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Improving health engagement and lifestyle management for breast cancer survivors with diabetes.
Shelby, Rebecca A; Dorfman, Caroline S; Arthur, Sarah S; Bosworth, Hayden B; Corsino, Leonor; Sutton, Linda; Owen, Lynda; Erkanli, Alaattin; Keefe, Francis; Corbett, Cheyenne; Kimmick, Gretchen.
Afiliação
  • Shelby RA; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, United States of America. Electronic address: rebecca.shelby@duke.edu.
  • Dorfman CS; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, United States of America.
  • Arthur SS; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, United States of America.
  • Bosworth HB; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, United States of America; Division of General Internal Medicine, Duke University, Durham, NC, United States of America; Department of Population Health Sciences, Duke University, Durham, NC, United States of America.
  • Corsino L; Division of Endocrinology, Metabolism and Nutrition, Duke University, Durham, NC, United States of America.
  • Sutton L; Duke Cancer Network, Duke University, Durham, NC, United States of America.
  • Owen L; Duke Cancer Network, Duke University, Durham, NC, United States of America.
  • Erkanli A; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, United States of America.
  • Keefe F; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, United States of America.
  • Corbett C; Supportive Care and Survivorship Center, Duke Cancer Institute, Durham, NC, United States of America.
  • Kimmick G; Division of Medical Oncology, Duke University Medical Center, Durham, NC, United States of America.
Contemp Clin Trials ; 92: 105998, 2020 05.
Article em En | MEDLINE | ID: mdl-32289471
Breast cancer survivors with type 2 diabetes are at high risk for cancer recurrence, serious health complications, more severe symptoms, psychological distress, and premature death relative to breast cancer survivors without diabetes. Maintaining glycemic control is critical for decreasing symptoms and preventing serious health problems. Many breast cancer survivors with type 2 diabetes have difficulty maintaining diabetes self-management behaviors and achieving glycemic control. Both cancer and diabetes-related symptoms (e.g., physical symptoms and psychological distress) are often barriers to engaging in diabetes self-management strategies. This study evaluates a novel diabetes coping skills training (DCST) intervention for improving breast cancer survivors' abilities to manage symptoms and adhere to recommended diabetes self-management behaviors. The telephone-based DCST protocol integrates three key theory-based strategies: coping skills training for managing symptoms, adherence skills training, and healthy lifestyle skills training. A randomized clinical trial will test the DCST intervention plus diabetes education by comparing it to diabetes education alone. Symptoms, distress, diabetes self-management behaviors, and self-efficacy will be assessed at baseline and 3, 6, and 12 months. Glycosylated hemoglobin (HbA1c) will be assessed at baseline, 6, and 12 months. This study addresses a critical gap in the care of breast cancer survivors by evaluating a novel behavioral intervention to improve the management of symptoms, adherence, and glycemic control in breast cancer survivors with type 2 diabetes. Special considerations for this medically underserved population are also provided. The findings of this study could lead to significant improvements in clinical care and beneficial outcomes for breast cancer survivors. Trials registration: ClinicalTrials.gov, NCT02970344, registered 11/22/2016.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Diabetes Mellitus Tipo 2 / Estilo de Vida Saudável / Sobreviventes de Câncer / Autogestão Tipo de estudo: Clinical_trials / Guideline Limite: Female / Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Diabetes Mellitus Tipo 2 / Estilo de Vida Saudável / Sobreviventes de Câncer / Autogestão Tipo de estudo: Clinical_trials / Guideline Limite: Female / Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article