Adaptation and implementation of a community-based intervention to reduce psychosocial distress and promote physical activity in rural breast cancer survivors

适应和实施基于社区的干预措施，以减少农村乳腺癌幸存者的社会心理困扰并促进身体活动

基本信息

批准号：
10451619
负责人：
Scherezade Kelly Mama
金额：
$ 16.57万
依托单位：
UNIVERSITY OF TX MD ANDERSON CAN CTR
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-01 至 2024-07-31
项目状态：
已结题

项目摘要

PROJECT SUMMARY / ABSTRACT Rural cancer survivors are less likely to meet physical activity recommendations than urban cancer survivors, contributing to physical inactivity-related cancer health disparities. Evidence-based interventions to reduce psychosocial distress and increase physical activity in cancer survivors were developed in urban or clinical settings and often fail when implemented in rural community settings. The goal of this career development award is to assist Scherezade K. Mama, DrPH in her long-term goal of becoming an independent investigator in designing and implementing physical activity interventions in underserved populations, including rural cancer survivors, to improve health outcomes and reduce health disparities. Dr. Mama’s short-term goals include gaining expertise in the use of psychosocial intervention methods, cancer survivorship and interventions to improve survivorship outcomes, intensive longitudinal methods, and dissemination and implementation research. In collaboration with her multidisciplinary team of mentors and advisors, she has developed a training plan to reach these goals via coursework, workshops, scientific meetings, directed readings, and a mentored research project. The primary objective of the proposed research project is to use a community- engaged approach to develop and evaluate an intervention to reduce psychosocial stress and increase physical activity in rural breast cancer survivors in central Pennsylvania. Focus groups (n=6) with community stakeholders and rural breast cancer survivors will be conducted to (a) determine how to best modify an evidence-based intervention for rural cancer survivors and for implementation in a community setting and (b) feedback the modified intervention. Rural breast cancer survivors (n=50) will be recruited through an existing community partnership to participate in the 3-month adapted community-based intervention or to receive usual care. The intervention consists of face-to-face and home-based sessions incorporating aerobic exercise and mind-body strategies to reduce psychosocial distress and increase physical activity. Participants complete assessments at four time points (baseline, 6-weeks, post-intervention, 6-months) and complete daily diaries assessing daily distress and physical activity throughout the 3-month intervention period. In-depth interviews will be conducted with intervention participants (n=25) and community stakeholders (n=10) after the 6-month study period to explore implementation outcomes. Findings from this study will fill a critical gap in the literature on the translation of evidence-based interventions into sustained practice in community settings and will inform the next phase of this research, an effectiveness-implementation hybrid study of a large-scale community- based randomized controlled trial to reduce psychosocial distress and increase physical activity in rural breast cancer survivors. Completion of the proposed research and training aims will provide Dr. Mama with the skills, experience, and preliminary data needed to launch a successful independent research career in physical activity promotion, cancer prevention and control, and health disparities.

项目概要/摘要农村癌症幸存者比城市癌症幸存者更不可能达到体育活动建议，有助于减少与身体缺乏活动相关的癌症健康差异。癌症幸存者的心理社会困扰和增加身体活动是在城市或临床中发展的这种职业发展的目标在农村社区实施时常常失败。该奖项旨在协助 Scherezade K. Mama, DrPH 实现成为独立调查员的长期目标为服务不足的人群（包括农村癌症）设计和实施体育活动干预措施妈妈博士的短期目标包括改善幸存者的健康状况和减少健康差距。获得使用心理社会干预方法、癌症生存和干预措施的专业知识改善生存结果、强化纵向方法以及传播和实施她与她的多学科导师和顾问团队合作，开发了一种方法。通过课程作业、研讨会、科学会议、定向阅读和指导来实现这些目标的培训计划拟议研究项目的主要目标是利用社区- 参与式方法来制定和评估干预措施，以减少社会压力并增加宾夕法尼亚州中部农村乳腺癌幸存者与社区的焦点小组 (n=6) 的体力活动。将与利益攸关方和农村乳腺癌幸存者进行（a）确定如何最好地修改对农村癌症幸存者进行循证干预并在社区环境中实施；(b) 反馈修改后的干预措施将通过现有的方法招募农村乳腺癌幸存者（n=50）。社区伙伴关系参与为期 3 个月的适应性社区干预或接受常规干预干预措施包括面对面和家庭课程，包括有氧运动和参与者完成减少心理困扰和增加身体活动的身心策略。四个时间点（基线、6周、干预后、6个月）的评估和完整的每日日记评估整个 3 个月的深度访谈期间的日常痛苦和体力活动。将在 6 个月后与干预参与者 (n=25) 和社区利益相关者 (n=10) 一起进行这项研究的结果将填补文献中的一个关键空白。将循证干预措施转化为社区环境中的持续实践，并将提供信息这项研究的下一阶段是对大型社区进行有效性实施混合研究基于随机对照试验，以减少农村乳房的社会心理困扰并增加体力活动完成拟议的研究和培训目标将为妈妈博士提供技能，成功开展物理学独立研究生涯所需的经验和初步数据活动、促进癌症预防和控制以及健康差异。