Abstract
Un Abrazo Para La Familia™ (Abrazo) is a 3-h modular preventive intervention designed for low-income caregivers who are co-survivors of cancer. Here we (1) consider the benefit to survivors of cancer, that is, the care recipients who participate in Abrazo; (2) summarize the literature specific to research outreach to low-income, underserved populations when they are faced with cancer; and (3) describe current steps being taken in Southern Arizona to reach these populations via Abrazo. Specific to considering the benefit to care recipients, we analyzed care recipient data derived from three existing cohorts of Abrazo participants. Analyses of the combined cohorts of these data demonstrate that Abrazo is effective with care recipients given statistically significant higher cancer knowledge and self-efficacy scores, pre- vs. post-intervention. We can now report benefit to care recipients who participate in Abrazo. This allows us, with confidence, to expand research recruitment efforts to include care recipients as part of the Abrazo intervention in our efforts to serve low-income, underserved populations when faced with cancer.
Similar content being viewed by others
Data Availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
Notes
“Hispanic and Latinx/o/a are used interchangeably without preference or prejudice” Cancer Facts & Figures for Hispanics/Latinos 2018–2020. American Cancer Society; 2018, p. 1.
References
Kim Y, Carver CS (2019) Unmet needs of family cancer caregivers predict quality of life in long-term cancer survivorship. J Cancer Surviv
Badger TA, Segrin C, Figueredo AJ, Harrington J, Sheppard K, Passalacqua S, Pasvogel A, Bishop M (2011) Psychosocial interventions to improve quality of life in prostate cancer survivors and their intimate or family partners. Qual Life Res 20(6):833–844
Galway K et al (2012) Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients. Cochrane Database Syst Rev 11
Inhestern L et al (2016) Psychosocial interventions for families with parental cancer and barriers and facilitators to implementation and use–a systematic review. PLoS One 11(6):e0156967
Badr H et al (2015) Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: results of a randomized pilot trial. Cancer 121(1):150–158
Badr H, Carmack CL, Diefenbach MA (2015) Psychosocial interventions for patients and caregivers in the age of new communication technologies: opportunities and challenges in cancer care. J Health Commun 20(3):328–342
Marshall CA et al (2014) Un Abrazo Para La Familia: an evidenced-based rehabilitation approach in providing cancer education to low-SES Hispanic co-survivors. J Cancer Educ 29(4):626–633
Marshall CA, Curran MA, Brownmiller G, Solarte A, Armin J, Hamann HA, Crist JD, Niemelä M, Badger TA, Weihs KL (2018) Oregon’s Familias en Acción replicates benefits for underserved cancer co-survivors through Un Abrazo Para la Familia. Psycho-Oncology 27:2405–2411
Marshall CA, Badger TA, Curran MA, Koerner SS, Larkey LK, Weihs KL, Verdugo L, García FA (2013) Un Abrazo Para la Familia: providing low-income Hispanics with education and skills in coping with cancer and caregiving. Psycho-Oncology 22:470–474
Marshall CA et al (2013) Information and support for co-survivors during or after cancer treatment: consideration of Un Abrazo Para la Familia as a model for family-focused intervention in cancer rehabilitation. WORK: J Prev Assess Rehabil 46:395–405
Braden CJ, Mishel MH, Longman AJ (1998) Self-help intervention project. Women receiving breast cancer treatment. Cancer Pract 6(2):87–98
National Cancer Institute. Cancer Disparities. 2018 January 15, 2019]
Renert H, Russell-Mayhew S, Arthur N (2013) Recruiting ethnically diverse participants into qualitative health research: lessons learned. Qual Rep 18(12):1–13
Ibrahim S, Sidani S (2014) Strategies to recruit minority persons: a systematic review. J Immigr Minor Health 16(5):882–888
García AA, Zuñiga JA, Lagon C (2017) A personal touch: the most important strategy for recruiting Latino research participants. J Transcult Nurs 28(4):342–347
Knobf M, Juarez G, Lee SY, Sun V, Sun Y, Haozous E (2007) Challenges and strategies in recruitment of ethnically diverse populations for cancer nursing research. Oncol Nurs Forum 34(6):1187–1194
Roland KB, Milliken EL, Rohan EA, DeGroff A, White S, Melillo S, Rorie WE, Signes CC, Young PA (2017) Use of community health workers and patient navigators to improve cancer outcomes among patients served by federally qualified health centers: a systematic literature review. Health Equity 1(1):61–76
Smith EJ (2006) The strength-based counseling model. Couns Psychol 34(1):13–79
Funding
Research leading to the development of Un Abrazo Para La Familia (Abrazo) was supported by a Ruth L. Kirschstein National Research Service Award (NRSA) for Individual Senior Fellowship (grant number F33CA117704) from the Department of Health and Human Services’ National Institutes of Health and National Cancer Institute awarded to Catherine A. Marshall, PhD. The Southern Arizona Affiliate of Susan G. Komen for the Cure® provided funding awarded to the El Rio Health Center Foundation for Abrazo to be first implemented and evaluated in Arizona, providing two cohorts of cancer survivor data. Funding from the Oregon Health & Science University Knight Cancer Institute was awarded to Familias en Acción for the replication of Abrazo in Oregon, providing one cohort of cancer survivor data. Development of this manuscript was supported in part by a grant from the Merck Foundation Alliance to Advance Patient-Centered Cancer Care awarded to Heidi A. Hamann, P.I. (grant number 011569-00001).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval
Human subjects protection programs of the University of Arizona (Tucson cohorts) and the Oregon Health & Science University and the Knight Cancer Institute (Portland cohort) determined that as evaluation studies, the studies reported here were exempt from review by their respective institutional review boards and did not require ethics committee oversight.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
ESM 1
(PDF 131 kb)
Rights and permissions
About this article
Cite this article
Marshall, C.A., Curran, M.A., Trejo, J. et al. The Evolution of Un Abrazo Para La Familia: Implications for Survivors of Cancer. J Canc Educ 36, 1075–1080 (2021). https://doi.org/10.1007/s13187-020-01737-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-020-01737-x