Aycinena A Corina, Valdovinos Cristina, Crew Katherine D, Tsai Wei Yann, Mata Jennie M, Sandoval Rossy, Hershman Dawn, Greenlee Heather
Department of Health and Behavioral Studies, Teachers College, Columbia University, 525 W 120th Street, New York, NY, 10027, USA.
Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, USA.
J Immigr Minor Health. 2017 Feb;19(1):120-129. doi: 10.1007/s10903-015-0310-1.
Minority recruitment to cancer trials is low and there are limited data on minority adherence to lifestyle modification interventions. We examined factors related to recruitment and adherence to a pilot weight loss intervention among Hispanic and black breast cancer survivors. Participants completed a detailed screening interview to assess barriers to enrollment. An index was created to assess adherence at 6 months. 112 potentially eligible women were identified; 66 consented and completed a screening interview. After screening, 9 were ineligible; 15 opted to not enroll; and 42 were randomized. Among eligible women, earlier stage at diagnosis, treatment type, and negative beliefs related to exercise and diet after diagnosis were negatively associated with study enrollment (P < 0.05). Self-reported barriers to adherence included fatigue, family responsibilities, illness, work, transportation, and negative perceptions of exercise and diet. Results from this study emphasize the need to adapt recruitment and adherence strategies to address these factors.
少数族裔参与癌症试验的比例较低，而且关于少数族裔坚持生活方式改变干预措施的数据有限。我们研究了西班牙裔和黑人乳腺癌幸存者中与参与一项试点减肥干预措施及坚持该措施相关的因素。参与者完成了一次详细的筛查访谈，以评估入组的障碍。创建了一个指数来评估6个月时的依从性。确定了112名潜在符合条件的女性；66名同意并完成了筛查访谈。筛查后，9名不符合条件；15名选择不参加；42名被随机分组。在符合条件的女性中，诊断时的较早阶段、治疗类型以及与诊断后运动和饮食相关的负面信念与研究入组呈负相关（P<0.05）。自我报告的依从性障碍包括疲劳、家庭责任、疾病、工作、交通以及对运动和饮食的负面看法。这项研究的结果强调了需要调整招募和依从性策略以应对这些因素。
