivors Only - Patient Satisfaction With Care (PSQ-18 Communication Subscale)
大体时间:6-months
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Communication with providers in terms of overall satisfaction with communication.
Range for subscale is 1-5; higher scores indicate higher communication satisfaction.
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6-months
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Self-Efficacy - Survivors Only - Cancer Behavior Inventory (CBI)
大体时间:6 Months
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Self-efficacy; cancer survivors' confidence in coping with cancer and its treatment
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6 Months
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Satisfaction With Care - Survivors Only - Experience of Care and Health Outcomes (ECHOS-NHL)
大体时间:6-months
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Satisfaction with health care received by the breast cancer survivor from her oncology health care providers or general health care providers
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6-months
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合作者和调查者
调查人员
- 首席研究员:Kristi D Graves, Ph.D.、Georgetown University
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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