Impact of a bilingual education intervention on the quality of life of Latina breast cancer survivors.

Publisher: Oncology Nursing Society Country of Publication: United States NLM ID: 7809033 Publication Model: Print Cited Medium: Internet ISSN: 1538-0688 (Electronic) Linking ISSN: 0190535X NLM ISO Abbreviation: Oncol Nurs Forum Subsets: MEDLINE

Publication: Pittsburgh, PA : Oncology Nursing Society
Original Publication: New York, Oncology Nursing Society.

Multilingualism*; Breast Neoplasms/*psychology ; Hispanic or Latino/*psychology ; Oncology Nursing/*methods ; Quality of Life/*psychology ; Survivors/*psychology; Acculturation ; Adult ; Affective Symptoms/ethnology ; Affective Symptoms/nursing ; Affective Symptoms/psychology ; Aged ; Breast Neoplasms/ethnology ; Breast Neoplasms/nursing ; California/epidemiology ; Female ; Humans ; Longitudinal Studies ; Middle Aged ; Oncology Nursing/organization & administration ; Pilot Projects ; Program Evaluation ; Prospective Studies ; Risk Factors ; Survivors/statistics & numerical data ; Uncertainty

Purpose/objectives: To test the effectiveness of a bilingual education intervention to improve the quality of life (QOL) of Latina breast cancer survivors (BCSs) after completing primary treatment for breast cancer.
Design: A two-group prospective, longitudinal, randomized, controlled trial.
Setting: An ambulatory-care setting of a designated comprehensive cancer center in southern California.
Sample: 52 English- and Spanish-speaking Latina BCSs.
Methods: Women were randomly assigned to the experimental or attention control group and completed measures of QOL, uncertainty, distress, and acculturation at baseline, and at three and six months postintervention.
Main Research Variables: QOL, uncertainty, and distress.
Findings: After controlling for acculturation, the four dimensions of QOL increased slightly in the groups or remained unchanged without significant group-by-time interaction. The social and psychological well-being subscales had the lowest scores, followed by physical and spiritual well-being. Although the group-by-time interaction was not statistically significant, the post-hoc difference for total QOL between time 2 and time 3 in the experimental group approached significance, with a slight increase in total QOL.
Conclusions: Latina BCSs have multiple survivorship and QOL concerns that might put them at risk for poor QOL.
Implications for Nursing: More culturally congruent intervention studies are needed to address the paucity of intervention research with Latina BCS.
Knowledge Translation: Core values must be incorporated in the development of health education programs. Those programs also should be linguistically appropriate and available to non-English-speaking Latinas. In this way, the informational and supportive needs of all BCSs can be met.

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K07 CA106351 United States CA NCI NIH HHS; K07CA106551-01A2 United States CA NCI NIH HHS

Date Created: 20121228 Date Completed: 20130613 Latest Revision: 20211203

20221213

PMC3711529

10.1188/13.ONF.E50-E60

23269782