Improving health engagement and lifestyle management for breast cancer survivors with diabetes.

dc.contributor.author

Shelby, Rebecca A

dc.contributor.author

Dorfman, Caroline S

dc.contributor.author

Arthur, Sarah S

dc.contributor.author

Bosworth, Hayden B

dc.contributor.author

Corsino, Leonor

dc.contributor.author

Sutton, Linda

dc.contributor.author

Owen, Lynda

dc.contributor.author

Erkanli, Alaattin

dc.contributor.author

Keefe, Francis

dc.contributor.author

Corbett, Cheyenne

dc.contributor.author

Kimmick, Gretchen

dc.date.accessioned

2024-01-02T21:01:56Z

dc.date.available

2024-01-02T21:01:56Z

dc.date.issued

2020-05

dc.description.abstract

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.

dc.identifier

S1551-7144(20)30076-8

dc.identifier.issn

1551-7144

dc.identifier.issn

1559-2030

dc.identifier.uri

https://hdl.handle.net/10161/29654

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Contemporary clinical trials

dc.relation.isversionof

10.1016/j.cct.2020.105998

dc.rights.uri

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Humans

dc.subject

Breast Neoplasms

dc.subject

Diabetes Mellitus, Type 2

dc.subject

Adaptation, Psychological

dc.subject

Stress, Psychological

dc.subject

Health Behavior

dc.subject

Self Efficacy

dc.subject

Research Design

dc.subject

Female

dc.subject

Healthy Lifestyle

dc.subject

Cancer Survivors

dc.subject

Self-Management

dc.subject

Glycated Hemoglobin

dc.title

Improving health engagement and lifestyle management for breast cancer survivors with diabetes.

dc.type

Journal article

duke.contributor.orcid

Dorfman, Caroline S|0000-0002-2391-1128

duke.contributor.orcid

Bosworth, Hayden B|0000-0001-6188-9825

duke.contributor.orcid

Corsino, Leonor|0000-0001-6859-9097

duke.contributor.orcid

Erkanli, Alaattin|0000-0002-5437-4900

duke.contributor.orcid

Keefe, Francis|0000-0003-0583-9326

pubs.begin-page

105998

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

Trinity College of Arts & Sciences

pubs.organisational-group

Student

pubs.organisational-group

Basic Science Departments

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Biostatistics & Bioinformatics

pubs.organisational-group

Anesthesiology

pubs.organisational-group

Medicine

pubs.organisational-group

Psychiatry & Behavioral Sciences

pubs.organisational-group

Medicine, Endocrinology, Metabolism, and Nutrition

pubs.organisational-group

Medicine, General Internal Medicine

pubs.organisational-group

Medicine, Medical Oncology

pubs.organisational-group

Medicine, Rheumatology and Immunology

pubs.organisational-group

Duke Cancer Institute

pubs.organisational-group

Psychology & Neuroscience

pubs.organisational-group

Duke Clinical Research Institute

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

Center for the Study of Aging and Human Development

pubs.organisational-group

Initiatives

pubs.organisational-group

Duke Science & Society

pubs.organisational-group

Population Health Sciences

pubs.organisational-group

Duke Innovation & Entrepreneurship

pubs.organisational-group

Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences

pubs.organisational-group

Duke - Margolis Center For Health Policy

pubs.organisational-group

Biostatistics & Bioinformatics, Division of Biostatistics

pubs.publication-status

Published

pubs.volume

92

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Improving health engagement and lifestyle management for breast cancer survivors with diabetes.pdf
Size:
552.88 KB
Format:
Adobe Portable Document Format