# Cultural Adaptation of a Web-Based Cognitive Behavioral Stress and Self-Management Intervention for Hispanic Sexual Minority Men Living with HIV and Cancer: A Mixed-Methods Feasibility Study

## TL;DR

This study adapted and tested a web-based stress management program for Hispanic gay men with HIV and cancer, finding it feasible and acceptable.

## Contribution

The study introduces a culturally adapted web-based CBSM intervention tailored for a specific underserved population.

## Key findings

- Participants showed significant improvements in emotional well-being and PTSD avoidance.
- The program was found relevant, easy to navigate, and had a 100% completion rate for assessments.
- Recruitment challenges suggest the need for more inclusive strategies in future research.

## Abstract

This study aimed to describe the cultural adaptation and evaluation of a web-based cognitive behavioral stress and self-management (CBSM) intervention for Hispanic sexual minority men living with both HIV and cancer. Using a mixed-method single-group, pre-post design, we assessed the intervention’s feasibility, acceptability, and intended effects on health-related quality of life (HRQOL) and psychological distress. Fifteen Hispanic men participated in the study. Baseline assessments revealed low HRQOL, high levels of stress, and cancer-related PTSD symptoms. On average, participants attended seven of 10 sessions, with a 100% completion rate for pre- and post-intervention assessments. Most found the program relevant to their health needs, easy to navigate, and would recommend it. Participants demonstrated significant improvements in emotional well-being and on the PTSD avoidance subscale. Our findings emphasize the acceptability and feasibility of CBSM interventions for this population. However, recruitment challenges highlight the necessity for more inclusive and flexible strategies in future research.

The online version contains supplementary material available at 10.1007/s10461-025-04945-y.