Evelyn Cordero - Academia.edu (original) (raw)
Papers by Evelyn Cordero
Psycho-Oncology, 2020
Background: The primary purpose of this study was to examine the feasibility and acceptability of... more Background: The primary purpose of this study was to examine the feasibility and acceptability of participation in a randomized waitlist-controlled intervention of mindfulness-based stress reduction (MBSR) in a young adult cancer sample. A secondary aim was to examine patterns of change in patient reported outcomes (PROs) of physical, social, and emotional functioning. Methods: Participants were enrolled at a large Midwestern comprehensive cancer center and randomized to MBSR or a waitlist control. Feasibility and acceptability were examined through enrollment metrics and a survey. PROs were gathered at baseline, 8-weeks, and 16-weeks. Descriptive statistics and mixed models were used in analyses. Results: Of 597 eligible participants, 151 (26.5%) consented from which 126 (83.4%) completed baseline measures. Sixty-seven participants were randomized to MBSR, and 59 to the waitlist. Immediately following MBSR, the majority of respondents (72%−78%) reported their experience with mindfulness was very logical and useful to increasing their wellbeing. Compared to waitlist members, MBSR participant's scores on PROs improved in expected directions. Conclusions: Our findings suggest that recruitment for an intensive, in-person, multi-week supportive intervention can be challenging with young adults with cancer, similar to other cancer survivor populations; however once enrolled, feasibility and acceptability of MBSR was supported. Further, initial evidence on the role of MBSR on short-term changes in select PROs with this population was also demonstrated.
American Journal of Lifestyle Medicine, 2017
Background. Lifestyle medicine has emerged as a transformational force in mainstream health care.... more Background. Lifestyle medicine has emerged as a transformational force in mainstream health care. Numerous health promotion and wellness programs have been created to facilitate the adoption of increased positive, modifiable health behaviors to prevent and lessen the effects of chronic disease. This article provides a scoping review of available health promotion interventions that focus on healthy adult populations in the past 10 years. Methods. We conducted a scoping review of the literature searching for health promotion interventions in the past 10 years. Interventions were limited to those conducted among healthy adults that offered a face-to-face, group-based format, with positive results on one or more health outcomes. We then developed a new health promotion intervention that draws on multiple components of included interventions. Results. Fifty-eight articles met our inclusion criteria. Physical activity was the primary focus of a majority (N = 47) of articles, followed by d...
Journal of Cancer Education, 2016
Cancer and its treatment can significantly impact health-related quality of life (HRQOL) [29, 4],... more Cancer and its treatment can significantly impact health-related quality of life (HRQOL) [29, 4], particularly for Hispanics [8, 17]. Moreover, providers of cancer support for this population may encounter unique challenges. Grounded in social capital theory, this study identified Spanish-speaking, Hispanic breast cancer survivor support needs and preferences for a mHealth intervention. Methods: A user-centered, community-engaged research design was employed, consisting of focus groups made up of constituents from a local Hispanic-serving, cancer support organization. Focus group audio-recordings, translated into English, were coded using a grounded theory analytic approach. First, lead researchers read the complete transcripts to obtain a general sense of the discussion. Next, coding rules were established (e.g., code at the most granular level; double and triple code if necessary, code exhaustively) and initial codebook was created through open-coding. Three new coders were trained to establish requisite kappa statistic levels (≥.70) for inter-rater reliability. With training and discussion, kappa estimates reached .81-.88. Results: Focus group (n=31) results revealed a mHealth intervention targeting Hispanic cancer patients should not only offer information and support on disease/treatment effects, but also respond to the individual's HRQOL, particularly emotional and social challenges. Specifically, participants expressed a strong desire for Spanish content and to connect with others who had gone through a similar experience. Overall, participants indicated they would have access to and would use such an intervention. Conclusions: Findings indicate positive support for a mHealth, tool, which is culturally tailored to Spanish-speakers, is available in Spanish, and connects cancer patients with survivors.
Cancer Epidemiology, Biomarkers & Prevention, 2014
Background: Formative work was conducted with a Hispanic cancer survivor community toward the dev... more Background: Formative work was conducted with a Hispanic cancer survivor community toward the development of a tailored, literacy-friendly eHealth symptom management application. Ultimately, data will be used to create a symptom monitoring and support system. Theoretical Framework: Cancer is the leading cause of death for Hispanics. Given the heterogeneity of sub-groups, designing appropriate health communications is challenging. Leveraging this population's increasing use of information and communication technology (ICT), there is potential to provide Hispanic cancer survivors with appropriately tailored eHealth communications. Tailoring is a message design technique that incorporates formally assessed individual characteristics into message design, thus making the message personally relevant.1,2 Tailoring eliminates unessential information; what remains is more personally relevant. When information is relevant, it is more likely to be thoughtfully processed, and thus, more suc...
American Journal of Public Health, 2014
eHealth is characterized by technology-enabled processes, systems, and applications that expedite... more eHealth is characterized by technology-enabled processes, systems, and applications that expedite accurate, real-time health information, feedback, and skill development to advance patient-centered care. When designed and applied in a culturally competent manner, eHealth tools can be particularly beneficial for traditionally marginalized ethnic minority groups, such as Latinos, a group that has been identified as being at the forefront of emerging technology use in the United States. In this analytic overview, we describe current eHealth research that has been conducted with Latino patient populations. In addition, we highlight cultural and linguistic factors that should be considered during the design and implementation of eHealth interventions with this population. With increasing disparities in preventive care information, behaviors, and services, as well as health care access in general, culturally competent eHealth tools hold great promise to help narrow this gap and empower co...
