Cancer Behavior Inventory Research Articles

Characteristics of Asian-American Breast Cancer Survivors Retained in a 3-Month Technology-Based Intervention.

Technology-based intervention programs are known to be effective in approaching socially excluded groups or racial/ethnic minorities, including this specific population. However, the retention of participants in technology-based intervention studies is far more complicated and challenging compared with conventional studies targeting racial/ethnic minorities. This study aimed to identify the complex characteristics of the groups within Asian American breast cancer survivors who were successfully retained in a 3-month technology-based intervention study. This secondary analysis of the data from a larger ongoing intervention study included 155 Asian American breast cancer survivors. Major variables were measured using multiple instruments including the questions on characteristics of the participants, the Personal Resource Questionnaire, perceived isolation, Memorial Symptom Assessment Scale-Short Form, Cancer Behavior Inventory, 34-item Supportive Care Needs Survey Short Form, and Functional Assessment of Cancer Therapy Scale-Breast Cancer. Data analyses were done through χ2 tests, t tests, and decision tree analyses. The retention rates differed by subethnicity (P = .025), immigration age (P < .001), and stage of breast cancer (P = .003). The decision tree indicated four groups with the highest probability of retention: (a) those who were diagnosed with stage II, III, or IV breast cancer, (b) those who immigrated to the United States after turning 31 years old, and (c) those who had high perceived barriers. This study provides directions for future retention strategies for technology-based interventions among Asian American breast cancer survivors. Participants' characteristics need to be considered in developing retain strategies for technology-based interventions among Asian American breast cancer survivors.

A Decision Tree Analysis on the Impact of a Technology-Based Program on Symptom Distress: Asian American Breast Cancer Survivors.

Using a decision tree analysis, this study aimed to identify the characteristics of the groups within Asian American breast cancer survivors whose symptom distress scores were effectively improved by a technology-based program. This was a secondary analysis of the data from an ongoing randomized controlled trial among 115 Asian American breast cancer survivors. The instruments were questions on background factors; the Memorial Symptom Assessment Scale-Short Form; the Cancer Behavior Inventory; the Questions on Attitudes, Subjective Norm, Perceived Behavioral Control, and Behavioral Intention; and the Supportive Care Needs Survey-Short Form 34. The data were analyzed using chi-square tests, t tests, repeated measurement analyses, and decision tree analyses. The decrease in the global distress index scores was the largest (1.253 points) among those with high psychological support needs. The decrease in the physical symptom distress scale scores was the largest (1.133 points) among those with high physical and daily living support needs who had a short US residence period and who were young. The decrease in the psychological symptom distress scores was the largest (1.511) among those with high psychological support needs. The findings suggest several characteristics of the groups within Asian American breast cancer survivors whose symptom distress could be highly improved by a technology-based intervention.

Abstract CT147: The impact of a technology based program on symptom distress among Asian American breast cancer survivors

