School of Nursing, University of North Carolina, Chapel Hill, North Carolina 27599-7460, USA.
Cancer Nurs. 2012 Mar-Apr;35(2):E12-23. doi: 10.1097/NCC.0b013e31821e0b11.
The alleviation of cancer health disparities makes it necessary to understand and apply the knowledge about cultural behaviors in the design of interventions deemed culturally appropriate.
This review aimed to provide an overview of the ways in which strategies were used to facilitate the cultural appropriateness of psychosocial interventions delivered to African American cancer survivors.
An electronic and hand search of 5 major databases was performed to identify intervention studies that targeted African American cancer patients/survivors 50 years or older. We review researchers' efforts to achieve culturally appropriate intervention research by evaluating whether peripheral, evidential, linguistic, constituent-involving, or sociocultural strategies were used.
Only 6 intervention studies met the criteria for inclusion in this review, with each study using 1 or more strategies to achieve cultural appropriateness. However, few studies incorporated sociocultural factors in the intervention design.
Strategies to achieve cultural appropriateness in psychosocial interventions targeting older African Americans have focused more on enhancing recruitment and retention and less on the inclusion of sociocultural concepts into the content of the intervention.
Intervention studies delivered to older African American cancer patients/survivors should aim to incorporate those concepts of relevance to the population and likely to facilitate healthcare outcomes.
缓解癌症健康差距，有必要了解并运用有关文化行为的知识，在设计被认为具有文化适宜性的干预措施时加以应用。
本综述旨在概述各种方法，用以促进针对非裔美国癌症幸存者的心理社会干预措施的文化适宜性。
通过电子和手工搜索 5 个主要数据库，确定了以 50 岁及以上非裔美国癌症患者/幸存者为目标的干预研究。我们通过评估是否使用了外围、证据、语言、组成部分涉及或社会文化策略，来评估研究人员为实现干预研究的文化适宜性所做的努力。
仅有 6 项干预研究符合本综述的纳入标准，每项研究都使用了 1 种或多种策略来实现文化适宜性。然而，很少有研究将社会文化因素纳入干预设计。
针对老年非裔美国人的心理社会干预措施实现文化适宜性的策略更多地集中在增强招募和保留方面，而较少关注将社会文化概念纳入干预内容。
针对老年非裔美国癌症患者/幸存者的干预研究应旨在纳入与该人群相关并可能促进医疗保健结果的那些概念。
