Anna María Nápoles|Jasmine Santoyo?Olsson|Anita L. Stewart|Carmen Ortíz|Cathy Samayoa|Alma Torres?Nguyen|Helen Palomino|LaVerne Coleman|Aday Urias|Nayeli Gonzalez|Silvia A. Cervantes|Vicken Y. Totten
<i>Nuevo <scp>Amanecer?II</scp></i>: Results of a randomized controlled trial of a community?based participatory, peer?delivered stress management intervention for rural Latina breast cancer survivors
National Institute on Minority Health and Health Disparities|National Institutes of Health|University of California, San Francisco|University of California, San Francisco|Institute on Aging|Círculo de Vida|San Francisco State University|Kaweah Delta Health Care District|Cancer Resource Center of the Desert|Family Service Agency of the Central Coast|Cancer Resource Center of the Desert|Cancer Resource Center of the Desert|Kaweah Delta Health Care District|Kaweah Delta Health Care District
abstract objective report results communitybased multisite randomized controlled trial nuevo amanecer naii 10week stress management program rural low literacy latina breast cancer survivors methods trained peers delivered naii spanishspeaking latinas nonmetastatic breast cancer three rural communities women randomized receive program immediately wait 6 months assessments conducted baseline 3 months 6 months primary outcomes breast cancerspecific quality life domains secondary outcomes included general distress symptoms stress management skills intentiontotreat analyses using repeatedmeasures linear regression models estimated changes slope groups results 153 participants 76 randomized intervention 77 control group 92 retained 6 months mean age 548 years sd 105 80 less high school education statistically significant treatment time effects quality life compared women control group intervention group women reported greater improvements anxiety 6 months 020 vs 002 p 049 range 04 well three stress management skills relaxation 3 months 098 vs 007 p lt 0001 range 04 6 months 082 vs 004 p lt 001 awareness tension 3 months 031 vs 019 p lt 01 range 04 6 months 029 vs 011 p lt 05 coping confidence 3 months 012 vs 023 p lt 01 range 04 conclusions stress management programs delivered trained peers rural community settings reduce anxiety improve stress management skills among latina breast cancer survivors