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 | ||
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 | ||
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 |
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