Abstract Purpose: Asian American breast cancer survivors are reported to experience physical and psychological symptoms that could be easily avoidable because of their cultural stigma and hesitance related to breast cancer. Also, they are more likely to have delays in getting help, information, and support. Studies have indicated a dire need to support Asian American breast cancer survivors in their symptom management while considering their cultural hesitance and stigma. Technology-based programs using computers and mobile devices are reported to help improve symptom experience of cancer survivors including Asian American breast cancer survivors. The purpose of this study was to decide the specific characteristics of Asian American breast cancer survivors whose symptom distress was effectively improved by a technology-based program. Methods: This study was a part of a randomized controlled trial among 115 Asian American breast cancer survivors. The instruments included: multiple questions on background factors and disease factors, the Cancer Behavior Inventory, the Questions on Attitudes, Subjective Norm, Perceived Behavioral Control, and Behavioral Intention, the Memorial Symptom Assessment Scale-Short Form, and the Supportive Care Needs Survey-Short Form 34. The data analysis was done through chi-square tests, t-tests, repeated measurement analyses, and decision tree analyses. Results: The interactions between time and group were significant in the changes of the global distress index (GDI) and physical symptom distress (PHYS) scores (p&amp;lt;.05). Those with high psychological support needs had the largest decrease in the GDI scores (1.253 points). Those with high physical and daily living support needs who had a short U.S. residence period and who were young had the largest decrease in the PHYS scores (1.133 points). Those with high psychological support needs had the largest decrease in the psychologic symptom distress scores (1.511 points). Conclusions: The findings of this study indicated several characteristics of Asian American breast cancer survivors whose symptom distress was highly decreased by a technology-based intervention (e.g., those who had a short U.S. residence period, those who were young, etc.). These characteristics need to be considered in the future design and implementation of a technology-based intervention among this specific population. Table 1.Changes in the Symptom Distress scores (n=115).PrePost 1 monthPost 3 monthspPost 3 months- PrepM±SDM±SDM±SDtime *groupM±SDCont. vs. Int.GDICont.1.410±0.6921.445±0.6631.438±0.628.0210.028±0.534.012Int.1.543±0.6961.326±0.6071.325±0.589-0.218±0.498Total1.475±0.6941.387±0.6361.383±0.609-0.092±0.529PHYSCont.1.170±0.5321.242±0.5601.260±0.567.0070.090±0.506.002Int.1.292±0.6131.155±0.5761.089±0.500-0.202±0.459Total1.229±0.5741.199±0.5671.177±0.540-0.052±0.503PSYCHCont.1.525±0.8411.502±0.7551.506±0.740.136-0.019±0.722.157Int.1.657±0.8491.389±0.6881.453±0.704-0.204±0.672Total1.589±0.8431.447±0.7221.480±0.720-0.109±0.702 Citation Format: Eun-Ok Im, Jee-Seon Yi, Wonshik Chee. The impact of a technology based program on symptom distress among Asian American breast cancer survivors [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2021; 2021 Apr 10-15 and May 17-21. Philadelphia (PA): AACR; Cancer Res 2021;81(13_Suppl):Abstract nr CT147.

Validation of the Brief Version of the Cancer Behavior Inventory in Breast Cancer Portuguese Patients

Self-efficacy is a coping resource with a positive impact on well-being, quality of life, anxiety, and depression in cancer patients, even after treatment. This study focused on the validation of the Cancer Behavior Inventory-Brief Version (CBI-B) in Portuguese patients with breast cancer. The study included 115 patients with breast cancer receiving outpatient chemotherapy in four hospitals located in Portugal. Participants (N = 115) completed the translated version of the CBI-B in Portuguese and measures of quality of life (QLQ- C30), psychological distress (HADS), and illness perceptions (IPQ-B). Confirmatory factor analysis supported the four-factor original structure of the CBI-B. The Portuguese version of the CBI-B showed good psychometric properties as shown by measures of internal consistency (Cronbach's alpha = .88), test-retest reliability (intraclass correlation coefficient = .59), convergent validity with the QLQ-C30 (r = .43, p < .001), and divergent validity with the HADS (r = -.60, p < .001) and the IPQ-B (r = -.51, p < .001). The Portuguese version of the CBI-B is a valid and reliable instrument to evaluate the self-efficacy for coping in Portuguese breast cancer patients. Future studies should validate the CBI-B in patients with other types of cancer.

A Resilience Model for Patients With Colorectal Cancer: A Structural Equation Modeling Analysis.

Patients with colorectal cancer (CRC) experience multiple symptoms. Resilience is a positive health outcome that can assist patients to face and adapt to their disease. The purpose of this study was to evaluate a proposed resilience model for patients with CRC. Patients (n = 416), who were given a diagnosis of stage Ι to III CRC within the past 5 years, were recruited from 2 medical centers in Northern Taiwan. Symptom Severity Scale, Fatigue Symptom Inventory, and Center for Epidemiological Studies Depression scale were used to assess the risk factors of symptom severity, fatigue, and depressive symptoms, respectively. Cancer Behavior Inventory and Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale were used to assess the protective factors of self-efficacy for coping with cancer and spiritual well-being, respectively. Resilience was assessed using the Resilience Scale. Structural equation modeling was used to evaluate the proposed resilience model for patients with CRC. The initial structural equation modeling fit indices did not support the proposed model. In the revised model, depressive symptoms was a partial mediator between protective factors and resilience with an acceptable model fit (comparative fit index, 0.968; root mean square error of approximation, 0.085; standardized root mean square residual, 0.034). Patients with CRC who had higher levels of protective factors had higher levels of resilience. This study provides new information on the role of depressive symptoms as a partial mediator between protective factors and resilience. Oncology nurses need to evaluate for depressive symptoms as well as protective factors and resilience in patients with CRC.

