Grant Number:	5R01CA120638-07 Interpret this number
Primary Investigator:	Meneses, Karen
Organization:	University Of Alabama At Birmingham
Project Title:	Rural Breast Cancer Survivors Intervention
Fiscal Year:	2012

DESCRIPTION (provided by applicant): The pressing significance of the proposed study was underscored with January 2006 release of The Institute of Medicine's Report, "From cancer patient to cancer survivor: Lost in transition". The Report recommends patients receive a "survivorship care plan" including information critical to life after treatment. Yet, the Report cites serious shortfalls in follow-up care, suggesting too many survivors are lost in transition after treatment. They move from an orderly care system to a non-system where few guidelines exist to help them into and through cancer survivorship. Of over 10 million cancer survivors in the United States, 2.3 million are (22%) are breast cancer survivors. Forty percent of all female cancer survivors are breast cancer survivors; making them the largest single group of survivors. Projections reflect continued increases in the rate of survivorship in coming years. Left unaddressed, ever increasing numbers will move from an orderly system of care to a 'non system'. Rural breast cancer survivors are particularly vulnerable to being lost in transition. The lack of access to healthcare providers and survivorship services is exacerbated by communication difficulties. These conditions render them at additional risk for poor quality of life (QoL). The overall goal of the proposed project is to determine the effectiveness of the Rural Breast Cancer Survivors (RBCS) Intervention; an intervention specifically designed to address the challenges associated with rural breast cancer survivors' transition from treatment to survivorship. Seven preliminary studies supporting the efficacy of the RBCS lead us to the following aims: (1) Determine the within group effects of the Rural RBSC Intervention on overall QoL. (2) Determine the between group effects of the RBCS Intervention on overall QoL. (3) Determine the within group effects of the RBCS Intervention on physical, psychological, social, and spiritual QoL subdomains. (4) Determine the between group effects of the RBCS Intervention on physical, psychological, social, and spiritual QoL subdomains. (5) Determine baseline characteristics associated with QoL, and explore their confounding or interacting effects with the RBCS Intervention. A GEE analytical approach will be employed. This project stands to provide a structure and the content for assuring rural breast cancer survivors receive information and support necessary to avoid being lost in transition from treatment to survivorship. Such innovation is necessary if the deleterious consequences of survivorship neglect are to be avoided.




A telephone-based education and support intervention for Rural Breast Cancer Survivors: a randomized controlled trial comparing two implementation strategies in rural Florida.
Authors: Meneses K. , Pisu M. , Azuero A. , Benz R. , Su X. , McNees P. .
Source: Journal Of Cancer Survivorship : Research And Practice, 2020-03-10 00:00:00.0; , .
EPub date: 2020-03-10 00:00:00.0.
PMID: 32157608
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Telehealth intervention for Latina breast cancer survivors: A pilot.
Authors: Meneses K. , Gisiger-Camata S. , Benz R. , Raju D. , Bail J.R. , Benitez T.J. , Pekmezi D. , McNees P. .
Source: Women's Health (london, England), 2018 Jan-Dec; 14, p. 1745506518778721.
PMID: 29807495
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Out-of-pocket costs and burden among rural breast cancer survivors.
Authors: Pisu M. , Azuero A. , Benz R. , McNees P. , Meneses K. .
Source: Cancer Medicine, 2017 03; 6(3), p. 572-581.
EPub date: 2017-02-23 00:00:00.0.
PMID: 28229562
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Variation In Resources Needed To Implement Psychosocial Support Interventions For Rural Breast Cancer Survivors
Authors: Pisu M. , Meneses K. , Azuero A. , Benz R. , Su X. , McNees P. .
Source: Journal Of Cancer Survivorship : Research And Practice, 2016 Apr; 10(2), p. 375-83.
PMID: 26341349
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Patient-centered Outcome Evaluation Of The Rural Breast Cancer Survivors Intervention
Authors: Schoenberger Y.M. , Benz R. , McNees P. , Meneses K. .
Source: Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer, 2016 Apr; 24(4), p. 1841-8.
PMID: 26452487
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Adapting An Evidence-based Survivorship Intervention For Latina Breast Cancer Survivors
Authors: Meneses K. , Gisiger-Camata S. , Schoenberger Y.M. , Weech-Maldonado R. , McNees P. .
Source: Women's Health (london, England), 2015 Mar; 11(2), p. 109-19.
PMID: 25776285
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Dealing With The Financial Burden Of Cancer: Perspectives Of Older Breast Cancer Survivors
Authors: Pisu M. , Martin M.Y. , Shewchuk R. , Meneses K. .
Source: Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer, 2014 Nov; 22(11), p. 3045-52.
PMID: 24912858
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Predictors Of Attrition Among Rural Breast Cancer Survivors
Authors: Meneses K. , Azuero A. , Su X. , Benz R. , McNees P. .
Source: Research In Nursing & Health, 2014 Feb; 37(1), p. 21-31.
PMID: 24338864
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Co-morbidity And Predictors Of Health Status In Older Rural Breast Cancer Survivors
Authors: Azuero A. , Benz R. , McNees P. , Meneses K. .
Source: Springerplus, 2014; 3, p. 102.
PMID: 24711982
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Strategies To Retain Rural Breast Cancer Survivors In Longitudinal Research
Authors: Meneses K.M. , Benz R.L. , Hassey L.A. , Yang Z.Q. , McNees M.P. .
Source: Applied Nursing Research : Anr, 2013 Nov; 26(4), p. 257-62.
PMID: 24035222
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A Revision Of The Quality Of Life-breast Cancer Survivors (qol-bcs) Instrument
Authors: Azuero A. , Su X. , McNees P. , Meneses K. .
Source: Research In Nursing & Health, 2013 Aug; 36(4), p. 423-34.
PMID: 23512217
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Multimorbidity: An Issue Of Growing Importance For Oncologists
Authors: Ritchie C.S. , Kvale E. , Fisch M.J. .
Source: Journal Of Oncology Practice, 2011 Nov; 7(6), p. 371-4.
PMID: 22379419
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