Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Department of Supportive Care Medicine, City of Hope, Duarte, California, USA.
J Psychosoc Oncol. 2022;40(6):695-707. doi: 10.1080/07347332.2021.1983688. Epub 2021 Oct 7.
The smartphone application was developed to improve quality of life and symptom burden (primary outcomes) for Latina breast cancer survivors (BCS) and tested in a pilot randomized controlled trial compared to an attention-control condition ( smartphone application). This secondary analysis examined effects on breast cancer knowledge, coping, and cancer-related self-efficacy (intervention targets). Latina BCS (N = 78) were randomized to or for six weeks. Linear mixed-effects modeling evaluated the effects of time and study condition on the intervention targets. Effects by engagement were explored. Both conditions showed improved breast cancer knowledge ( < 0.001), with a trend for greatest improvement among high users ( = 0.082). participants reported less self-blame overall than participants ( = 0.020). There were no effects on cancer-related self-efficacy (s > 0.05). Culturally-informed smartphone applications may enhance breast cancer knowledge and promote adaptive coping among Latina BCS.
这款智能手机应用程序旨在改善拉丁裔乳腺癌幸存者(BCS)的生活质量和症状负担(主要结果),并在一项针对智能手机应用程序的对照试验中进行了测试。这项二次分析研究了对乳腺癌知识、应对方式和与癌症相关的自我效能(干预目标)的影响。78 名拉丁裔 BCS 被随机分配到 或 进行为期六周的治疗。线性混合效应模型评估了时间和研究条件对干预目标的影响。并探讨了参与度的影响。两种情况都显示出了乳腺癌知识的提高( < 0.001),而在 高使用者中( = 0.082)的改善趋势更为明显。 参与者报告的自责总体上少于 参与者( = 0.020)。与癌症相关的自我效能(s > 0.05)没有影响。 具有文化信息的智能手机应用程序可能会提高拉丁裔乳腺癌幸存者的乳腺癌知识,并促进其适应性应对。