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Variation in Resources Needed to Implement Psychosocial Support Interventions for Rural Breast Cancer Survivors

Identifieur interne : 000D25 ( Pmc/Checkpoint ); précédent : 000D24; suivant : 000D26

Variation in Resources Needed to Implement Psychosocial Support Interventions for Rural Breast Cancer Survivors

Auteurs : Maria Pisu [États-Unis] ; Karen Meneses [États-Unis] ; Andres Azuero [États-Unis] ; Rachel Benz [États-Unis] ; Xiaogang Su [États-Unis] ; Patrick Mcnees [États-Unis]

Source :

RBID : PMC:4779072

Abstract

Purpose

Understanding how resources are used provides guidance to disseminating effective interventions. Here, we report data on implementation resources needed for the Rural Breast Cancer Survivors (RBCS) study that tested a telephone-delivered psychoeducational education and support intervention to survivors in rural Florida. Intervention resources included interventionists’ time on one intake assessment (IA) call, 3 education calls (ED), one follow-up education call (FUE), 6 support (SUP) calls, and documentation time per survivor.

Methods

Interventionists logged start and end times of each type of call. Average interventionist time in minutes was calculated by call type. Associations between interventionists’ time and participants’ characteristics including age, race/ethnicity, time since treatment, cancer treatment, depressive symptoms, education, income, employment, and support, was assessed using linear mixed models with repeated measures.

Results

Among 328 survivors, IA calls lasted 66.9 minutes (SD 21.7); ED lasted 50.6 (SD 16.7), 48.1 (SD 15.9), and 39.6 (SD 14.8); FUE lasted 24.7 (SD 14.8); and SUP 42.8 (SD 29.6) minutes. Documentation time was 18.4 minutes for IA, 23-27 for ED, 12.3 for FUE, and 23.0 for SUP.

Conclusion

Interventionists spent significantly more time with participants with depressive symptoms, who already used other support, and who received SUP calls before the ED vs. after. There were no significant differences by time since or type of cancer treatment, or other personal characteristics.

Implications for Cancer Survivors

Resources vary by survivor characteristics. Careful consideration of mental health status or support available is warranted for planning implementation and dissemination of effective survivorship interventions on a broad scale.


Url:
DOI: 10.1007/s11764-015-0483-6
PubMed: 26341349
PubMed Central: 4779072


Affiliations:


