Culturally-tailored survivorship care planning for rural Latina breast cancer patients: a pilot study

J Psychosoc Oncol. 2023;41(4):475-486. doi: 10.1080/07347332.2022.2141168. Epub 2022 Nov 10.

Abstract

Objective: To explore the feasibility and acceptability of Proyecto Mariposa, a culturally-tailored survivorship care program for rural Latina breast cancer patients.

Design: Single group mixed-method approach.

Methods: Feasibility of recruitment, intervention and evaluation, and perceptions about the intervention were assessed with 18 rural Latina breast cancer patients from the US/Mexico border region. Pre-post assessments evaluated change in patients' knowledge and concerns about survivorship care, and their self-efficacy about patient-physician interaction and managing chronic disease.

Findings: Feasibility was generally promising but affected by the COVID-19 outbreak. Participants found the intervention to be acceptable and useful, particularly with regard to information provision and encouraging proactive behavior. There was modest pre-post improvement on self-efficacy for managing disease.

Conclusions: This pilot study suggested feasibility and acceptability of Proyecto Mariposa for rural Latina breast cancer patients. Change in outcomes was small indicating the need for research with a larger sample to establish reliable findings.

Keywords: Latinas; acceptability; breast cancer survivorship care plan; feasibility; rural.

MeSH terms

  • Breast Neoplasms* / ethnology
  • Breast Neoplasms* / therapy
  • Culturally Competent Care
  • Feasibility Studies
  • Female
  • Hispanic or Latino
  • Humans
  • Patient Acceptance of Health Care
  • Patient Care Planning
  • Pilot Projects
  • Rural Population
  • Self Efficacy
  • Survivorship