A technology-based information and coaching/support program and self-efficacy of Asian American breast cancer survivors.

Women's self-efficacy for coping with breast cancer is one of the key factors that lead to successful breast cancer survivorship. Due to the cultural stigma linked to breast cancer (e.g., breast cancer is a genetic disease), Asian Americans are known as a high-risk group within breast cancer survivors. However, healthcare providers are challenged to promote women's self-efficacy while considering their cultural beliefs and attitudes. In this study, the efficacy of a technology-based information and coaching/support program was examined in improving self-efficacy for coping with breast cancer among Asian American survivors. A randomized repeated measures control group study was conducted with 67 Asian American breast cancer survivors. The questions on background characteristics, the Personal Resource Questionnaire, the Perceived Isolation Scale, the Supportive Care Needs Survey Short Form 34, and the Cancer Behavior Inventory were used. The data were analyzed using repeated measurement analyses, χ2 tests, and decision tree analyses. There were significant increases in the self-efficacy scores of both control and intervention groups over time (p = .017). However, the increase in the control group's self-efficacy scores was only up to post 1 month, and there was a decrease in the scores by post 3 months. When the participants were divided into high and low-change groups based on the changes in their self-efficacy scores for 3 months, the intervention group had more participants who belonged to the high-change group (p = .036). The technology-based intervention was effective in improving self-efficacy for coping with breast cancer among Asian American breast cancer survivors.

The Effect of ACT on Self-Esteem and Self-efficacy of Women with Breast Cancer in Iran

Background: Today, breast cancer is the second major cause of cancer deaths in women. Objective: The present study aimed to determine the effect of acceptance and commitment therapy (ACT) on self-esteem and self-efficacy of cancer adaptation behaviors in women. Methods: The present study was a randomized educational trial (IRCT Registration number: IRCT2016100430140N1) based on intervention and control groups including 30 patients with breast cancer who were referred to Cancer comprehensive center of Imam Khomeini Hospital in Sari 2017. The intervention group participated in ACT sessions for 8 weeks held as 8 sessions. In the control group, there was no intervention and only chemotherapy was carried out. Self-esteem and self-efficacy of cancer adaptation behaviors were assessed using Rosenberg Self-esteem Scale and Cancer Behavior Inventory before and after the intervention and one month later. Data analysis was tested by repeated measurement, ANOVA and Tukey post-hoc tests. Results: The mean of self-esteem before and after intervention and one month later was 13.46 ± 1.12, 16.86 ± 0.91, 15.86 ± 0.99 in ACT group, and 14 ± 1, 14.40 ± 0.98, 14.20 ± 1.08 in the control group, respectively (F(2,27)=11.90, P=0.001). The mean of self-efficacy of cancer adjustment behaviors before and after the intervention and one month later was 104.40 ± 20.19, 218.20 ± 15.32, 214.86 ± 16.97 in ACT group, and 96.86 ± 15.04, 97.06 ± 18.61, 94.53 ± 14.69 in the control group, respectively (F(2,27)=8.26, P=0.001). Conclusion: This counseling approach can be used as an easy, non-invasive and helpful method to increase self-esteem and self-efficacy among patients for adaptation to cancer.

Assessing Self-efficacy for Coping with Cancer: Psychometric Analysis of the Cancer Behavior Inventory (CBI)

