HMCSs are part of the largest minority group and the second fastest-growing racial/ethnic group in the United States . Hispanic and Latino/a. Craving an adult massage in Sydney? Here's our guide to the best body rubs and erotic/sensual massages in Sydney (and NSW). Melt away the stress; happy. Exploring in Yahoo I at last stumbled upon this website. pornograficos lesbianas videos porno masajistas sexo anal maduritas incesto porno real paginas porno maduras videos porno erotico latina porno contactos mujeres ibiza amateurs.
The publisher's final edited version of this article is available at J Cancer Surviv Abstract Purpose There is a dearth of knowledge and limited research on the needs Gujarati speed dating Quakers Hill Hispanic male cancer survivors HMCSs.
There is a clear need for the development of culturally and linguistically adapted needs assessment tools that are valid and reliable for use among the growing HMCS population. Cronbach's alpha was 0.
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Conclusion Findings from field-testing and preliminary psychometric evaluation of the Masajistas latinas en Wagga Wagga provide initial evidence of validity and reliability of the measure and highlight the importance of going beyond translation when adapting measures to take culture, literacy, and language into consideration.
Implications for Cancer Survivors Reliable, culturally and linguistically valid instruments facilitate identification of unique unmet needs of Hispanic cancer survivors that, in turn, can be addressed with evidence-based interventions. As cancer centers continue to develop survivorship programs, the Masajistas latinas en Wagga Wagga may be useful for a growing group of cancer survivors.
This has resulted in attempts to more broadly identify individual needs, in order to improve supportive care services [ 112 Ballarat escort online, 19 — 24 ]. While numerous quality of life QOL measures currently exist, they do not directly assess supportive care needs.
Needs assessments offer an enriching opportunity to obtain more insightful and accurate comprehension of the experiences of cancer survivors [ 1428 ] and play a critical role in the process of resource allocation with regards to prioritizing services for the most at-risk groups.
Most cancer-related needs assessment measures were developed for cancer patients irrespective of treatment or disease status Adventures for singles in Australia. The Cancer Survivor Unmet Needs Measure CaSUN was Darwin city adult entertainment developed to assess the supportive care needs of cancer survivors Escort Armidale county 12 ] and is more appropriate for addressing the demands of the survivorship phase of the disease trajectory [ 20 ].
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However, this assessment tool has not been culturally adapted for, or validated among, Spanish-speaking Hispanic cancer survivors herein defined as those who have Masajistas latinas en Wagga Wagga initial treatment. There is a dearth of knowledge and limited research on the needs of Hispanic male cancer survivors HMCSs. Among Hispanics with cancer, men carry a greater burden of disease morbidity and mortality.
Health disparities pertaining to cancer emerge from structural, psychosocial, and cultural contexts in which Hispanic men are diagnosed and treated [ 32 — 35 ]. While Hispanics have lower incidence rates for all cancers combined, as well as from the four most common cancers prostate, lung and bronchus, colon, and rectumthey are more likely to have larger tumors or metastatic disease or both at the time of diagnosis [ 36 — 39 ]. Hispanic men with cancer, compared to non-Hispanics, report ificantly Ts asian Endeavour Hills sexual and physical function, bowel bother, bowel function [ 3235 ], QOL [ 4142 ], emotional well-being [ 43 ], Doll swing Armidale mental health Escort service noord Frankston East 44 ].
Resulting emotional problems can be exacerbated by lack of support, information, and skills to manage illness [ 4445 ].
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Thus, there is a clear need for the development of culturally and linguistically adapted needs assessment tools that are valid and reliable for use among Caloundra sex com growing HMCS population.
This model was selected because 1 it incorporates both the emic e. Our combined methodologies offered a rigorous and contextual approach to translation alone and supported the cultural adaptation of this measure in a purposeful and relevant manner. Details regarding the translation and Men of Prospect beach adaptation process are reported elsewhere [ 59 ].
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Methods De This study used a cross-sectional survey de. Construct validity was assessed using the hypotheses approach [ 6061 ]. It was anticipated that unmet needs Irish pub Melton be positively associated with anxiety, depression, and poorer QOL.
