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

Publication ,  Journal Article
Shelby, RA; Dorfman, CS; Arthur, SS; Bosworth, HB; Corsino, L; Sutton, L; Owen, L; Erkanli, A; Keefe, F; Corbett, C; Kimmick, G
Published in: Contemp Clin Trials
May 2020

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.

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Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

May 2020

Volume

92

Start / End Page

105998

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Self-Management
  • Self Efficacy
  • Research Design
  • Public Health
  • Humans
  • Healthy Lifestyle
  • Health Behavior
  • Glycated Hemoglobin
  • General Clinical Medicine
 

Citation

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Chicago
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Shelby, R. A., Dorfman, C. S., Arthur, S. S., Bosworth, H. B., Corsino, L., Sutton, L., … Kimmick, G. (2020). Improving health engagement and lifestyle management for breast cancer survivors with diabetes. Contemp Clin Trials, 92, 105998. https://doi.org/10.1016/j.cct.2020.105998
Shelby, Rebecca A., Caroline S. Dorfman, Sarah S. Arthur, Hayden B. Bosworth, Leonor Corsino, Linda Sutton, Lynda Owen, et al. “Improving health engagement and lifestyle management for breast cancer survivors with diabetes.Contemp Clin Trials 92 (May 2020): 105998. https://doi.org/10.1016/j.cct.2020.105998.
Shelby RA, Dorfman CS, Arthur SS, Bosworth HB, Corsino L, Sutton L, et al. Improving health engagement and lifestyle management for breast cancer survivors with diabetes. Contemp Clin Trials. 2020 May;92:105998.
Shelby, Rebecca A., et al. “Improving health engagement and lifestyle management for breast cancer survivors with diabetes.Contemp Clin Trials, vol. 92, May 2020, p. 105998. Pubmed, doi:10.1016/j.cct.2020.105998.
Shelby RA, Dorfman CS, Arthur SS, Bosworth HB, Corsino L, Sutton L, Owen L, Erkanli A, Keefe F, Corbett C, Kimmick G. Improving health engagement and lifestyle management for breast cancer survivors with diabetes. Contemp Clin Trials. 2020 May;92:105998.
Journal cover image

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

May 2020

Volume

92

Start / End Page

105998

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Self-Management
  • Self Efficacy
  • Research Design
  • Public Health
  • Humans
  • Healthy Lifestyle
  • Health Behavior
  • Glycated Hemoglobin
  • General Clinical Medicine