The overarching aim of the CARES Lab is to understand the significant challenges faced by individuals coping with cancer and improve outcomes across the cancer continuum through patient-centered healthcare and tailored, empirically-supported interventions. Our interests include resilience, metastatic disease, and supportive care needs, as well as psychoneuroimmunology and the pathways through which psychosocial factors influence stress biology. We are particularly interested in moving beyond a singular focus on distress and symptom reduction in order to elucidate the unique effects of protective psychological processes, such as purpose and meaning in life, acceptance, and positive emotion, on quality of life and health outcomes in cancer survivors. We are also committed to improving women's health and collaborate on projects in the areas of urogynecology and reproductive endocrinology. Due to persistent disparities experienced by racial and ethnic minorities, a primary area of our research focuses on identifying factors that can be targeted to improve quality of life and health outcomes among Hispanics/Latinos and other underrepresented, underserved individuals.
Enhancing Quality of Life and Symptom Management among Hispanics/Latinos with Metastatic Cancer
We are conducting a research study about the quality of life among Hispanics/Latinos who are living with metastatic cancer. We are interested in the kind of support and care that patients have received to manage the symptoms and side effects of treatment. We also want to learn if patients have spoken with their care team about their quality of life. Our goal is to use what we learn in this study to develop resources that improve the quality of life in patients in the future.
Patients who participate will be asked to take part in a focus group discussion along with 8 or 9 other patients. The focus group will be led by a trained facilitator on our research team. If you are interested in participating or finding out more information, please click the button below to contact our research team.
Antoni, M. H., Moreno, P. I., & Penedo, F. J. (in press). Stress management interventions to facilitate psychological and physiological adaptation and optimal health outcomes in cancer patients and survivors. Annual Review of Psychology.
Bakkensen, J. B., Flannagan, K. S., Mumford, S. L., Hutchinson, A. P., Cheung, E. O., Moreno, P. I., Jordan, N., Feinberg, E. C., & Goldman, K. N. (in press). Freeze now, save later: A SART data cost-effectiveness analysis of planned oocyte cryopreservation considering ideal family size. Fertility & Sterility. PDF
Benzo R. M., Moreno, P. I., Noriega-Esquives, B., Otto A. K., & Penedo, F. J., (2022). Who benefits from an eHealth-based stress management intervention in advanced prostate cancer? Results from a randomized controlled trial. Psycho-Oncology, 1-11. PDF
Smith, K. S., Bakkensen, J. B., Hutchinson, A. P., Cheung, E. O., Thomas, J. L., Grote, V., Moreno, P. I., Goldman, K. N., Jordan, N., & Feinberg, E. C. (2022). Knowledge of fertility and perspectives about family planning among female physicians. JAMA Network Open, 5(5), e2213337. PDF
Noriega Esquives, B., Lee, T. K., Moreno, P. I., Fox, R. S., Yanez, B., Miller, G. E., Estabrook, R., Begale, M. J., Flury, S. C., Perry, K., Kundu, S. D., & Penedo, F. J. (2022). Symptom burden profiles in men with advanced prostate cancer undergoing androgen deprivation therapy. Journal of Behavioral Medicine, 45, 366–377. PDF
Mesa, R. A., Ramirez, A. G., Moreno, P. I., Segarra-Vazquez, B. & Fejerman, L. (2022). Latino cancer health equity, Cancer Moonshot converge in San Antonio. The Cancer Letter, 48(10), 25-30. PDF
Penedo, F.J., Medina, H.N., Moreno, P.I., Sookdeo, V., Natori, A., Boland, C., Schlumbrecht, M.P., Calfa, C., MacIntyre, J., Crane, T.E., Garcia, S.F. (2022). Implementation of an electronic health record (EHR) integrated patient reported outcomes (PRO) symptom and needs monitoring program in ambulatory oncology: The My Wellness Check Program. JCO Oncology Practice, 18(7), e1100-e1113. PDF
Moreno, P. I., Horner, F. S., Torzewski, J. B., Thomas, J. L., Gradishar, W., Victorson, D., & Penedo, F. J. (2022). Study design and protocol for tailored Acceptance and Commitment Therapy (ACT) to optimize quality of life in women living with metastatic breast cancer. Contemporary Clinical Trials Communications, 25, 100870. PDF
Cheung, E. O., Penedo, F. J., Moskowitz, J. T., Yanez, B., Kircher, S. M., Kundu, S. D., Flury, S. C., & Moreno, P. I. (2021). Prospectively examining the effects of a cancer diagnosis on patients, spouses/partners, and their relationship. In F. J. Infurna & E. Jayawickreme (Eds.) Redesigning Research on Post-Traumatic Growth: Challenges, Pitfalls, & New Directions. New York: Oxford University Press.