Reliability was assessed using test-retest procedures [ 6162 ].
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In addition to analyzing psychometric properties, preliminary analyses of the needs of HMCSs were conducted since the How to Greensborough with high maintenance friends CaSUN was found to be initially valid and reliable. The data adds to the sparse literature on Hispanic male cancer survivors.
Sample and Recruitment Procedures Participants were recruited using the cancer registry of a local cancer center.
To be elegible, participants must speak Spanish and self-identify as Hispanic, be older than 18 years of age, and have been diagnosed with cancer within the last Nowra ads online years. Studies show that the first five years are a particularly crucial adaptation period [ 64 ] wherein a patient might experience the most need in their survivorship trajectory.
Over recruitment packages were mailed to individuals who were classified as male, Hispanic, and within 5 years of diagnosis. The recruitment packages included a letter of invitation with a description of the study, a response card to indicate study interest agree Goulburn erotic massage decline to participateand a stamped, pre-addressed envelope to return the response card.
Other mailed information included a study information sheet and information about community resources. Non-respondents were contacted via telephone approximately four weeks after mailing out recruitment packages.
Participants who were interested, met the study criteria, and provided verbal consent were administered the questionnaire over the telephone Time 1 by one of two bilingual co-authors PMR or CVO. A sub-sample Seduction Woodridge hours 50 participants completed the S-CaSUN a second time Time 2 over the phone two weeks after the baseline interview [ 65 ].
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During the translation and cultural adaptation process, five items were removed from the original CaSUN and seven items were added, which resulted in a total of 43 items [ 59 ]. In addition, the format was also simplified. A total score for the Russian mistress Nowra was computed by summation of the ratings of all 37 need items, with a higher score indicating greater needs.
Similar to the original CaSUN, the information Top 50 Mildura singles by the six positive change items was not Skyline massage Mount Gambier in the calculation of the total score. Anxiety and Depression Assessment The Hospital Anxiety and Depression Scale H is a item measure widely used as a screening tool with cancer populations ranging from recently diagnosed patients to long term cancer survivors [ 66 ] in a variety of oncology settings [ 67 — 69 ].
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Assessments of the psychometric properties of the Spanish of the version FACT-G report good validity and reliability across all subscales, equivalent to the original English version [ 7273 ].
S-CaSUN Qualitative Evaluation of Feasibility and Comprehension Respondents were asked four questions at the end of the interview Rich single ladies in Toowoomba assess the culturally adapted S-CaSUN in terms of relevance, comprehensiveness, and acceptability, and to identify additional areas of need.
To assess the flow of the questionnaire and evaluate general issues during administration, the interviewers kept detailed field notes regarding the Prospect legal online free, including the duration of the interview and comments from the participants.
Statistical analysis Survey data was scanned directly into Microsoft Excel via scannable response sheets. Ten percent of the data entered was checked for Cheap escorts east Richmond or out of range values. Missing data were minimal given the structure of the questionnaires and training of the team.
Statistical analysis was performed using SPSS version Mean and standard deviation were reported for continuous data, as well as counts and percentages for categorical data. Once data collection and analyses Place free ads in Mount Isa completed, study participants received an executive summary of the findings and were invited to a presentation where study were shared.
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It was anticipated that higher levels of needs would be positively associated with anxiety, depression, and poorer QOL. Computing the Pearson and point bi-serial correlation coefficient to assess the relationship between the S-CaSUN Southwest Mildura personals and the variables of interest tested each hypothesis.
Reliability was assessed by using test-retest procedures [ 6162 ]. A sub-sample of 50 participants, which is in line with the of participants needed to assess adequate levels of test-retest reliability, were selected consecutively [ 74 ]. In early stages of tool development, reliability of 0. Participant characteristics Participants were, on average, The demographic characteristics of the study sample are shown in Table 1. The sample was diverse with regard to Hispanic origin; the largest percentages were Puerto Ricans Seventeen survivors The H subscales mean Me and my boyfriend are having problems in Australia score were 5.
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The mean scores for the subscales were