Translating a stress management intervention for rural Latina breast cancer survivors: The Nuevo Amanecer-II

• DOI: 10.1371/journal.pone.0224068
• Publication Date: 2019-10-16T20:17:36Z
• Authors: Jasmine Santoyo-O...; Anita L. Stewart; Cathy Samayoa; Helen Palomino; Aday Urias; Nayeli Gonzalez; Alma Torres-Nguyen; LaVerne Coleman; Cristian Escalera; Vicken Y. Totten; Carmen Ortiz; Anna Maria Nápoles
• Keywords: Stress Management

Objectives Adapt a cognitive-behavioral stress management program (Nuevo Amanecer or NA) to be generalizable rural, low literacy Spanish-speaking Latinas with breast cancer survivors at all phases of survivorship. Methods Apply the Transcreation Framework, community-engaged translational model, develop adapted NA-II), design randomized controlled trial for community settings, identify recruiters and interventionists, recruit participants into trial. Results Adaptations included expanding from eight ten weeks, simplifying materials, increasing skills practice. We added videos, healthy lifestyles information, survivorship information. Interventionists were trained Latina survivors. All core components NA retained in NA-II including managing impact cancer, information on its treatment, finding getting support, thoughts, techniques, setting goals. Participants receive manual. Each session includes review that week's content using manual, practicing stress-management skill, specific goal, reviewing videos. non-metastatic recruited by recruiters. Of 231 women approached, 24% refused, 10% ineligible, 153 (66%) intervention wait-list control group. The sample was vulnerable: 69% had < high school education, more than half only Medicaid no insurance, 91% foreign born, 48% reported financial hardship past year. Conclusions Applying Framework engage stakeholders designing community-based RCTs enhanced congruence contexts recruitment this vulnerable population.