scholarly journals The association of neighborhood context with health outcomes among ethnic minority breast cancer survivors

2017 ◽  
Vol 41 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Chenkai Wu ◽  
Kimlin Tam Ashing ◽  
Veronica C. Jones ◽  
Lisa Barcelo
Keyword(s):  
Breast Cancer ◽  
Health Outcomes ◽  
Cancer Survivors ◽  
Ethnic Minority ◽  
Breast Cancer Survivors ◽  
Neighborhood Context

Impact of religious and spiritual beliefs on neuroendocrine function and health outcomes in breast cancer survivors

2015 ◽  
Author(s):  
◽  
Jennifer M. Hulett
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Health Outcomes ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Empirical Support ◽  
Subjective Health ◽  
Physical And Mental Health ◽  
Spiritual Beliefs ◽  
Objective Evidence

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] Background: Breast cancer survivors rely on religious and spiritual beliefs to cope with breast cancer survivorship. Previous data have shown that religious and spiritual beliefs were associated with health outcomes. However, a gap in the literature has been a lack of objective evidence linking psychosocial variables with physiological outcomes. Purpose: The purpose of this study was to examine relationships between and among religious and spiritual variables, subjective health outcomes, and neuroendocrine-mediated cortisol activity in breast cancer survivors. Design: This was an exploratory, feasibility, and cross-sectional studyMethod: Subjective measures were: religious/spiritual variables (Brief Multi-dimensional Measures of Religiousness/Spirituality), subjective health (SF-36v2 Health Outcomes), and personality traits (NEO-FFI-3 Personality Inventory). Objective measures included salivary cortisol, blood pressure, pulse, respirations, and body mass index. The sample consisted of female breast cancer survivors (n=41). Results: Positive spiritual beliefs and forgiveness were related to better mental health. Positive congregational support was related to better physical and mental health. Positive spiritual experiences were associated with healthier cortisol activity patterns. Conscientiousness was associated with less healthy cortisol patterns. Subjective health perceptions were not associated with cortisol activity. Conclusion: Data supported a psychoneuroimmunological model of health in which spiritual variables were related to subjective health outcomes. Positive spiritual beliefs and conscientiousness were associated with neuroendocrine-mediated cortisol activity; although, more empirical support is required.

Prospective change in 25-OH vitamin D levels over long-term follow-up and health outcomes in breast cancer survivors.

2010 ◽  
Vol 28 (15_suppl) ◽  
pp. 6111-6111
Author(s):  
S. K. Taylor ◽  
M. Ennis ◽  
N. S. Hood ◽  
M. Graham ◽  
K. I. Pritchard ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Vitamin D ◽  
Health Outcomes ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Vitamin D Levels ◽  
Long Term Follow Up ◽  
25 Oh Vitamin D

scholarly journals A Lifestyle Intervention via Email in Minority Breast Cancer Survivors: Randomized Parallel-Group Feasibility Study (Preprint)

2017 ◽  
Author(s):  
Raheem J Paxton ◽  
Richard Hajek ◽  
Patricia Newcomb ◽  
Megha Dobhal ◽  
Sujana Borra ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Ethnic Minority ◽  
Lifestyle Intervention ◽  
Breast Cancer Survivors ◽  
Web Based ◽  
Phone Calls ◽  
Racial And Ethnic Minority ◽  
The Web

