School of Nursing, Duke University, Durham, NC.
Department of Biomedical Engineering, North Carolina State University, Chapel Hill, NC.
Menopause. 2019 Apr;26(4):373-382. doi: 10.1097/GME.0000000000001249.
One of the most prevalent and distressing symptoms after breast cancer treatment is menopausal symptoms. Asian American breast cancer survivors have lower quality of life and often receive inadequate management of menopausal symptoms compared to other racial/ethnic groups. Technology-based programs could be a solution to fill the gap in care. The purpose of this study was to test the efficacy of a technology-based information and coaching/support program on menopausal symptoms of Asian American breast cancer survivors.
This study adopted a randomized pretest/post-test group design among 91 Asian American breast cancer survivors (42 in an intervention group who used the program and the American Cancer Society Web site and 49 in a control group who used only the American Cancer Society Web site). The intervention was a theory-driven and culturally tailored intervention program that aimed to provide information and coaching/support using computers and mobile devices. Multiple instruments were used to measure background characteristics and menopausal symptoms at pretest, post 1-month, and post 3 months. An intent-to-treat linear mixed-model growth curve analysis was used to analyze the data.
The intervention group showed a significant decrease in the distress scores of menopausal symptoms over time: physical (β = -0.07, P = 0.08), psychological (β = -0.13, P = 0.05), psychosomatic (β = -0.17, P = 0.06), and total symptoms (β = -0.19, P = 0.01). Theory-based variables including attitudes, social influences, and self-efficacy partially mediated the impact of the intervention on the distress scores of menopausal symptoms (P < 0.10).
The program was effective in alleviating menopausal symptoms of Asian American breast cancer survivors.
乳腺癌治疗后最常见和最令人痛苦的症状之一是更年期症状。与其他种族/族裔群体相比，亚裔美国乳腺癌幸存者的生活质量较低，且经常得不到充分的更年期症状管理。基于技术的方案可能是解决这一护理空白的方法。本研究旨在测试基于技术的信息和辅导/支持计划对亚裔美国乳腺癌幸存者更年期症状的疗效。
本研究采用 91 名亚裔美国乳腺癌幸存者的随机预测试/后测试组设计（干预组 42 名，使用该程序和美国癌症协会网站，对照组 49 名，仅使用美国癌症协会网站）。干预措施是一种基于理论和文化调整的干预计划，旨在使用计算机和移动设备提供信息和辅导/支持。在预测试、1 个月后和 3 个月后，使用多种工具测量背景特征和更年期症状。采用意向治疗线性混合模型增长曲线分析来分析数据。
干预组的更年期症状困扰评分随时间呈显著下降：身体（β=-0.07，P=0.08）、心理（β=-0.13，P=0.05）、身心（β=-0.17，P=0.06）和总症状（β=-0.19，P=0.01）。基于理论的变量，包括态度、社会影响和自我效能感，部分介导了干预对更年期症状困扰评分的影响（P<0.10）。
该计划有效地缓解了亚裔美国乳腺癌幸存者的更年期症状。
