Outcomes following a breast cancer diagnosis are different by race and ethnicity with African American women having poorer survival compared to Caucasian women. Research has shown that differences in personal health factors can contribute to breast cancer outcomes and explain racial differences. This study will examine how personal-level factors relating to biological, psychological, and physiological issues play a role in outcomes among African American breast cancer survivors.
This study is for men and women with a history of cancer and distress (i.e. anxiety and/or depressive symptoms). The purpose of this research study is to determine the feasibility and effects of a telephone-based, stepped-care mental health intervention (which means that the level of intervention is based on the severity of symptoms) versus enhanced usual care for post-treatment cancer survivors with moderate or severe levels of emotional distress (anxiety and/or depressive symptoms).
Barriers exist that can prevent minority and underserved populations from participating in cancer clinical trials. Social determinants can be useful for examining patient preferences and factors associated with treatment response and outcomes in order to effectively improve minority recruitment and retention into cancer clinical trials. Therefore, this study will collect data on social determinants of cancer treatment and outcomes to inform future interventions in cancer care delivery.
It is important to understand multiple personal-level factors that impact disease risks and outcomes to determine the most effective ways to establish precise medical strategies to prevent, diagnose, and treat chronic health conditions and diseases. This is especially important among minority and underserved populations that would benefit from more tailored healthcare approaches. This study will develop and assess strategies for circulating evidence about precision medicine and improving precision medicine approaches.