Penedo, F. J., Fox, R. S., Walsh, E. A., Yanez, B., Miller, G. E., Oswald, L. B., Estabrook, R., Chatterton, R. T., Mohr, D. C., Begale, M. J., Flury, S. C., Perry, K., Kundu, S. D. & Moreno, P. I. (2021). Effects of web-based cognitive behavioral stress management and health promotion interventions on neuroendocrine and inflammatory markers in men with advanced prostate cancer: A randomized controlled trial. Brain, Behavior, & Immunity, 95, 168-177. PDF
Gomez-Perez, D., Cancino, M., Moreno, P. I., & Ortiz, M. S. (2020). Weight stigma, chronic stress, unhealthy diet, and obesity in Chilean adults. International Journal of Behavioral Medicine, 28, 292–298. PDF
Lattie, E. G., Bass, M., Garcia, S. F., Phillips, S. M., Moreno, P. I., Flores, A. M., Smith, J. D., Scholtens D., Barnard, C., Penedo, F. J., Cella, D., & Yanez B. (2020). Optimizing health information technologies for symptom management in cancer patients and survivors: Usability evaluation. JMIR Formative Research, 4(9): e18412. PDF
Penedo, F. J., Fox, R. S., Oswald, L. B., Moreno, P.I., Boland, C. L., Estabrook, R., McGinty, H. L., Mohr, D. C., Begale, M. J., Dahn, J. R., Flury, S. C., Perry, K. T., Kundu, S. D., & Yanez, B. (2020). Technology-based psychosocial intervention to improve quality of life and reduce symptom burden in men with advanced prostate cancer: Results from a randomized controlled trial. International Journal of Behavioral Medicine, 27, 490–505. PDF
Ramirez, A. G., Choi, B. Y., Munoz, E., Perez, A., Gallion, K. J., Moreno, P. I., & Penedo, F. J. (2020). Assessing the effect of patient navigator assistance to psychosocial support services on health-related quality of life in a randomized clinical trial in Latino breast, prostate, colorectal cancer survivors. Cancer, 126(5), 1112-1123. PDF
Fox, R. S., Moreno, P.I., Yanez, B., Estabrook, R., Thomas, J., Bouchard, L. C., McGinty, H. L., Mohr, D. C., Begale, M. J., Flury, S. C., Perry, K. T., Kundu, S. D., & Penedo, F. J. (2019). Integrating PROMIS computerized adaptive tests into a web-based intervention for prostate cancer. Health Psychology, 38(5), 403-409. PDF
Moreno, P. I., Yanez, B., Schuetz, S. J., Wortman, K., Gallo, L. C., Benedict, C., Brintz, C. E., Cai, J., Castaneda, S. F., Perreira, K. M., Gonzalez, P., Gonzalez, F., Isasi, C. R. & Penedo, F. J (2019). Cancer fatalism and adherence to national cancer screening guidelines: Results from the Hispanic Community Health Study/Study of Latinos. Cancer Epidemiology, 60, 39-45. PDF
Moreno, P. I., Dooley, L. N., & Bower, J. E. (2019). Unique associations of eudaimonic and hedonic wellbeing with adjustment in breast cancer survivors. Journal of Psychosocial Oncology, 36(5), 649-657. PDF
Ramirez, A. G., Gallion, K. J., Perez, A., Munoz, E., Parma, D. L., Moreno, P. I., & Penedo, F. J. (2019). Improving quality of life among Latino cancer survivors: Design of a randomized trial of patient navigation. Contemporary Clinical Trials, 76, 41-48. PDF
Moreno, P. I., Ramirez, A. G., San Miguel-Majors, S. L., Castillo, L., Fox, R. S., Gallion, K. J., Munoz, E., Estabrook, R., Perez, A., Lad, T., Hollowell, C. & Penedo, F. J. (2019). Unmet supportive care needs in Hispanic/Latino cancer survivors: Prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden. Supportive Care in Cancer. 27(4), 1383-1394. PDF
Penedo, F. J., Antoni, M. H., Moreno, P. I., Traeger, L., Perdomo, D., Dahn, J., Miller, G. E., Cole, S. Orjuela, J., Pizarro, E. & Yanez, B. (2018). Study design and protocol for a culturally adapted cognitive behavioral stress and self-management intervention for prostate cancer: The Encuentros de Salud Study. Contemporary Clinical Trials, 71, 173-180. PDF
Moreno, P. I., Ramirez, A. G., San Miguel-Majors, S. L., Fox, R. S., Castillo, L., Gallion, K. J., Munoz, E., Estabrook, R., Perez, A., Lad, T., Hollowell, C. & Penedo, F. J. (2018). Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. Cancer, 124(8), 1770-1779. PDF
Moreno, P. I., Wiley, J., & Stanton, A. L. (2017). Coping through emotional approach: Emerging evidence for the utility of processing and expressing emotions in response to stress. In C. R. Snyder, S. J. Lopez, L. M. Edwards, & S. C. Marques (Eds.) Oxford Handbook of Positive Psychology (3rd ed.). New York: Oxford University Press. PDF
Crosswell, A. D., Moreno, P. I., Raposa, E., Motivala, S., Stanton, A. L., Ganz, P. A., & Bower, J. E. (2017). Effects of mindfulness training on emotional and physiologic recovery from induced negative emotion. Psychoneuroendocrinology, 86, 78-86. PDF
Dooley, L. N., Slavich, G. M., Moreno, P. I., & Bower, J. E. (2017). Strength through adversity: Moderate life stress is associated with psychological resilience in breast cancer survivors. Stress & Health, 1-9. PDF
Moreno, P. I., Bauer, M. R., Yanez, B., Jorge, A., Maggard-Gibbons, M. & Stanton, A. L. (2016). Dispositional emotional expressivity, cancer-specific coping, and distress in socioeconomically disadvantaged Latinas. Health Psychology, 35(6), 584-593. PDF
Yanez, B., Maggard-Gibbons, M., Moreno, P. I., Jorge, A., & Stanton, A. L. (2016). Predictors of psychological outcomes in a longitudinal study of Latina breast cancer survivors. Psychology & Health, 31(11), 1359-1374. PDF
Moreno, P. I., Moskowitz, A. L., Ganz, P. A., & Bower, J. E (2016). Positive affect and inflammatory activity in breast cancer survivors: Examining the role of affective arousal. Psychosomatic Medicine, 78(5), 532-541. PDF
Moreno, P. I. & Stanton, A. L. (2013). Personal growth in patients with advanced cancer: A systematic review. The Cancer Journal, 19(5), 421-430. PDF