Name
ASPIRE: Developing a Primary Care Behavioral Health Pathway for Patients Across the Cancer Care Continuum
Description

The ASPIRE Study aims to expand access to behavioral health services across the cancer care continuum by embedding a high-fidelity Primary Care Behavioral Health (PCBH) model into a primary care clinic in the Rio Grande Valley, a predominantly Hispanic, Spanish-speaking region with limited access to health services. An additional key aim of the ASPIRE project is to develop a 4-visit PCBH pathway grounded in focused Acceptance and Commitment Therapy (fACT) for patients with a history of cancer treatment, patients undergoing active treatment, and individuals at elevated cancer risk due to chronic disease or health behaviors. This presentation will describe the CARE pathway protocol, the pilot testing process, and lessons learned from early implementation. Attendees will gain insights into delivering brief ACT-based interventions for cancer-affected and high-risk patients within primary care settings.

Speakers
Monica Perez, PhD
Deepu George, PhD
JoAnna Garza, LCSW
Maria (Lupita) Hernandez, MPA
Kathryn Kanzler, PhD, ABPP
Co-Authors
Mayrin Tovias, BS
Content Level
All Audience
Tags
Behavioral Medicine Topics such as insomnia or medication adherence, Primary Care Behavioral Health Model, Underserved populations such as LGBTQ+
Session Type
Concurrent
Objective 1
Describe the purpose and design of the ASPIRE Study, including how the trial aims to expand access to integrated behavioral health services for patients across the cancer care continuum.
Objective 2
Explain the structure and delivery of the CARE (Cancer Prevention, Adjustment, Resilience & Engagement) pathway protocol.
Objective 3
Identify key implementation components of the ASPIRE Study, including clinic readiness and culturally responsive care delivery.
Content Reference 1

Bridges, A., Andrews III, A. R., Villalobos, B. T., Pastrana, F. A., Cavell, T. A., & Gomez, D. (2014). Does integrated behavioral health care reduce mental health disparities for Latinos? Initial findings. J Lat Psychol, 2(1), 37-53. doi:10.1037/lat0000009

Content Reference 2

Cooper, L. A., Hill, M. N., & Powe, N. R. (2002). Designing and evaluating interventions to eliminate racial and ethnic disparities in health care. Journal of General Internal Medicine, 17(6), 477-486.

Content Reference 3

Mathew, A., Doorenbos, A. Z., Jang, K. M., & Hershberger, P. E. (2021). Acceptance and commitment therapy in adult cancer survivors: a systematic review and conceptual model. Journal of Cancer Survivorship(15), 427-451.

Content Reference 4

Kanzler, K. E., McGeary, D. D., McGeary, C., Blankenship, A. E., Young-McCaughan, S., Peterson, A. L., . . . Goodie, J. L. (2022). Conducting a pragmatic trial in integrated primary care: Key decision points and considerations. Journal of clinical psychology in medical settings, 29, 185-194.

Content Reference 5

Moses, T., & Landefeld, R. (2018, October 17). Addressing behavioral health and cancer in Hispanic/Latino populations. Retrieved December 6, 2023, from National Council for Mental Wellbeing: https://www.bhthechange.org/resources/addressing-behavioral-health-and-cancer-in-hispanic-latino-populations/#_edn6