BACKGROUND Our data have indicated that minority breast cancer survivors are receptive to participating in lifestyle interventions delivered via email or the Web, yet few Web-based studies exist in this population. OBJECTIVE The aim of this study was to examine the feasibility and preliminary results of an email-delivered diet and activity intervention program, “A Lifestyle Intervention Via Email (ALIVE),” delivered to a sample of racial and ethnic minority breast cancer survivors. METHODS Survivors (mean age: 52 years, 83% [59/71] African American) were recruited and randomized to receive either the ALIVE program’s 3-month physical activity track or its 3-month dietary track. The fully automated system provided tools for self-monitoring and goal setting, tailored content, and automated phone calls. Descriptive statistics and mixed-effects models were computed to examine the outcomes of the study. RESULTS Upon completion, 44 of 71 survivors completed the study. Our “intention-to-treat” analysis revealed that participants in the physical activity track made greater improvements in moderate to vigorous activity than those in the dietary track (+97 vs. +49 min/week, P<.001). Similarly, reductions in total sedentary time among those in the physical activity track (−304 vs. −59 min/week, P<.001) was nearly 5 times greater than that for participants in the dietary track. Our completers case analysis indicated that participants in the dietary track made improvements in the intake of fiber (+4.4 g/day), fruits and vegetables (+1.0 cup equivalents/day), and reductions in saturated fat (−2.3 g/day) and trans fat (−0.3 g/day) (all P<.05). However, these improvements in dietary intake were not significantly different from the changes observed by participants in the physical activity track (all P>.05). Process evaluation data indicated that most survivors would recommend ALIVE to other cancer survivors (97%), were satisfied with ALIVE (82%), and felt that ALIVE was effective (73%). However, survivors expressed concerns about the functionality of the interactive emails. CONCLUSIONS ALIVE appears to be feasible for racial and ethnic minority cancer survivors and showed promising results for larger implementation. Although survivors favored the educational content, a mobile phone app and interactive emails that work on multiple email domains may help to boost adherence rates and to improve satisfaction with the Web-based platform. CLINICALTRIAL ClinicalTrials.gov NCT02722850; https://clinicaltrials.gov/ct2/show/NCT02722850 (Archived by WebCite at http://www.webcitation.org/6tHN9VsPh)

Improve, a community-based exercise intervention versus support group to improve functional and health outcomes among older African American and non-hispanic white breast cancer survivors from diverse socioeconomic backgrounds: Recruitment strategies and baseline characteristics.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e24052-e24052
Author(s):  
Cynthia Owusu ◽  
Nora Nock ◽  
Paul F. Hergenroeder ◽  
Kris Austin ◽  
Beth Bennett ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Outcomes ◽  
Cancer Survivors ◽  
Support Group ◽  
Breast Cancer Survivors ◽  
Exercise Intervention ◽  
Recruitment Strategies ◽  
Low Ses ◽  
Study Participation ◽  
Baseline Characteristics

e24052 Background: We conducted an exercise study to IMPROVE health outcomes in older breast cancer survivors (BCS) from diverse racial and socioeconomic backgrounds. Here, we report cohort recruitment strategies and baseline characteristics. Methods: ‘IMPROVE’ is a randomized trial, designed to evaluate a group-based exercise intervention compared to support group. Participants were ≥ 65 years, had stage I-III breast cancer and within five years of treatment completion. Enrollment target was 220 participants, 25% in each of four strata defined by race (AA versus Non-Hispanic Whites [NHW]) and SES (low vs. high). Participants were recruited through hospital-based tumor registries, the state tumor registry or direct referrals. Results: Between October 2016 and November 2019, 7487 patients were screened, 4790 were potentially eligible, 230 were consented and 213 randomized into the study. The Eligible-to-Randomization rates were 4.4% overall, and 84%, 8%, and 2% for recruitment utilizing direct referrals, hospital and state registries, respectively. Median age of the randomized cohort was 70 years (range: 65-88 years) and included 25% AA/Low SES, 20% AA/High SES, 19% NHW/Low SES and 36% NHW/High SES Older BCS. Compared with registry-eligible patients, directly referred patients were more likely to be AA vs. NHW (41% vs. 19%, p = 0.003) and to accept study participation (88% vs. 16%, p < 0.0001). Conclusions: Direct referrals resulted in the highest recruitment yield and was the most effective strategy for recruiting AA patients. Behavioral intervention studies seeking to target older BCS from racial minority and SES disadvantaged backgrounds should focus on strategies that foster direct referrals to study participation. Clinical trial information: NCT02763228 .

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