Introduction: Self-efficacy refers to an individual’s belief in their capacity to execute a specific behavior. Believing that individuals themselves are responsible for their health can lead to the adoption of health behaviors. This study aimed to conduct a confirmatory factor analysis of a Cancer Behavior Inventory (CBI) for Iranian female breast cancer patients. Methods: This was a descriptive-analytic study. First, we establishing the content and face validity of the instrument. Then, 345 breast cancer patients were selected from cancer treatment centers of Kerman city by convenience sampling to evaluate the psychometric properties of the instrument. The participants completed the CBI and the General Self-efficacy Scale. The instrument validity was assessed using exploratory and confirmatory factor analysis (structural validity) and correlational methods (concurrent validity), and the internal and external reliability were evaluated by calculating Cronbach’s alpha coefficients and using the test-retest method, respectively. Analyses were performed using SPSS 19 and AMOS software packages. Results: Confirmatory factor analysis of the 31-item questionnaire, consisting of 7 subscales, was conducted after removing items 3 and 5. A significant correlation between each subscale and the General Self-efficacy Scale and also between the overall scale and the General Self-efficacy Scale confirmed the concurrent validity of the questionnaire. The reliability of the questionnaire was confirmed based on a Cronbach’s alpha coefficient value of 0.75 (ranging from 0.69 to 0.74 for the seven factors). The 1-month test-retest reliability, assessed by readministering the test to 30 cancer patients, ranged between 0.67 and 0.74 (P &lt; 0.01), which shows acceptable reliability of the CBI over time. Conclusion: The CBI has acceptable validity and reliability. The seven factors extracted for the CBI matched those identified in the original version. The present study introduces a tool that can be useful in assessing and evaluating the self-efficacy of breast cancer patients during treatment.

Self-efficacy for coping: utility of the Cancer behavior inventory (Italian) for use in palliative care

BackgroundNewer models of palliative and supportive cancer care view the person as an active agent in managing physical and psychosocial challenges. Therefore, personal efficacy is an integral part of this model. Due to the lack of instruments in Italian to assess coping self-efficacy, the present study included the translation and validation of the Italian version of the Cancer Behavior Inventory–Brief (CBI-B/I) and an initial analysis of the utility of self-efficacy for coping in an Italian sample of palliative care patients.Methods216 advanced cancer patients who attended palliative care clinics were enrolled. The CBI-B/I was administered along with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), the Mini Mental Adjustment to Cancer Scale (Mini-MAC), the Cancer Concerns Checklist (CCL), and the Hospital Anxiety and Depression Scale (HADS). The Eastern Cooperative Oncology Group Performance Status (ECOG-PS) ratings of functional capacity were completed by physicians.ResultsFactor analysis confirmed that the structure of the CBI-B/I was consistent with the English version. Internal consistency reliability and significant correlations with the EORTC QLQ-C30, Mini-MAC, and HADS supported the concurrent validity of the CBI-B/I. Differences in CBI-B/I scores for high versus low levels of the CCL and ECOG-PS supported the clinical utility of the CBI-B/I.ConclusionsThe CBI-B/I has strong psychometric properties and represents an important addition to newer model of palliative and supportive care. In order to improve clinical practice, the CBI-B/I could be useful in identifying specific self-efficacy goals for coping in structured psychosocial interventions.

Self-efficacy for coping with cancer: Revision of the Cancer Behavior Inventory (Version 3.0).

Based on self-regulation and self-efficacy theories, the Cancer Behavior Inventory (CBI; Heitzmann et al., 2011; Merluzzi & Martinez Sanchez, 1997; Merluzzi, Nairn, Hegde, Martinez Sanchez, & Dunn, 2001) was developed as a measure of self-efficacy strategies for coping with cancer. In the latest revision, CBI-V3.0, a number of psychometric and empirical advances were made: (a) the reading level was reduced to 6th-grade level; (b) individual interviews and focus groups were used to revise items; (c) a new spiritual coping subscale was added; (d) data were collected from 4 samples (total N = 1,405) to conduct an exploratory factor analysis with targeted rotation, 2 confirmatory factor analyses, and differential item functioning; (e) item trimming was used to reduce the total number to 27; (f) internal consistency and test-retest reliability were computed; and (g) extensive validity testing was conducted. The results, which build upon the strengths of prior versions, confirm a structurally and psychometrically sound and unbiased measure of self-efficacy strategies for coping with cancer with a reduced number of items for ease of administration. The factors include Maintaining Activity and Independence, Seeking and Understanding Medical Information, Emotion Regulation, Coping With Treatment Related Side Effects, Accepting Cancer/Maintaining a Positive Attitude, Seeking Social Support, and Using Spiritual Coping. Internal consistency (α = .946), test-retest reliability (r = .890; 4 months), and validity coefficients with a variety of relevant measures indicated strong psychometric properties. The new 27-item CBI-V3.0 has both research utility and clinical utility as a screening and treatment-planning measure of self-efficacy strategies for coping with cancer. (PsycINFO Database Record

