• David B Bekelman, Regina M Fink, Timothy Sannes, Danielle M Kline, Evelinn A Borrayo, Carolyn Turvey, and Stacy M Fischer.
• Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
• Psychooncology. 2020 Apr 1; 29 (4): 688-695.

ObjectiveInterventions are needed to improve mental health (ie, depression, anxiety) and palliative care (ie, symptoms, goals of care, and advance care planning) outcomes in Latino/as with advanced cancer.MethodsAn interprofessional study team used the ecological validity model and a participatory approach to adapt an evidence-based counseling intervention for Latino/as and integrate the counseling intervention with an evidence-based patient navigator intervention. Next, a small pilot study was conducted to understand and improve the feasibility of the integrated puente para cuidar intervention.ResultsAdaptations were made to language, literacy, and content of the counseling intervention, and video vignettes of the counseling case studies were produced on the recommendation of Latino/a stakeholders. Bicultural, bilingual patient navigators were used as "cultural brokers" between Latino/a patients and the counselor. The pilot study of puente para cuidar demonstrated feasibility based on participant perception of helpfulness and acceptability and nearing goal visit completion rates.ConclusionsA culturally adapted intervention to address mental health and palliative care needs in Latino/as with advanced cancer was developed from prior evidenced-based interventions using a cultural adaptation model and a participatory approach. The intervention is ready for effectiveness testing.© 2019 John Wiley & Sons, Ltd.

20 keywords...

hide…