Puente para cuidar (bridge to caring): A palliative care patient navigator and counseling intervention to improve distress in Latino/as with advanced cancer. Issue 4 (27th December 2019)

• Record Type: Journal Article
• Authors: Bekelman, David B.; Fink, Regina M.; Sannes, Timothy; Kline, Danielle M.; Borrayo, Evelinn A.; Turvey, Carolyn; Fischer, Stacy M.
• Is Part Of: Psycho-oncology. Volume 29:Issue 4(2020)
• Page Start: 688
• Page End: 695
• Publication Date: 2019-12-27
• Subjects: advanced cancer -- counseling -- Latino/as -- oncology -- patient navigation -- video vignettes; Cancer -- Psychological aspects -- Periodicals; Cancer -- Social aspects -- Periodicals; Neoplasms -- psychology -- Periodicals; 616.9940019
• DOI: 10.1002/pon.5313
• Languages: English
• ISSNs: 1057-9249

Abstract

Abstract: Objective: Interventions are needed to improve mental health (ie, depression, anxiety) and palliative care (ie, symptoms, goals of care, and advance care planning) outcomes in Latino/as with advanced cancer. Methods: An interprofessional study team used the ecological validity model and a participatory approach to adapt an evidence‐based counseling intervention for Latino/as and integrate the counseling intervention with an evidence‐based patient navigator intervention. Next, a small pilot study was conducted to understand and improve the feasibility of the integrated puente para cuidar intervention. Results: Adaptations were made to language, literacy, and content of the counseling intervention, and video vignettes of the counseling case studies were produced on the recommendation of Latino/a stakeholders. Bicultural, bilingual patient navigators were used as "cultural brokers" between Latino/a patients and the counselor. The pilot study of puente para cuidar demonstrated feasibility based on participant perception of helpfulness and acceptability and nearing goal visit completion rates. Conclusions: A culturally adapted intervention to address mental health and palliative care needs in Latino/as with advanced cancer was developed from prior evidenced‐based interventions using a cultural adaptation model and a participatory approach. The intervention is ready for effectiveness testing.