Symptom Severity, Anxiety, Depression, Self- Efficacy and Quality of Life in Patients with Cancer

Background:Despite advances in cancer disease prevention, diagnosis, and treatment patients with cancer suffer from a variety of sometimes severe physical and psychological symptoms regardless of the stage of the disease. The aim is to determine the relationship of antecedent factors and mediating variables to the quality of life (QOL) of patients with cancer.Materials and Methods:The study included 341 patients with cancer and symptoms. Data collection used the Cancer Symptom Scale, State-Trait Anxiety Inventory, Centers for Epidemiologic Study-Depression, Cancer Behavior Inventory, Multidimensional Quality of Life Index, and a Demographic Form.Results:A multiple regression equation containing all the variables explained 68% of the variance in QOL. Overall four variables accounted for the majority of the total variance: anxiety, depression, self-efficacy, and symptom severity. Three of these variables were mediating variables. Of the antecedent factors symptom severity had a significant indirect effect on QOL through the mediating variables. Symptom severity also had direct effect on QOL.Conclusion:Data indicate that anxiety, depression, and self-efficacy play major roles in determining the perception of QOL of cancer patients. These mediating variables either buffered or enhanced the impact of the antecedent factors of symptom severity on QOL. Nursing interventions should focus on enhancing self-efficacy. Nurses can use health promoting programs to assist patients who are physically impaired. Further research should be aimed at identifying other influential variables, with the ultimate goal of developing interventions to aid patients in their efforts to maintain their QOL while living with cancer.

The Psychometric Properties of Cancer Behavior Inventory as a Predictor of Quality of Life in Turkish Cancer Patients

In the literature, studies showed that self-efficacy of cancer patients are related to their quality of life in different domains. Considering the need of a scale measuring cancer related self-efficacy in Turkish culture, the objective of the current study was to examine psychometric reliability and validity of Cancer Behavior Inventory (CBI) in Turkish cancer patients. One-hundred and twenty cancer patients participated in the study. In addition to CBI, participants were administered Beck Depression Inventory, Multidimensional Quality of Life Scale – Cancer, Ways of Coping Inventory, Life Orientation Test-Revised, and General Self-Efficacy Scale to test the validity of the adapted scale. The results showed that the CBI has a four-factor structure in Turkish culture. The internal consistency of the scale was .91 and the internal consistencies of subscales ranged between .70 and .90. The validity scores of the scale were also satisfactory. The regression analysis revealed that the CBI predicts the patients’ quality of life better than General Self-efficacy Scale. CBI is a valid and reliable measure. As compared to general self-efficacy measures, CBI provides more precise information about cancer patients' QOL. The results, directions for future studies and limitations were discussed in the light of the literature.

Self-efficacy for Coping Moderates the Effects of Distress on Quality of Life in Palliative Cancer Care.

Recent aggressive chemotherapeutic and combined treatments have resulted in increased survivorship for advanced stage breast cancer. In some patients, treatment produces an actual abatement of their cancer, while in others treatment mitigates the progression of cancer bringing those patients into palliative care where their chronic disease requires continuous management. There is also evidence that the majority of palliative-care cancer patients have a deteriorating quality of life that only precipitously declines in the final few weeks of life. The new paradigm of patient-centered care for palliative patients is resulting in a new model of treatment in which the self-efficacy seems to play an important role. The present study represents an extension of the role of self-efficacy for coping to palliative care. Using a stress-coping model, the primary aim of this study was to evaluate a process model, in which self-efficacy for coping with cancer is a moderator between stress and the quality of life in a sample of breast cancer patients in palliative care. The secondary aim was to validate a specific domain coping self-efficacy scale, the Cancer Behavior Inventory. The current study confirmed the role of self-efficacy for coping with cancer as moderator of the relationship between stress and quality of life of a sample of breast cancer patients in palliative care. In addition, this study confirmed the structure, reliability and validity of the scale.

A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life.

