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a telephone-based education and support intervention for rural breast cancer survivors: a randomized controlled trial comparing two implementation strategies in rural florida
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نویسنده
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meneses karen ,pisu maria ,azuero andres ,benz rachel ,su xiaogang ,mcnees patrick
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منبع
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journal of cancer survivorship - 2020 - دوره : 14 - شماره : 4 - صفحه:494 -503
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چکیده
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To compare two implementation telephone-based strategies of an evidence-based educational and support intervention to rural breast cancer survivors (rbcs) in which education was delivered early or after the support component. florida rbcs participated in a 12-month randomized clinical trial (rct) with two arms: early education and support (ee-s) and support and delayed education (s-de). arms differed in the timing of 6 support and 3 education sessions. main outcome was quality of life (qol, sf-36 physical and mental composite scores [pcs, mcs]). secondary outcomes were depressive symptoms (centers for epidemiologic studies depression scale, ces-d), mood (profile of mood states, poms), and social support (medical outcomes study social support survey, mos-sss). outcomes were analyzed longitudinally using repeated measures models fitted with linear mixed methods. of 432 rbcs (mean 25.6 months from diagnosis), about 48% were 65+, 73% married/partnered, and 28% with ≤high school education. there were no differences between ee-s and s-de in demographics or outcomes at baseline (mean (standard deviation): sf-36 pcs, 44.88 (10.6) vs. 45.08 (10.6); mcs, 49.45 (11.1) vs. 48.1 (11.9); ces-d, 10.11 (9.8) vs. 10.86 (10.5); poms-sf, 23.95 (38.6) vs. 26.35 (38.8); mos-sss, 79.2 (21.2) vs. 78.66 (21.2)) or over time. one exception was slightly worse mean scores at month 9 in mcs (cohen’s d, − 0.22; 95% ci, − 0.38, − 0.06) and poms (cohen’s d, 0.23; 95% ci, 0.07, 0.39) for ee-s vs. s-de. the implementation strategies were equivalent. enhancing support be considered before delivering not-in-person interventions to rbcs.
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کلیدواژه
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breast cancer ,neoplasm ,cancer survivorship ,rural health ,implementation ,quality of life
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آدرس
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university of alabama at birmingham, school of nursing, office of research and scholarship, o’neal comprehensive cancer center, usa, university of alabama at birmingham, o’neal comprehensive cancer center, school of medicine, division of preventive medicine, usa, university of alabama at birmingham, school of nursing, office of research and scholarship, usa, university of alabama at birmingham, school of nursing, office of research and scholarship, usa, the university of texas at el paso, department of mathematical sciences, usa, university of alabama at birmingham, school of health professions, usa. pk lifesciences corp, usa
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Authors
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