Improving quality of life among latino cancer survivors

Design of a randomized trial of patient navigation

Amelie G. Ramirez*, Kipling J. Gallion, Arely Perez, Edgar Munoz, Dorothy Long Parma, Patricia Ingrid Moreno, Frank J. Penedo

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Latino cancer survivors have lower survival rates for most cancers relative to non-Latino whites, including, colorectal, prostate, and breast. In addition, Latinos experience health disparities in both access to care and quality of care. Experts recommend providing psychosocial services as an integral part of quality cancer care; however, there continues to be a paucity of information on the efficacy of Patient Navigators (PNs) in linking Latino cancer survivors to appropriate psychosocial services. Redes En Acción: The National Latino Cancer Research Network partnered with LIVESTRONG Cancer Navigation Services Patient Navigation program (PN-LCNS) to provide an intervention to improve wellness and increase access to psychosocial services among non-metastatic Latino cancer survivors from Texas and Chicago using trained bilingual, bicultural PNs. The study design involved a mixed-methods approach in two phases. Phase I used a Community-Based Participatory Research (CBPR) approach wherein PNs engaged community partners who provide services to breast, colorectal and prostate Latino cancer survivors. Phase II was a randomized controlled trial (RCT) that evaluated the efficacy of combining PN-facilitated interventions with the culturally tailored and CBPR-informed PN-LCNS in 300 breast, prostate and colorectal Latino cancer survivors. Outcomes investigated were improvements in: 1) quality of life (QOL), both general and disease-specific, and; 2) treatment follow-up compliance. While limited work has addressed the psychosocial needs of Latino cancer survivors, culturally-competent interventions using PNs have potential to address these needs and significantly improve Latino cancer survivorship.

Original languageEnglish (US)
Pages (from-to)41-48
Number of pages8
JournalContemporary Clinical Trials
Volume76
DOIs
StatePublished - Jan 1 2019

Fingerprint

Patient Navigation
Hispanic Americans
Survivors
Quality of Life
Neoplasms
Community-Based Participatory Research
Breast
Quality of Health Care
Prostate
Survival Rate
Colorectal Neoplasms
Prostatic Neoplasms
Randomized Controlled Trials

Keywords

  • Community-based
  • Health disparities
  • Psychosocial
  • Survivorship

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

Ramirez, Amelie G. ; Gallion, Kipling J. ; Perez, Arely ; Munoz, Edgar ; Long Parma, Dorothy ; Moreno, Patricia Ingrid ; Penedo, Frank J. / Improving quality of life among latino cancer survivors : Design of a randomized trial of patient navigation. In: Contemporary Clinical Trials. 2019 ; Vol. 76. pp. 41-48.
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Improving quality of life among latino cancer survivors : Design of a randomized trial of patient navigation. / Ramirez, Amelie G.; Gallion, Kipling J.; Perez, Arely; Munoz, Edgar; Long Parma, Dorothy; Moreno, Patricia Ingrid; Penedo, Frank J.

In: Contemporary Clinical Trials, Vol. 76, 01.01.2019, p. 41-48.

Research output: Contribution to journalArticle

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AU - Moreno, Patricia Ingrid

AU - Penedo, Frank J.

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