Self-efficacy for coping with cancer is a specific construct that refers to behaviors that occur in the course of dealing with a cancer diagnosis, cancer treatments, and transitioning to survivorship. One of the more widely used measures of self-efficacy for coping strategies with cancer is the Cancer Behavior Inventory. The following general questions provide a framework for this research: 1. Is self-efficacy for coping with cancer related to distress and quality of life of a cancer patient?. 2. Do self-efficacy for coping with cancer and the target psychological outcomes (i.e., distress and quality of life) change in longitudinal studies, with or without intervention? One-hundred eighty studies cited the different versions of the Cancer Behavior Inventory and 47 used the scale. Result showed an inverse relationship between self-efficacy for coping with cancer and distress, and a positive relationship between self-efficacy for coping with cancer and Quality of Life, both with a large effect size. The strong relationship of self-efficacy and outcomes, resulted of the specificity of the instrument, which targets specific coping strategies that are closely aligned with positive outcomes in adjusting to cancer. However, the results are consistent with the theory, which states that compared to those with low efficacy, highly efficacious people demonstrate less anxiety and better adjustment in stressful situations and consistent with prior results in which self-efficacy is positively related to quality of life.

The Significance of Tailored, Web-Based Information on Experiences Regarding Perceived Self-Management in Ovarian Cancer Patients in the Diagnostic Phase-An Experimental Study

Cancer patients can experience a low self-management, which is associated with burn out and negatively associated with health-related quality of life. Patient-provider time at hospitals is often short and patients can lack knowledge, communication and support. We aimed to evaluate the influence of a healthcare-professional developed website, available to both patients and relatives, on patients’ experienced self-management before surgery for ovarian cancer. In an experimental study, Danish women with ovarian cancer were consecutively included if they would participate and had a relative, willing to offer attention to the cancer situation. The control group had standard care, the intervention group plus their relatives had additional access to a website with cancer-specific physical, psychical, and practical information. The validated questionnaires Cancer Behavior Inventory and Sense of Coherence provided data for statistical analysis. Patients’ difference in change in Sense of Coherence over time was statistically significant in favor of those who had used the website (mean difference 4.42, p<0.001).Patients’ and relatives’ access to our website prevented a decrease in self-management of Danish women in the diagnostic phase of ovarian cancer. Such support might be helpful to all patients approaching critical illness and who have a helpful relative, but this needs further investigation.

Cancer-Related Self-Efficacy in Iranian Women With Breast Cancer

Objectives: The present study aims to investigate the level of cancer-related self-efficacy in Iranian women, and its demographic and medical predictors. Patients and Methods: This is a descriptive cross-sectional study comprised of 91 breast cancer patients referring for chemotherapy to one of the largest oncology centers in northwest of Iran. The patients’ demographic and medical characteristics were determined and their cancer related self-efficacy was assessed using cancer behavior inventory containing 33 items. Data analysis was completed using SPSS software version 13. Descriptive and Regression analysis were used to describe demographic and medical characteristics of the patients and their predictors of cancer-related self-efficacy. Results: The sustained cancer-related positive attitude had, in total, the highest mean score of 7 subscales of cancer behavior inventory and the seeking of social support had the least mean score. Only Patient’s education and the time of cancer diagnosis were associated with self-efficacy of Iranian women in relation to cancer. Conclusions: According to the results obtained, it is necessary to consider the level of education, social support, and the time of cancer diagnosis in order to assess the self-efficacy in Iranian women with breast cancer.

Abstract A32: Impact of Nueva Vida's model on disparate levels of quality of life, distress, and self-efficacy in Latinas with breast cancer

