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Purpose <p>Assess the feasibility, acceptability, and preliminary efficacy of lay health educators to enhance Hispanic/Latino survivors’ knowledge of their cancer history, screening needs, and health-related self-efficacy.</p> Methods <p>Hispanic/Latino survivors diagnosed within 5&#xa0;years were recruited from three clinics and a regional cancer registry. Survivors were randomized to receive a personalized survivorship care plan (SCP; control) or SCP plus telephone session with a bilingual-bicultural lay health educator (intervention). Survivors were reassessed after 3&#xa0;months. Primary outcomes were feasibility (meeting accrual, <i>n</i> = 60–100) and acceptability of the SCP and education session. Secondary outcomes were changes in survivors’ knowledge of their cancer history, screening needs, and health-related self-efficacy.</p> Results <p>Ninety-fine survivors (median age 55&#xa0;years, 78% female, 56% low/marginal health literacy) were randomized (<i>n</i> = 48 intervention). Seventy-nine completed the study; most found the SCP useful (82% intervention; 68% control); 84% of the intervention group rated the education session useful. Over time, both groups had improved knowledge of their cancer history (accuracy increased from 71.5 ± 16.4% to 73.8 ± 15.0%; <i>p</i> = 0.19) although differences over time and between groups were not statistically significant. At follow-up compared with baseline, participants were more likely to report plans for future screening: cervical (57% versus 31%, <i>p</i> = 0.002); colorectal (39% versus 26%, <i>p</i> = 0.10). Although the change in self-efficacy did not differ between study groups, self-efficacy significantly improved within the control group over time (0.3; 95% CI 0.1, 0.5).</p> Conclusions <p>Hispanic/Latino survivors found the SCP and education session acceptable. SCPs alone may improve knowledge and adherence to cancer screening.</p> Implications for Cancer Survivors <p>Provision of a SCP may benefit Hispanic/Latino survivors.</p> Clinical trial registration <p>clinicaltrials.gov NCT04081779.</p>

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Enhancing survivorship care among Hispanic/Latino cancer survivors via lay health educators: results of a pilot randomized trial

  • 期刊论文

  • 发表日期：

    2025年2月15日

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  • Eric J. Chow,
  • Nancy A. Blythe,
  • Kara L. Cushing-Haugen,
  • Catherine Duggan,
  • K. Scott Baker,
  • Allison M. Cole,
  • Spencer Green,
  • Adrianna I. Guiterrez,
  • Ethan Lee,
  • Hannah M. Linden,
  • Jason A. Mendoza,
  • Timothy J. D. Ohlsen,
  • Katrina F. Ortblad,
  • Stephen M. Schwartz,
  • Rachel L. Yung,
  • Rachel M. Ceballos

摘要

Purpose

Assess the feasibility, acceptability, and preliminary efficacy of lay health educators to enhance Hispanic/Latino survivors’ knowledge of their cancer history, screening needs, and health-related self-efficacy.

Methods

Hispanic/Latino survivors diagnosed within 5 years were recruited from three clinics and a regional cancer registry. Survivors were randomized to receive a personalized survivorship care plan (SCP; control) or SCP plus telephone session with a bilingual-bicultural lay health educator (intervention). Survivors were reassessed after 3 months. Primary outcomes were feasibility (meeting accrual, n = 60–100) and acceptability of the SCP and education session. Secondary outcomes were changes in survivors’ knowledge of their cancer history, screening needs, and health-related self-efficacy.

Results

Ninety-fine survivors (median age 55 years, 78% female, 56% low/marginal health literacy) were randomized (n = 48 intervention). Seventy-nine completed the study; most found the SCP useful (82% intervention; 68% control); 84% of the intervention group rated the education session useful. Over time, both groups had improved knowledge of their cancer history (accuracy increased from 71.5 ± 16.4% to 73.8 ± 15.0%; p = 0.19) although differences over time and between groups were not statistically significant. At follow-up compared with baseline, participants were more likely to report plans for future screening: cervical (57% versus 31%, p = 0.002); colorectal (39% versus 26%, p = 0.10). Although the change in self-efficacy did not differ between study groups, self-efficacy significantly improved within the control group over time (0.3; 95% CI 0.1, 0.5).

Conclusions

Hispanic/Latino survivors found the SCP and education session acceptable. SCPs alone may improve knowledge and adherence to cancer screening.

Implications for Cancer Survivors

Provision of a SCP may benefit Hispanic/Latino survivors.

Clinical trial registration

clinicaltrials.gov NCT04081779.