A systematic review of behavioral interventions for rural breast cancer survivors

Chelsea G. Ratcliff, Debbie Torres, Emily A. Tullos, Yimin Geng, Qian Lu

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Rural breast cancer survivors (RBCS) are at greater risk for poorer health outcomes and face greater treatment barriers compared to their urban counterparts, necessitating behavioral interventions tailored for the unique needs of RBCS. A systematic review of studies examining behavioral interventions delivered to RBCS living in the United States from 2000 to 2020 was conducted following PRIMSA guidelines. Nineteen unique studies were included: eight randomized controlled trials, two matched-control studies, six pre-post intervention feasibility studies, and three post-intervention satisfaction studies. Thirteen interventions aimed to improve psychosocial support, three to improve weight management, and three to improve education. Results indicate interventions’ feasibility and acceptability. Six out of eight intervention conditions reported favorable outcomes compared to control conditions, suggesting promise for efficacy. However, variability in intervention objective, duration, delivery, and follow-up timing, and small sample sizes prevent overarching conclusions. Research involving larger sample sizes, higher quality control groups, and longer follow-up data is needed.

Original languageEnglish (US)
Pages (from-to)467-483
Number of pages17
JournalJournal of Behavioral Medicine
Volume44
Issue number4
DOIs
StatePublished - Aug 2021

Keywords

  • Breast cancer survivor
  • Psychosocial intervention
  • Rural
  • Survivorship

ASJC Scopus subject areas

  • General Psychology
  • Psychiatry and Mental health

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