Abstract Breast cancer is the most common cancer diagnosis among Latinas, and Hispanic women diagnosed with breast cancer have a higher mortality rate than their white non-Hispanic counterparts. Moreover, Latina survivors appear to have greater distress related to their diagnosis and treatment than non-Latina white women, in large part due to their lower access to care, financial and linguistic barriers, and cultural issues. These concerns have significant influence on women's quality of life (QOL), yet research indicates their impact may be buffered by the presence of mental health and social support services. Research conducted with predominantly non-Latina survivors suggests that social support positively influences women's adjustment to breast cancer by reducing the intensity of their psychological distress, enhancing their optimism and QOL and encouraging treatment adherence. There is, however, an acknowledged gap in the availability of adequate support interventions for minority groups. Nueva Vida is a community-based organization that provides comprehensive psychosocial support to Latinas with cancer in the Washington, DC, area. Purpose: The goal of this community-based participatory research (CBPR) project is to evaluate the impact of Nueva Vida's model on levels of self-efficacy, psychological distress, and quality of life. The NV model provides a variety of services that include patient navigation, support groups, individual counseling, peer support, and resources and information. This study looked at the impact of this model for one year. Procedures: This study is a time-series design with Time 1 (T1) data collection on the day of initial contact with NV, time 2 (T2) within 3 - 10 days of initial contact, time 3 (T3) at 4 months, and time 4 (T4) at 12 months. The instruments used in this study include: Cancer Behavior Inventory - Version 2.0 (CBI) measuring self-efficacy, the Brief Symptom Inventory-18 (BSI-18) measuring psychological distress, and the Satisfaction with Life Domains Scale- Breast Cancer (SLDS-BC) measuring QOL. The sample included 92 Latina women diagnosed with breast cancer that contacted NV and agreed to participate in the study. The interventions offered over the course of the twelve months include, individual counseling, various support group participation, patient navigation, and peer support. Unpublished data: Eighty-seven participants completed data at Time 1, 69 at T2, 64 at T4, and 57 at T4. There was a statistically significant decrease in depression from T1 to T4 (t = 2.131, df = 55, p &amp;lt; .05) and distress from T1 to T4 (t = 2.302, df = 55, p &amp;lt; .05). In addition, there were trends toward significant decrease in anxiety scores from T1 to T4 ( t = 1,827, df, 55, p &amp;lt; .10) and somatization from T1 to T4 (t = 1.784, df = 55, p &amp;lt; .10). There was a statistically significant improvement in QOL from T1 to T4 (t = -3.453, 49, p &amp;lt; .01). There was no change found in self-efficacy. Conclusions: The findings support the model that NV uses in improving the lives of Latinas diagnosed with breast cancer, demonstrating that a community-based organization with comprehensive social support services can help reduce distress levels and increase QOL. No change in self-efficacy has brought into question the cultural transferability the instrument selected to measure this variable in this population. Citation Format: Margaret LG Darling, Claudia Campos, Larisa Caicedo, Karlynn BrintzenhofeSzoc, James R. Zabora, Marcela Blinka, Florencia Gonzalez. Impact of Nueva Vida's model on disparate levels of quality of life, distress, and self-efficacy in Latinas with breast cancer. [abstract]. In: Proceedings of the Sixth AACR Conference: The Science of Cancer Health Disparities; Dec 6–9, 2013; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2014;23(11 Suppl):Abstract nr A32. doi:10.1158/1538-7755.DISP13-A32

Specificity May Count: Not Every Aspect of Coping Self-Efficacy is Beneficial to Quality of Life Among Chinese Cancer Survivors in China

General self-efficacy has been shown to be a protective factor of cancer survivors' quality of life (QoL). Coping self-efficacy includes multiple aspects, such as maintaining positive attitudes, regulating emotion, seeking social support, and seeking medical information. How these various aspects are related to multiple domains of QoL is unclear. This study examined the associations between different aspects of coping self-efficacy and QoL among Chinese cancer survivors. A sample of 238 Chinese cancer survivors (mean age = 55.7, 74.4 % female) in Beijing, China participated in the survey. Coping self-efficacy and QoL were measured by the Cancer Behavior Inventory and Quality of Life-Cancer Survivor Instrument. After controlling for demographic and disease-related variables, hierarchical regression analyses showed that coping self-efficacy in accepting cancer/maintaining a positive attitude was positively associated with physical, psychological, and spiritual QoL. Self-efficacy in affective regulation was positively associated with psychological and social QoL, but negatively associated with spiritual well-being. Self-efficacy in seeking support was positively associated with spiritual well-being, but negatively associated with physical QoL. Self-efficacy in seeking and understanding medical information was negatively associated with psychological and social QoL. Our findings imply the specificity of coping self-efficacy in predicting QOL. Our findings could be helpful for designing future interventions. Increasing cancer survivors' self-efficacies in accepting cancer/maintaining a positive attitude, affective regulation, and seeking support may improve cancer survivors' QoL depending on the specific domains.