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</sec>
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<title>Methods</title>
<p id="P2">Interventionists logged start and end times of each type of call. Average interventionist time in minutes was calculated by call type. Associations between interventionists’ time and participants’ characteristics including age, race/ethnicity, time since treatment, cancer treatment, depressive symptoms, education, income, employment, and support, was assessed using linear mixed models with repeated measures.</p>
</sec>
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<title>Results</title>
<p id="P3">Among 328 survivors, IA calls lasted 66.9 minutes (SD 21.7); ED lasted 50.6 (SD 16.7), 48.1 (SD 15.9), and 39.6 (SD 14.8); FUE lasted 24.7 (SD 14.8); and SUP 42.8 (SD 29.6) minutes. Documentation time was 18.4 minutes for IA, 23-27 for ED, 12.3 for FUE, and 23.0 for SUP.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">Interventionists spent significantly more time with participants with depressive symptoms, who already used other support, and who received SUP calls before the ED vs. after. There were no significant differences by time since or type of cancer treatment, or other personal characteristics.</p>
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<sec id="S5">
<title>Implications for Cancer Survivors</title>
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<surname>Pisu</surname>
<given-names>Maria</given-names>
</name>
<degrees>PhD</degrees>
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<name>
<surname>Meneses</surname>
<given-names>Karen</given-names>
</name>
<degrees>PhD, RN, FAAN</degrees>
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<given-names>Andres</given-names>
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<degrees>PhD</degrees>
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<xref ref-type="aff" rid="A5">e</xref>
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<contrib contrib-type="author">
<name>
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<given-names>Rachel</given-names>
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<degrees>RN, MSN</degrees>
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<name>
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<given-names>Xiaogang</given-names>
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<degrees>PhD</degrees>
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<name>
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<given-names>Patrick</given-names>
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<degrees>PhD, FAAN</degrees>
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Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL</aff>
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School of Nursing, University of Alabama at Birmingham, Birmingham, AL</aff>
<aff id="A3">
<label>c</label>
Department of Mathematical Sciences, University of Texas at El Paso, El Paso, Texas</aff>
<aff id="A4">
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School of Health Professions, University of Alabama at Birmingham, Birmingham, AL</aff>
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Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL</aff>
<author-notes>
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<bold>Corresponding Author: Karen Meneses</bold>
PhD, Professor & Associate Dean for Research, University of Alabama at Birmingham, 1701 University Blvd. Birmingham, AL. 35294,
<email>menesesk@uab.edu</email>
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<pmc-comment>elocation-id from pubmed: 10.1007/s11764-015-0483-6</pmc-comment>
<abstract>
<sec id="S1">
<title>Purpose</title>
<p id="P1">Understanding how resources are used provides guidance to disseminating effective interventions. Here, we report data on implementation resources needed for the Rural Breast Cancer Survivors (RBCS) study that tested a telephone-delivered psychoeducational education and support intervention to survivors in rural Florida. Intervention resources included interventionists’ time on one intake assessment (IA) call, 3 education calls (ED), one follow-up education call (FUE), 6 support (SUP) calls, and documentation time per survivor.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Interventionists logged start and end times of each type of call. Average interventionist time in minutes was calculated by call type. Associations between interventionists’ time and participants’ characteristics including age, race/ethnicity, time since treatment, cancer treatment, depressive symptoms, education, income, employment, and support, was assessed using linear mixed models with repeated measures.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Among 328 survivors, IA calls lasted 66.9 minutes (SD 21.7); ED lasted 50.6 (SD 16.7), 48.1 (SD 15.9), and 39.6 (SD 14.8); FUE lasted 24.7 (SD 14.8); and SUP 42.8 (SD 29.6) minutes. Documentation time was 18.4 minutes for IA, 23-27 for ED, 12.3 for FUE, and 23.0 for SUP.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">Interventionists spent significantly more time with participants with depressive symptoms, who already used other support, and who received SUP calls before the ED vs. after. There were no significant differences by time since or type of cancer treatment, or other personal characteristics.</p>
</sec>
<sec id="S5">
<title>Implications for Cancer Survivors</title>
<p id="P5">Resources vary by survivor characteristics. Careful consideration of mental health status or support available is warranted for planning implementation and dissemination of effective survivorship interventions on a broad scale.</p>
</sec>
</abstract>
<kwd-group>
<kwd>implementation costs</kwd>
<kwd>dissemination and implementation</kwd>
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<kwd>survivorship</kwd>
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<li>États-Unis</li>
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<name sortKey="Pisu, Maria" sort="Pisu, Maria" uniqKey="Pisu M" first="Maria" last="Pisu">Maria Pisu</name>
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<name sortKey="Benz, Rachel" sort="Benz, Rachel" uniqKey="Benz R" first="Rachel" last="Benz">Rachel Benz</name>
<name sortKey="Mcnees, Patrick" sort="Mcnees, Patrick" uniqKey="Mcnees P" first="Patrick" last="Mcnees">Patrick Mcnees</name>
<name sortKey="Meneses, Karen" sort="Meneses, Karen" uniqKey="Meneses K" first="Karen" last="Meneses">Karen Meneses</name>
<name sortKey="Meneses, Karen" sort="Meneses, Karen" uniqKey="Meneses K" first="Karen" last="Meneses">Karen Meneses</name>
<name sortKey="Pisu, Maria" sort="Pisu, Maria" uniqKey="Pisu M" first="Maria" last="Pisu">Maria Pisu</name>
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