A Survivorship Educational Tool for Latino Adolescent and Young Adult Cancer Survivors.

BACKGROUND: Low receipt of survivorship care by Latino adolescent and young adult (AYA) cancer survivors necessitates development of age-appropriate and culturally tailored interventions aimed at increasing their perceived need for survivorship care. METHOD: This study describes the development and acceptability testing of a culturally tailored intervention, a photonovela, as part of a community-partnered participatory research (CPPR) project. A four-step approach to the photonovela's development was implemented: (a) literature review, (b) RAND-modified Delphi method, (c) photonovela booklet development, and (d) photonovela acceptability testing through focus groups. Using the CPPR approach, community and academic experts and members worked together at all stages of this project to identify educational domains for the photonovela and ensure that community views and scientific knowledge were equally represented. RESULTS: Cancer survivors and their families described the photonovela as entertaining and relatable. Its story positively reflected their own experiences, and they connected strongly with its characters. Acceptability testing of the photonovela played a significant role in its final script and content, and provided additional new insights into understanding survivorship care perspectives for Latino AYA survivors and their families. CONCLUSION: Equal and shared community and academic involvement through CPPR is essential in identifying unique needs and developing culturally acceptable educational interventions for Latino AYA cancer survivors. The photonovela was seen as an important educational resource in enhancing knowledge and increasing perceived need for survivorship care in this population.

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

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.

Improving Cancer Survivorship Care for Latino Adolescent, Young Adult Survivors through Community-Partnered Participatory Research.

Background: Minority adolescent and young adult (AYA) cancer survivors experience disparities in receipt of survivorship care. Objective: This study describes the infrastructure of a community-partnered participatory research (CPPR) project between a community-based organization and a National Cancer Institute (NCI)-designated cancer center to develop culturally-tailored interventions to improve Latino AYA cancer survivor knowledge regarding their need for survivorship care. Methods: Research team participants included the community organization and NCI cancer center directors, a research coordinator, a community liaison, and cross-training program interns. Through use of Jones's theoretical framework, additional stakeholders from academic and community settings were identified and invited to participate in the research team. A process evaluation and qualitative interviews were conducted to assess equal partnership between community and academic stakeholders and determine if the infrastructure followed the five core principles of CPPR. A grounded theory approach was used to analyze qualitative data. Conclusions: CPPR between an NCI-designated cancer center and a community-based organization is a new research model for conducting minority AYA cancer survivor outreach. Open communication was critical in engaging the Latino community to discuss their survivorship needs. Community stakeholders were key to infrastructure success through fostering a cohesive partnership with and acting as the voice of the Latino community. Implementing a cross-training program promoted continued engagement of community members with academic partners. Proper infrastructure development is critical to building successful research partnerships in order to develop culturally-tailored interventions to improve survivorship care knowledge.

Saúde do trabalhador na atenção básica: um estudo qualitativo com trabalhadores de uma equipe multiprofissional / Worker health in primary care: a qualitative study with workers from a multiprofessional team

A saúde do trabalhador é tema transversal do processo de trabalho na atenção básica, com destaque para a política de saúde pública e as práticas de uma equipe multiprofissional. O objetivo geral deste estudo foi identificar aspectos da saúde do trabalhador no processo de trabalho de uma equipe multiprofissional da atenção básica e o objetivo específico deste estudo foi analisar as demandas, condições e relações de trabalho que se estabelecem no processo de trabalho de uma equipe da atenção básica. Foi utilizada a metodologia qualitativa e exploratória para a coleta de dados, a técnica Bola de Neve para as entrevistas semiestruturadas e análise temática para a análise dos dados coletados na pesquisa . Foram apontados nos resultados desse estudo como aspectos fortalecedores da saúde do trabalhador a autonomia, a ambiência, a atualização profissional, os bons relacionamentos entre a equipe, o vínculo com os usuários do serviço de saúde e a satisfação no trabalho. Entre os aspectos a serem superados aponta-se a necessidade de qualificar os processos de gestão e de educação do trabalho em saúde no que se refere à saúde do trabalhador e atenção integral ao trabalhador. Compreender e identificar os fatores internos e externos a política de saúde pública que incidem no processo de trabalho é fundamental para o fortalecimento do SUS de qualidade no território de abrangência da unidade de saúde estudada, pois esses fatores colaboram na efetividade das ações de promoção e prevenção de saúde dos trabalhadores que atuam no serviço. (AU)

Saúde do trabalhador na atenção básica: um estudo qualitativo com trabalhadores de uma equipe multiprofissional / Worker health in primary care: a qualitative study with workers from a multiprofessional team

A saúde do trabalhador é tema transversal do processo de trabalho na atenção básica, com destaque para a política de saúde pública e as práticas de uma equipe multiprofissional. O objetivo geral deste estudo foi identificar aspectos da saúde do trabalhador no processo de trabalho de uma equipe multiprofissional da atenção básica e o objetivo específico deste estudo foi analisar as demandas, condições e relações de trabalho que se estabelecem no processo de trabalho de uma equipe da atenção básica. Foi utilizada a metodologia qualitativa e exploratória para a coleta de dados, a técnica Bola de Neve para as entrevistas semiestruturadas e análise temática para a análise dos dados coletados na pesquisa . Foram apontados nos resultados desse estudo como aspectos fortalecedores da saúde do trabalhador a autonomia, a ambiência, a atualização profissional, os bons relacionamentos entre a equipe, o vínculo com os usuários do serviço de saúde e a satisfação no trabalho. Entre os aspectos a serem superados aponta-se a necessidade de qualificar os processos de gestão e de educação do trabalho em saúde no que se refere à saúde do trabalhador e atenção integral ao trabalhador. Compreender e identificar os fatores internos e externos a política de saúde pública que incidem no processo de trabalho é fundamental para o fortalecimento do SUS de qualidade no território de abrangência da unidade de saúde estudada, pois esses fatores colaboram na efetividade das ações de promoção e prevenção de saúde dos trabalhadores que atuam no serviço. (AU)