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Engaging Latino Adolescent and Young Adult (AYA) Cancer Survivors in Their Care: Piloting a Photonovela Intervention

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Abstract

Latino adolescent and young adult (AYA) cancer survivors represent a growing population given the changing demographics in the USA. They experience significant healthcare disparities and barriers that warrant age-specific and culturally appropriate interventions to improve their clinical and psychosocial outcomes. This single-arm pilot study evaluated a novel intervention – a photonovela – on its ability to educate Latino AYA survivors and their family members and engage them in survivorship care. Ninety-seven participants (Latino AYA survivors and their family members) were recruited for this study. Three surveys assessing survivorship care confidence, cancer stigma, and survivorship care knowledge were administered to families before they received the photonovela, after the intervention, and at a booster phone call session. Mixed effects models were used to evaluate differences in scores at the three time points while accounting for repeated measures and family clustering. Results show that the photonovela was effective in improving survivorship care confidence and knowledge of Latino AYA survivors and their families. This pilot study indicates that the photonovela has potential to be a useful intervention for improving confidence and knowledge regarding the need to seek survivorship care for Latino AYA cancer survivors.

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Acknowledgments

The authors of this paper would like to acknowledge Andrew Shanholtzer and the research assistants from the UCLA Jonsson Comprehensive Cancer Center who worked on this project.

Funding

This work was supported by the National Institutes of Health (NIH) under Grant PAR-09-021 entitled “Feasibility Studies for Collaborative Interaction for Minority Institution/Cancer Center Partnership (P20)” (Co-Principal Investigators: J. Casillas and E. Barboa). Dr. Crespi was additionally supported by the NIH under Grant CA16042.

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Authors and Affiliations

  1. Department of Pediatrics, Division of Hematology/Oncology, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, A2-410 MDCC, Los Angeles, CA, 90095, USA

    Jacqueline N. Casillas & Lindsay F. Schwartz

  2. Center for Cancer Prevention and Control Research, UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA, 90095, USA

    Jacqueline N. Casillas, Patricia A. Ganz & Roshan Bastani

  3. RAND Corporation, Santa Monica, CA, 90401, USA

    Jennifer L. Gildner

  4. Department of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA, 90095, USA

    Catherine M. Crespi

  5. Department of Medicine, Division of Hematology/Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA

    Patricia A. Ganz

  6. Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, 90095, USA

    Patricia A. Ganz & Roshan Bastani

  7. Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, 90095, USA

    Katherine L. Kahn

  8. Department of Psychiatry, David Geffen School of Medicine at UCLA, Resnick Neuropsychiatric Hospital, Los Angeles, CA, 90095, USA

    Margaret L. Stuber

  9. Division of Pediatric Hematology/Oncology, Children’s Hospital of Orange County, Orange, CA, 92868, USA

    Sonia Morales

  10. Padres Contra El Cáncer (PADRES), Toluca Lake, CA, 91602, USA

    Karla Quintana, Amri Gonzalez, Esther Casas & Elvia Barboa

Authors
  1. Jacqueline N. Casillas
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  2. Lindsay F. Schwartz
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  3. Jennifer L. Gildner
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  4. Catherine M. Crespi
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  5. Patricia A. Ganz
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  6. Katherine L. Kahn
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  7. Margaret L. Stuber
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  8. Roshan Bastani
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  9. Sonia Morales
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  10. Karla Quintana
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  11. Amri Gonzalez
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  12. Esther Casas
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  13. Elvia Barboa
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Corresponding author

Correspondence to Jacqueline N. Casillas.

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The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Casillas, J.N., Schwartz, L.F., Gildner, J.L. et al. Engaging Latino Adolescent and Young Adult (AYA) Cancer Survivors in Their Care: Piloting a Photonovela Intervention. J Canc Educ 36, 971–980 (2021). https://doi.org/10.1007/s13187-020-01724-2

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