Institute for Health Promotion Research, Mays Cancer Center, University of Texas Health San Antonio, San Antonio, TX, USA.
Institute for Health Promotion Research, Mays Cancer Center, University of Texas Health San Antonio, San Antonio, TX, USA.
Contemp Clin Trials. 2019 Jan;76:41-48. doi: 10.1016/j.cct.2018.11.002. Epub 2018 Nov 3.
Latino cancer survivors have lower survival rates for most cancers relative to non-Latino whites, including, colorectal, prostate, and breast. In addition, Latinos experience health disparities in both access to care and quality of care. Experts recommend providing psychosocial services as an integral part of quality cancer care; however, there continues to be a paucity of information on the efficacy of Patient Navigators (PNs) in linking Latino cancer survivors to appropriate psychosocial services. Redes En Acción: The National Latino Cancer Research Network partnered with LIVESTRONG Cancer Navigation Services Patient Navigation program (PN-LCNS) to provide an intervention to improve wellness and increase access to psychosocial services among non-metastatic Latino cancer survivors from Texas and Chicago using trained bilingual, bicultural PNs. The study design involved a mixed-methods approach in two phases. Phase I used a Community-Based Participatory Research (CBPR) approach wherein PNs engaged community partners who provide services to breast, colorectal and prostate Latino cancer survivors. Phase II was a randomized controlled trial (RCT) that evaluated the efficacy of combining PN-facilitated interventions with the culturally tailored and CBPR-informed PN-LCNS in 300 breast, prostate and colorectal Latino cancer survivors. Outcomes investigated were improvements in: 1) quality of life (QOL), both general and disease-specific, and; 2) treatment follow-up compliance. While limited work has addressed the psychosocial needs of Latino cancer survivors, culturally-competent interventions using PNs have potential to address these needs and significantly improve Latino cancer survivorship.
拉丁裔癌症幸存者在大多数癌症（包括结直肠癌、前列腺癌和乳腺癌）方面的生存率相对低于非拉丁裔白人。此外，拉丁裔在获得医疗保健和医疗质量方面存在差异。专家建议将社会心理服务作为癌症护理质量的一个组成部分，但关于患者导航员 (PN) 将拉丁裔癌症幸存者与适当的社会心理服务联系起来的效果的信息仍然很少。Redes En Acción：国家拉丁裔癌症研究网络与 LIVESTRONG 癌症导航服务患者导航计划 (PN-LCNS) 合作，为德克萨斯州和芝加哥的非转移性拉丁裔癌症幸存者提供一项干预措施，以改善健康状况并增加获得社会心理服务的机会，该干预措施由经过培训的双语、双文化 PN 实施。研究设计包括两个阶段的混合方法。第一阶段采用社区参与式研究 (CBPR) 方法，其中 PN 与为乳腺癌、结直肠癌和前列腺癌拉丁裔癌症幸存者提供服务的社区合作伙伴合作。第二阶段是一项随机对照试验 (RCT)，评估了将 PN 促进干预与针对文化的、基于 CBPR 的 PN-LCNS 相结合对 300 名乳腺癌、前列腺癌和结直肠癌拉丁裔癌症幸存者的疗效。调查的结果是：1）生活质量（QOL），包括一般和特定疾病，以及 2）治疗随访依从性的改善。虽然有限的工作已经解决了拉丁裔癌症幸存者的社会心理需求，但使用 PN 的文化能力干预措施有可能满足这些需求，并显著改善拉丁裔癌症幸存者的生存状况。
