Evidence map›Paper›PMID 32672864›Full record

Trial reportPsycho-oncology2020

Nuevo Amanecer-II: Results of a randomized controlled trial of a community-based participatory, peer-delivered stress management intervention for rural Latina breast cancer survivors.

Anna María Nápoles, Jasmine Santoyo-Olsson, Anita L Stewart, Carmen Ortiz, Cathy Samayoa, Alma Torres-Nguyen, Helen Palomino, LaVerne Coleman, Aday Urias, Nayeli Gonzalez and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psycho-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Psychosocial interventions to improve quality of life in Hispanic cancer survivors: a meta-analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Pooled it
  4. Systematic Review of Interventions Addressing Racial and Ethnic Disparities in Cancer Care and Health Outcomes.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Prevention Science for Reducing Health Disparities.Prevention science : the official journal of the Society for Prevention Research · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Anna María NápolesDivision of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0001-8838-2899
Jasmine Santoyo-OlssonDivision of General Internal Medicine, Department of Medicine, University of California San Francisco (UCSF), San Francisco, California, USA.
Anita L StewartCenter for Aging in Diverse Communities, University of California San Francisco, San Francisco, California, USA.
Carmen OrtizCírculo de Vida Cancer Support and Resource Center, San Francisco, California, USA.
Cathy SamayoaHealth Equity Research Lab, Department of Biology, San Francisco State University, San Francisco, California, USA.
Alma Torres-NguyenKaweah Delta Health Care District, Visalia, California, USA.
Helen PalominoCancer Resource Center of the Desert, El Centro, California, USA.
LaVerne ColemanWomenCARE/Entre Nosotras, Family Service Agency of the Central Coast, Park, California, USA.
Aday UriasCancer Resource Center of the Desert, El Centro, California, USA.
Nayeli GonzalezCancer Resource Center of the Desert, El Centro, California, USA.
Silvia Araceli CervantesKaweah Delta Health Care District, Visalia, California, USA.
Vicken Y TottenKaweah Delta Health Care District, Visalia, California, USA.
Cancer Resource Center of the Desert · USKaweah Delta Health Care District · USUniversity of California, San Francisco · USCírculo de Vida · USFamily Service Agency of the Central Coast · USNational Institutes of Health · USSan Francisco State University · US

Funding

RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Nynikka Palmer · 1997 to 2026
$19.5M
Translating Behavioral Interventions for Health Disparity PopulationsZIAMD000014 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI CHOI, KELVIN · 2018 to 2023
$4.8M
NIA NIH HHS P30 AG015272NIA NIH HHS P30 AG15272NIMHD NIH HHS
6 · The paper itself

Abstract

objectiveWe report results of a community-based multisite, randomized controlled trial of Nuevo Amanecer (NA-II), a 10-week stress management program for rural, low literacy Latina breast cancer survivors.

methodsTrained peers delivered NA-II to Spanish-speaking Latinas with non-metastatic breast cancer in three rural communities. Women were randomized to receive the program immediately or wait 6 months. Assessments were conducted at baseline, 3 months, and 6 months. Primary outcomes were breast cancer-specific quality of life domains; secondary outcomes included general distress symptoms and stress management skills. Intention-to-treat analyses using repeated-measures linear regression models estimated changes in slope between groups.

resultsOf 153 participants (76 randomized to intervention, 77 to control group), 92% were retained at 6 months. Mean age was 54.8 years (SD = 10.5); 80% had less than high school education. There were no statistically significant treatment × time effects on quality of life. Compared to women in the control group, intervention group women reported greater improvements in anxiety at 6 months (-0.20 vs -0.02, P = .049; range 0-4) as well as three stress management skills: relaxation at 3 months (+0.98 vs -0.07, P < .0001; range 0-4) and 6 months (+0.82 vs +0.04, P < .001), awareness of tension at 3 months (+0.31 vs -0.19, P < .01; range 0-4) and 6 months (+0.29 vs -0.11, P < .05), and coping confidence at 3 months (+0.12 vs -0.23, P < .01; range 0-4).

conclusionsStress management programs delivered by trained peers in rural community settings can reduce anxiety and improve stress management skills among Latina breast cancer survivors.

Indexed as

Adaptation, PsychologicalAdultAnxietyBreast NeoplasmsCancer SurvivorsCognitive Behavioral TherapyCommunity ParticipationCounselingFemaleHispanic or LatinoHumansMiddle AgedPeer GroupQuality of LifeRural PopulationStress, Psychologicalbreast cancer survivorscancercommunity-based participatory researchLatino/Hispanicpsychological distresspsycho-oncologyquality of liferandomized controlled trialrural communitiesstress management

Identifiers

PMID32672864
PMCPMC7754127
OpenAlexW3043146812

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.