Abstract P6-08-13: Impact of Nueva Vida’s model on quality of life, distress levels and self-efficacy in Latinas with breast cancer

Abstract Breast cancer is the most common cancer diagnosis among Latinas and Hispanic women diagnosed with breast cancer have a higher mortality rate than their white non-Hispanic counterparts (American Cancer Society, 2009). Moreover, Latina survivors appear to have greater distress related to their diagnosis and treatment than non-Latina White women, in large part due to their lower access to care, financial and linguistic barriers, and cultural issues. These concerns have a significant influence on women quality of life (Rowland &amp; Massie, 1998) yet research indicates their impact may be buffered by the presence of mental health and social support services. Research conducted with predominantly non-Latina survivors suggests that social support positively influences women's adjustment to breast cancer by reducing the intensity of their psychological distress, enhancing their optimism and quality of life and encouraging treatment adherence. (e.g. Helgeson &amp; Cohen). There is, however, an acknowledged gap in the availability of adequate support interventions for minority groups (Buki, LP, et al, 2008). Purpose: Breast Cancer is the most common cancer diagnosis among Latina women in the US and Latinas have a higher mortality rate than their white non-Hispanic counterparts (American Cancer Society, 2009). Based on this data and the lived experiences of Latina's with breast cancer, Nueva Vida (NV) was founded in 1996 in efforts to address the lack of culturally sensitive cancer support services for Latinas in the Washington, DC area. NV's comprehensive cancer care service model includes patient navigation, various types of support groups, individual counseling, peer support, and education. This community based organization-academic partnership project evaluated the impact of NVs service model on participants’ levels of self-efficacy, psychological distress, and quality of life. Methods: A time-series design with data collection on the day of initial contact with NV, within 3-10 days of initial contact, as well as 4 and 12 months after the initial contact with NV. Sample includes approximately 90 Latinas diagnosed with breast cancer. Instruments used in this study include: Cancer Behavior Inventory (CBI) version 2 measuring self-efficacy (Merluzzi et al., 2001); the Brief Symptom Inventory-18 (BSI-18) measuring psychological distress (Zabora et al., 2001); and the Satisfaction with Life Domains Scale- Breast Cancer (SLDS-BC) measuring quality of life (Spagnola et al., 2003). Results: Data collection took place between March 2008 and December 2010. Participants seen at NV improved in three of the four categories measured by the BSI-18. The median quality of life scores improved over time. However, the self-efficacy median remained consistent over the year. Conclusions: The negative impact of a cancer diagnosis can be offset by the presence of social support, particularly for Latinas. Similarly, Latinas quality of life can improve with social support. However more studies are needed to understand what types of support services contribute to improvements in quality of life. Further study of self-efficacy based on type and number of interventions is needed. Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P6-08-13.

Evaluation of the Effects of Pre-Treatment Education on Self-Efficacy and Anxiety in Patients Receiving Radiation Therapy: A Pilot Study

IntroductionPatients receiving radiation therapy for cancer treatment have been reported to experience increased anxiety before starting therapy and often have diminished feelings of control. An evaluation was done to measure the impact of an educational class that was designed to lower patient and family anxiety and to help them know what to expect before starting radiation therapy. MethodsA single-centre, cross-sectional study was conducted from January to March 2011 at an ambulatory radiation therapy clinic. The study used the Cancer Behavior Inventory Brief (CBI-B) and State-Trait Anxiety Inventory-State (STAI-S) to investigate the effect of the class on the participant’s perceived self-efficacy and anxiety, respectively. Participant demographics and an evaluation of the course content and the teaching skills of the facilitators were collected. ResultsTwenty-four responses were analyzed. Although the course was designed for those starting treatment, 11 participants had already begun. The majority of participants were non-immigrant patients with high socioeconomic status. Patient self-efficacy scores increased significantly P ≤ .001 and anxiety scores decreased significantly P ≤ .001 after completion of the pre-treatment class. Overall, participants rated the content and delivery of the class highly. ConclusionThis study has shown that pre-treatment education may reduce anxiety and increase self-efficacy in patients starting and those already receiving radiation therapy. This information may provide support for the delivery of pre-treatment patient education in ambulatory radiotherapy clinics.