Psychosocial protective interventions associated with a better quality of life and psychological wellbeing for African American/Black female breast cancer survivors: an integrative review

Gordon, Talya; Lee, Lena J.; Tchangalova, Nedelina; Brooks, Alyssa T.

doi:10.1007/s00520-021-06425-0

Support Care Cancer

2021

DOI: 10.1007/s00520-021-06425-0

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Psychosocial protective interventions associated with a better quality of life and psychological wellbeing for African American/Black female breast cancer survivors: an integrative review

Talya Gordon

Lena J. Lee

Nedelina Tchangalova

et al.

Abstract: Ethics approvalAs this is a retrospective review of data from previously published studies, ethical approval is not required. Consent to participate Not applicable Consent for publication Not applicable Availability of data and material Not applicable Code availabilityNot applicable

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Cited by 4 publications

References 63 publications

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Health-related quality of life dynamics: modeling insights from immunotherapy

Hasgul,

Spanjaart,

Javed

et al. 2024

Qual Life Res

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Background Understanding health-related quality of life (HRQoL) dynamics is essential for assessing and improving treatment experiences; however, clinical and observational studies struggle to capture their full complexity. We use simulation modeling and the case of Chimeric Antigen Receptor T-cell therapy—a type of cancer immunotherapy that can prolong survival, but carries life-threatening risks—to study HRQoL dynamics. Methods We developed an exploratory system dynamics model with mathematical equations and parameter values informed by literature and expert insights. We refined its feedback structure and evaluated its dynamic behavior through iterative interviews. Model simulated HRQoL from treatment approval through six months post-infusion. Two strategies—reducing the delay to infusion and enhancing social support—were incorporated into the model. To dynamically evaluate the effect of these strategies, we developed four metrics: post-treatment HRQoL decline, recovery time to pre-treatment HRQoL, post-treatment HRQoL peak, and durability of the peak. Results Model captures key interactions within HRQoL, providing a nuanced analysis of its continuous temporal dynamics, particularly physical well-being, psychological well-being, tumor burden, receipt and efficacy of treatment, side effects, and their management. Model analysis shows reducing infusion delays enhanced HRQoL across all four metrics. While enhanced social support improved the first three metrics for patients who received treatment, it did not change durability of the peak. Conclusions Simulation modeling can help explore the effects of strategies on HRQoL while also demonstrating the dynamic interactions between its key components, offering a powerful tool to investigate aspects of HRQoL that are difficult to assess in real-world settings.

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Health-related quality of life dynamics: modeling insights from immunotherapy

Hasgul,

Spanjaart,

Javed

et al. 2024

Qual Life Res

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The Role of Spirituality on Physical Activity and Sleep Among African American Long-Term Breast Cancer Survivors

Goerge,

Sanderson,

Flewellen

et al. 2023

J. Racial and Ethnic Health Disparities

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Insights About Dyadic Cancer Survivorship Interventions for Black Women and Their Caregivers: A Rapid Qualitative Analysis of Collaborator Perspectives

Thompson,

Lero,

Levitan

et al. 2024

Cancer Control

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Background Breast cancer patients and their informal caregivers often report unmet psychosocial, relational, and physical health needs. Dyadic interventions may improve patient and caregiver outcomes, but few have been integrated into clinical care or designed for Black breast cancer patients and their female caregivers. We used the Health Equity Implementation Framework to design for dissemination by identifying facilitators and barriers to implementing a dyadic survivorship intervention delivered via video teleconferencing (e.g., Zoom). Methods We conducted semi-structured interviews with a purposive sample of 18 collaborators with roles at a comprehensive cancer center and community organizations to understand facilitators and barriers to implementing a dyadic intervention for Black breast cancer patients and their caregivers. We used rapid qualitative analysis (templated summaries synthesized in matrices) to conduct a directed content analysis. We identified patterns in responses to interview guide questions and developed cross-cutting themes. Results Collaborators’ roles fell into four domains: patient-facing mental health (33%), patient-facing physical health (28%), research/administration (28%), and cancer-focused community groups (11%). Participants were supportive of a dyadic intervention for Black women with breast cancer and female caregivers. Collaborators noted that psychosocial care at the cancer center was already being delivered via Zoom and saw benefits to including caregivers. Overarching themes include the need to address gaps in care (for caregivers, Black women, and long-term breast cancer survivors); the importance of representation in building trust and mitigating stigma; and the challenges within the healthcare system around providing care services to dyads. Conclusion Application of these findings can help address the challenges of implementing a dyadic survivorship intervention for Black women with breast cancer and their caregivers in clinical settings. Expanding models such as the Health Equity Implementation Framework to include caregivers may help focus dissemination and implementation efforts on both members of a dyad and improve outcomes for both.

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Psychosocial protective interventions associated with a better quality of life and psychological wellbeing for African American/Black female breast cancer survivors: an integrative review

Abstract: Ethics approvalAs this is a retrospective review of data from previously published studies, ethical approval is not required. Consent to participate Not applicable Consent for publication Not applicable Availability of data and material Not applicable Code availabilityNot applicable

Cited by 4 publications

References 63 publications

Health-related quality of life dynamics: modeling insights from immunotherapy

Health-related quality of life dynamics: modeling insights from immunotherapy

The Role of Spirituality on Physical Activity and Sleep Among African American Long-Term Breast Cancer Survivors

Insights About Dyadic Cancer Survivorship Interventions for Black Women and Their Caregivers: A Rapid Qualitative Analysis of Collaborator Perspectives

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