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Variation in resources needed to implement psychosocial support interventions for rural breast cancer survivors

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Abstract

Purpose

Understanding how resources are used provides guidance to disseminating effective interventions. Here, we report data on implementation resources needed for the Rural Breast Cancer Survivors (RBCS) study that tested a telephone-delivered psychoeducational education and support intervention to survivors in rural Florida. Intervention resources included interventionists’ time on one intake assessment (IA) call, three education calls (ED), one follow-up education call (FUE), six support (SUP) calls, and documentation time per survivor.

Methods

Interventionists logged start and end times of each type of call. Average interventionist time in minutes was calculated by call type. Associations between interventionists’ time and participants’ characteristics including age, race/ethnicity, time since treatment, cancer treatment, depressive symptoms, education, income, employment, and support, was assessed using linear mixed models with repeated measures.

Results

Among 328 survivors, IA calls lasted 66.9 min (SD 21.7); ED lasted 50.6 (SD 16.7), 48.1 (SD 15.9), and 39.6 (SD 14.8); FUE lasted 24.7 (SD 14.8); and SUP 42.8 (SD 29.6) min. Documentation time was 18.4 min for IA, 23–27 for ED, 12.3 for FUE, and 23.0 for SUP.

Conclusion

Interventionists spent significantly more time with participants with depressive symptoms, who already used other support, and who received SUP calls before the ED vs. after. There were no significant differences by time since or type of cancer treatment, or other personal characteristics.

Implications for Cancer Survivors

Resources vary by survivor characteristics. Careful consideration of mental health status or support available is warranted for planning implementation and dissemination of effective survivorship interventions on a broad scale.

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Acknowledgments

The authors thank the breast cancer survivor participants who generously gave their time.

Acknowledgments and disclosure

The Florida cancer incidence data used in this report were collected by the Florida Cancer Data System under contract with the Department of Health (DOH). The views expressed herein are solely those of the authors and do not necessarily reflect those of the contractor or DOH.

Conflict of interest

The authors declare that they have no conflict of interest

Funding source

This study was supported by the National Institute of Nursing Research (R01NR-01185-03) and the National Cancer Institute (RO1CA-120638-07).

Author information

Authors and Affiliations

  1. Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA

    Maria Pisu

  2. School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA

    Karen Meneses, Andres Azuero & Rachel Benz

  3. Department of Mathematical Sciences, University of Texas at El Paso, El Paso, TX, USA

    Xiaogang Su

  4. School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA

    Patrick McNees

  5. Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA

    Maria Pisu, Karen Meneses & Andres Azuero

  6. University of Alabama at Birmingham, 1701 University Blvd., Birmingham, AL, 35294, USA

    Karen Meneses

Authors
  1. Maria Pisu
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  2. Karen Meneses
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  3. Andres Azuero
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  4. Rachel Benz
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  5. Xiaogang Su
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  6. Patrick McNees
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Corresponding author

Correspondence to Karen Meneses.

Additional information

Previous presentation of the manuscript: 2014 Biennial Cancer Survivorship Conference

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Pisu, M., Meneses, K., Azuero, A. et al. Variation in resources needed to implement psychosocial support interventions for rural breast cancer survivors. J Cancer Surviv 10, 375–383 (2016). https://doi.org/10.1007/s11764-015-0483-6

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  • DOI: https://doi.org/10.1007/s11764-015-0483-6

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