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TELECONFERENCE GROUP: BREAST CANCER IN AFRICAN AMERICANS

Award Number: R01CA107305
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/01/2005
PERIOD OF PERFORMANCE END DATE: 07/31/2010

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TELECONFERENCE GROUP: BREAST CANCER IN AFRICAN AMERICANS - DESCRIPTION (provided by applicant): African American women with breast cancer (AAWBC) have decreased quality of life (QOL) and mood when compared to European American (EA). Research has not examined the effectiveness of therapeutic group (TG) for AAWBC even though positive effects are well established for Caucasians. The aims of the randomized clinical trial (RCT) are to determine the effectiveness of TG by teleconference for AAWBC and identify mediator and moderator effects of the intervention. The primary hypothesis is that participants in the intervention group will have significantly greater cancer knowledge, less fear, less isolation, better social connection, better mood, and better QOL when compared to a control group receiving usual psychosocial care. A pilot study documented the feasibility and utility of the TG by teleconference, especially the increased participation of AAWBC. The TG by teleconference circumvents many of the barriers, e.g. fatigue, transportation that prevent AAWBC participation. Yalom's Group Theory and Miller's Relationship Theory guide the intervention which is derived from Fawzy's TG model. A 2-group repeated measures design will be used. 240 Stage II AAWBC will be recruited. Intervention participants attend eight weekly 90 minute sessions by teleconference and 2 follow-up boosters. Each culturally appropriate session contains the story, information and group processes of connection, commonality and catharsis. Information focuses on increasing self care and stress management knowledge while countering myths and taboos. Story capitalizes on African American oral traditions by discussing coping parables. Group processes provide an alternative source of social support and opportunities to express feelings. Measurements of social connection, mood and QOL will occur at baseline, after 10 group sessions and 16 weeks post baseline. Mediators (cancer knowledge, fear and isolation) and moderators (spirituality, stigma, fatalism) will be similarly measured. The study findings are expected to inform about the effectiveness of TGs in AAWBC and lay the groundwork for exploring if reducing disparities in psychosocial care have a health benefit.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2009 ( Subtotal = $139,059 )
2009	2009	UNIVERSITY OF SOUTH CAROLINA RESEARCH FOUNDATION	901 SUMTER STREET	COLUMBIA	SC	29208	RICHLAND	USA	Trans-NIH Recovery Act Research Support	002	5	8/31/2009	SUPPLEMENT FOR EXPANSION	$139,059
2009	2008	UNIVERSITY OF SOUTH CAROLINA RESEARCH FOUNDATION	901 SUMTER STREET	COLUMBIA	SC	29208	RICHLAND	USA	Cancer Control	001	5	7/21/2009	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$14,428
2009	2008	PALMETTO RICHLAND HOSPITAL	5 RICHLAND MEDICAL PARK DR	COLUMBIA	SC	29203	RICHLAND	USA	Cancer Control	000	4	7/21/2009	NON-COMPETING CONTINUATION	-$14,428
														Subtotal = $139,059

Issue Date FY: 2008 ( Subtotal = $277,868 )
2008	2008	PALMETTO RICHLAND HOSPITAL	5 RICHLAND MEDICAL PARK DR	COLUMBIA	SC	29203	RICHLAND	USA	Cancer Control	000	4	4/28/2008	NON-COMPETING CONTINUATION	$277,868
														Subtotal = $277,868

Issue Date FY: 2007 ( Subtotal = $304,073 )
2007	2007	PALMETTO RICHLAND HOSPITAL	5 RICHLAND MEDICAL PARK DR	COLUMBIA	SC	29203	RICHLAND	USA	Cancer Control	000	3	4/25/2007	NON-COMPETING CONTINUATION	$304,073
														Subtotal = $304,073

Issue Date FY: 2006 ( Subtotal = $279,563 )
2006	2006	PALMETTO RICHLAND HOSPITAL	5 RICHLAND MEDICAL PARK DR	COLUMBIA	SC	29203	RICHLAND	USA	Cancer Control	000	2	5/23/2006	NON-COMPETING CONTINUATION	$279,563
														Subtotal = $279,563

Issue Date FY: 2005 ( Subtotal = $307,123 )
2005	2005	PALMETTO RICHLAND MEMORIAL HOSPITAL	FIVE RICHLAND MEDICAL PARK	COLUMBIA	SC	29203	RICHLAND	USA	Cancer Control	000	1	5/12/2005	NEW	$307,123
														Subtotal = $307,123

Grand Total All Awards = $1,307,686

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TELECONFERENCE GROUP: BREAST CANCER IN AFRICAN AMERICANS

Award Number: R01CA107305

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/01/2005

PERIOD OF PERFORMANCE END DATE: 07/31/2010

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