Barriers and Facilitators to Recruitment to a Culturally Based Dietary Intervention Among Urban Hispanic Breast Cancer Survivors

• Published in: Journal of racial and ethnic health disparities 2015-06, Vol.2 (2), p.244-255
• Main Authors: Bernard-Davila, Blanca, Aycinena, A. Corina, Richardson, John, Gaffney, Ann Ogden, Koch, Pam, Contento, Isobel, Molmenti, Christine Sardo, Alvarez, Maria, Hershman, Dawn, Greenlee, Heather
• Format: Article
• Language: English
• Subjects: Acculturation; Aged; Behavior modification; Bilingualism; Biomarkers; Breast cancer; Breast Neoplasms - diet therapy; Breast Neoplasms - ethnology; Cancer; Clinical assessment; Clinical outcomes; Clinical trials; Comorbidity; Consent; Cultural factors; Culturally Competent Care; Demographics; Diet; Disease; Enrollments; Epidemiology; Female; Fluency; Healthcare Disparities - ethnology; Hispanic Americans; Hispanic or Latino - statistics & numerical data; Humans; Informed consent; Intervention; Interviews; Likert scale; Medical diagnosis; Medical history; Medical screening; Medicine; Medicine & Public Health; Middle Aged; Monolingualism; Nutrition research; Oncology; ORIGINAL PAPERS; Participation; Patient Selection; Quality of life; Quality of Life Research; Recruitment; Social Inequality; Social Structure; Socioeconomic Factors; Spanish language; Survival; Survivor; Survivors - statistics & numerical data; Unemployment; Urban areas; Urban Population - statistics & numerical data; Women; Womens health
• ISSN: 2197-3792; 2196-8837
• DOI: 10.1007/s40615-014-0076-5

Purpose The purpose of this study was to understand factors related to recruitment to behavioral intervention trials among Spanish-speaking urban Hispanic breast cancer (BC) survivors. Methods Potentially eligible Hispanic BC survivors were recruited from the Columbia University Breast Oncology Clinic, signed informed consent, and completed a screening interview on demographics, medical history, acculturation (Short Acculturation Scale for Hispanics), quality of life (QOL), and perceived benefits/risks of research participation. Trial eligibility criteria included stage 0-III BC, completion of adjuvant treatment, Hispanic descent, fluency in Spanish, and willingness to be randomized to active arm (9-session in-person culturally based ¡ Cocinar para su salud ! dietary modification program) or control arm (written materials). We compared characteristics between eligible women who did and did not enroll in the trial. Results One hundred two women completed the screening interview and were eligible to participate. Overall mean age was 57.3 ± 9.5 years, mean time since diagnosis was 3.4 ± 2.1 years, 71 % reported annual household income