Psycho-Oncology, 2020
Background: The primary purpose of this study was to examine the feasibility and acceptability of... more Background: The primary purpose of this study was to examine the feasibility and acceptability of participation in a randomized waitlist-controlled intervention of mindfulness-based stress reduction (MBSR) in a young adult cancer sample. A secondary aim was to examine patterns of change in patient reported outcomes (PROs) of physical, social, and emotional functioning. Methods: Participants were enrolled at a large Midwestern comprehensive cancer center and randomized to MBSR or a waitlist control. Feasibility and acceptability were examined through enrollment metrics and a survey. PROs were gathered at baseline, 8-weeks, and 16-weeks. Descriptive statistics and mixed models were used in analyses. Results: Of 597 eligible participants, 151 (26.5%) consented from which 126 (83.4%) completed baseline measures. Sixty-seven participants were randomized to MBSR, and 59 to the waitlist. Immediately following MBSR, the majority of respondents (72%−78%) reported their experience with mindfulness was very logical and useful to increasing their wellbeing. Compared to waitlist members, MBSR participant's scores on PROs improved in expected directions. Conclusions: Our findings suggest that recruitment for an intensive, in-person, multi-week supportive intervention can be challenging with young adults with cancer, similar to other cancer survivor populations; however once enrolled, feasibility and acceptability of MBSR was supported. Further, initial evidence on the role of MBSR on short-term changes in select PROs with this population was also demonstrated.
American Journal of Lifestyle Medicine, 2017
Background. Lifestyle medicine has emerged as a transformational force in mainstream health care.... more Background. Lifestyle medicine has emerged as a transformational force in mainstream health care. Numerous health promotion and wellness programs have been created to facilitate the adoption of increased positive, modifiable health behaviors to prevent and lessen the effects of chronic disease. This article provides a scoping review of available health promotion interventions that focus on healthy adult populations in the past 10 years. Methods. We conducted a scoping review of the literature searching for health promotion interventions in the past 10 years. Interventions were limited to those conducted among healthy adults that offered a face-to-face, group-based format, with positive results on one or more health outcomes. We then developed a new health promotion intervention that draws on multiple components of included interventions. Results. Fifty-eight articles met our inclusion criteria. Physical activity was the primary focus of a majority (N = 47) of articles, followed by d...
Journal of Cancer Education, 2016
Cancer and its treatment can significantly impact health-related quality of life (HRQOL) [29, 4],... more Cancer and its treatment can significantly impact health-related quality of life (HRQOL) [29, 4], particularly for Hispanics [8, 17]. Moreover, providers of cancer support for this population may encounter unique challenges. Grounded in social capital theory, this study identified Spanish-speaking, Hispanic breast cancer survivor support needs and preferences for a mHealth intervention. Methods: A user-centered, community-engaged research design was employed, consisting of focus groups made up of constituents from a local Hispanic-serving, cancer support organization. Focus group audio-recordings, translated into English, were coded using a grounded theory analytic approach. First, lead researchers read the complete transcripts to obtain a general sense of the discussion. Next, coding rules were established (e.g., code at the most granular level; double and triple code if necessary, code exhaustively) and initial codebook was created through open-coding. Three new coders were trained to establish requisite kappa statistic levels (≥.70) for inter-rater reliability. With training and discussion, kappa estimates reached .81-.88. Results: Focus group (n=31) results revealed a mHealth intervention targeting Hispanic cancer patients should not only offer information and support on disease/treatment effects, but also respond to the individual's HRQOL, particularly emotional and social challenges. Specifically, participants expressed a strong desire for Spanish content and to connect with others who had gone through a similar experience. Overall, participants indicated they would have access to and would use such an intervention. Conclusions: Findings indicate positive support for a mHealth, tool, which is culturally tailored to Spanish-speakers, is available in Spanish, and connects cancer patients with survivors.
Cancer Epidemiology, Biomarkers & Prevention, 2014
Background: Formative work was conducted with a Hispanic cancer survivor community toward the dev... more Background: Formative work was conducted with a Hispanic cancer survivor community toward the development of a tailored, literacy-friendly eHealth symptom management application. Ultimately, data will be used to create a symptom monitoring and support system. Theoretical Framework: Cancer is the leading cause of death for Hispanics. Given the heterogeneity of sub-groups, designing appropriate health communications is challenging. Leveraging this population's increasing use of information and communication technology (ICT), there is potential to provide Hispanic cancer survivors with appropriately tailored eHealth communications. Tailoring is a message design technique that incorporates formally assessed individual characteristics into message design, thus making the message personally relevant.1,2 Tailoring eliminates unessential information; what remains is more personally relevant. When information is relevant, it is more likely to be thoughtfully processed, and thus, more suc...
American Journal of Public Health, 2014
eHealth is characterized by technology-enabled processes, systems, and applications that expedite... more eHealth is characterized by technology-enabled processes, systems, and applications that expedite accurate, real-time health information, feedback, and skill development to advance patient-centered care. When designed and applied in a culturally competent manner, eHealth tools can be particularly beneficial for traditionally marginalized ethnic minority groups, such as Latinos, a group that has been identified as being at the forefront of emerging technology use in the United States. In this analytic overview, we describe current eHealth research that has been conducted with Latino patient populations. In addition, we highlight cultural and linguistic factors that should be considered during the design and implementation of eHealth interventions with this population. With increasing disparities in preventive care information, behaviors, and services, as well as health care access in general, culturally competent eHealth tools hold great promise to help narrow this gap and empower co...