Badger Terry A, Segrin Chris, Hepworth Joseph T, Pasvogel Alice, Weihs Karen, Lopez Ana Maria
College of Nursing, The University of Arizona, Tucson, AZ 85721-0203, USA.
Psychooncology. 2013 May;22(5):1035-42. doi: 10.1002/pon.3101. Epub 2012 May 10.
This study aims to test two telephone-delivered interventions for their efficacy in improving quality of life (QOL) (psychological, physical, social, and spiritual) among Latinas with breast cancer and their family members or friends (labeled supportive partners in this study).
Latinas with breast cancer and their supportive partners (SPs) were randomly assigned to one of two telephone delivered 8-week interventions: (i) telephone interpersonal counseling (TIP-C) or (ii) telephone health education (THE). QOL assessments were made at baseline, immediately after the 8-week interventions ended, and at an 8-week follow-up. Seventy Latinas and their 70 SPs completed all assessments (36 in health education and 34 in counseling) and were included in the final analysis.
Both Latinas with breast cancer and their SPs had significant improvements in virtually all dimensions of QOL over the 16 weeks of the investigation. However, there was no evidence documenting the superiority of either intervention for improving QOL. Preliminary cost analysis found that the counseling intervention cost about $164.68 for one dyad compared with $107.03 for health education. The majority of participants reported benefit from the intervention and liked that the intervention was in Spanish, included SPs, and was delivered by telephone.
The results of this study show that relatively brief, culturally appropriate, and highly accessible telephone-delivered interventions that provide emotional and information support can bring about substantial improvements in QOL for both Latinas with breast cancer and their SPs.
本研究旨在测试两种通过电话提供的干预措施,以评估其对改善拉丁裔乳腺癌患者及其家庭成员或朋友(本研究中称为支持伙伴)生活质量(QOL)(心理、身体、社会和精神方面)的效果。
患有乳腺癌的拉丁裔患者及其支持伙伴被随机分配到两种为期8周的电话干预措施之一:(i)电话人际咨询(TIP-C)或(ii)电话健康教育(THE)。在基线、8周干预结束后立即以及8周随访时进行生活质量评估。70名拉丁裔患者及其70名支持伙伴完成了所有评估(36名参与健康教育,34名参与咨询)并被纳入最终分析。
在为期16周的调查中,患有乳腺癌的拉丁裔患者及其支持伙伴在生活质量的几乎所有维度上都有显著改善。然而,没有证据表明哪种干预措施在改善生活质量方面更具优势。初步成本分析发现,咨询干预措施每组花费约164.68美元,而健康教育每组花费107.03美元。大多数参与者报告称从干预中受益,并喜欢该干预措施使用西班牙语、包含支持伙伴且通过电话提供。
本研究结果表明,相对简短、文化适宜且易于获得的通过电话提供的干预措施,能够提供情感和信息支持,可使患有乳腺癌的拉丁裔患者及其支持伙伴的生活质量得到显著改善。