Adapting a dyadic exercise program to be culturally relevant for Hispanic men with prostate cancer using community engagement studio: a brief report

Meghan B Skiba; Terry A Badger; David O Garcia; Floyd H Chilton; Kerri M Winters-Stone

doi:10.3389/fpsyg.2024.1294546

Adapting a dyadic exercise program to be culturally relevant for Hispanic men with prostate cancer using community engagement studio: a brief report

Front Psychol. 2024 Apr 23:15:1294546. doi: 10.3389/fpsyg.2024.1294546. eCollection 2024.

Authors

Meghan B Skiba¹, Terry A Badger^{1

2}, David O Garcia², Floyd H Chilton³, Kerri M Winters-Stone⁴

Affiliations

¹ College of Nursing, Advanced Nursing Practice and Science Division, University of Arizona, Tucson, AZ, United States.
² Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, United States.
³ College of Agriculture and Life Sciences, Department of Nutritional Sciences and Wellness, University of Arizona, Tucson, AZ, United States.
⁴ Knight Cancer Institute, School of Medicine, Oregon Health & Science University, Portland, OR, United States.

Abstract

Background: Cancer disparities exist for Hispanic men with prostate cancer and their caregivers that could be reduced through exercise. Exercising Together^© is a six-month, evidence-based dyadic resistance training program that promotes teamwork between prostate cancer survivors and their spouses to improve physical, mental, and relational health outcomes. The purpose of this study was to elicit feedback and recommendations from stakeholders on the Exercising Together^© intervention to inform the cultural adaptation of this program for Hispanic men with prostate cancer.

Methods: We conducted a virtual Community Engagement Studio (V-CES) with community expert stakeholders representing the Hispanic and cancer care communities in Southern Arizona. The V-CES process included orientation, presentation of the research, guided discussion, and evaluation. The V-CES was audio recorded, transcribed, and rapidly analyzed to identify actionable feedback and contextual adaptations.

Results: Nine stakeholders (6/9 male; 5/9 Hispanic) completed all V-CES activities. Through stakeholder engagement and feedback from the V-CES, adaptations to the original Exercising Together^© intervention included: (1) inclusion of the cancer survivor's identified caregiver, who may not be a spouse; (2) availability in English and Spanish; (3) shortening the intervention to 3 months; (4) remote delivery of the intervention; and (5) incorporation of low burden procedures.

Conclusion: Findings from our V-CES informed the adaptation of a culturally relevant dyadic progressive resistance training program for Hispanic men with prostate cancer and their caregivers.

Keywords: Hispanic Americans; community-based participatory research; exercise; implementation science; informal caregivers; prostatic neoplasms.

Grants and funding

The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This research was funded by an American Cancer Society Institutional Research Grant through the University of Arizona Cancer Center (IRG-18-161-40) and was supported in part by the Behavioral Measurement and Instrument Shared Resource at the University of Arizona Cancer Center (P30 CA023074).