a School of Public Health, Department of Behavioral and Community Health , University of Maryland , College Park , MD , USA.
J Psychosoc Oncol. 2014;32(3):245-63. doi: 10.1080/07347332.2014.897293.
African Americans are less likely than other groups to receive appropriate surveillance after colorectal cancer (CRC) treatment. The objective of this study is to qualitatively explore the role of social support in post-CRC treatment surveillance and ultimately, inform interventions to promote surveillance in African American survivors of CRC. Interviews were conducted with 60 African American survivors of CRC recruited from the Cancer Care Outcomes Research and Surveillance (CanCORS) study and the Alabama Statewide Cancer Registry. Interviews were recorded and transcribed. Transcripts were reviewed and coded independently by the authors. The NVivo software package was used to facilitate coding and data management. Survivors were from 4 to 6 years post diagnosis, 57% female, 60% older than age 65 years, 57% from rural Alabama, 30% with stage 1, 32% with stage 2, and 38% with stage 3 disease. Material and emotional social support from family and one's faith community were cited as playing an important role in coping with the disease and posttreatment surveillance. Survivors who reported being adherent with posttreatment surveillance recommendations (according to stage of disease based on self-report of colonoscopy, computed tomography scans, and blood work) reported more religious material and non-material social support, and support from other survivors of CRC. In these African American survivors of CRC, support from family, other survivors of cancer, and the faith community was perceived as being important for adherence to posttreatment surveillance. Interventions to increase posttreatment surveillance in this population may be enhanced by including components that emphasize familial, other cancer survivor, and religious support.
非裔美国人在结直肠癌 (CRC) 治疗后接受适当监测的可能性低于其他群体。本研究的目的是定性探讨社会支持在 CRC 治疗后监测中的作用，并最终为促进 CRC 非裔美国幸存者监测的干预措施提供信息。从癌症护理结果研究和监测 (CanCORS) 研究和阿拉巴马州全州癌症登记处招募了 60 名 CRC 幸存者进行访谈。采访进行了录音并转录。作者独立审查和编码了转录本。使用 NVivo 软件包促进编码和数据管理。幸存者在诊断后 4 至 6 年，57%为女性，60%年龄超过 65 岁，57%来自阿拉巴马州农村，30%处于 1 期，32%处于 2 期，38%处于 3 期。来自家庭和信仰社区的物质和情感社会支持被认为在应对疾病和治疗后监测方面发挥了重要作用。报告遵循治疗后监测建议（根据结肠镜检查、计算机断层扫描和血液检查自我报告的疾病分期）的幸存者报告了更多的宗教物质和非物质社会支持，以及来自其他 CRC 幸存者的支持。在这些 CRC 的非裔美国幸存者中，来自家庭、其他癌症幸存者和信仰社区的支持被认为对遵守治疗后监测很重要。在该人群中增加治疗后监测的干预措施可能会通过强调家庭、其他癌症幸存者和宗教支持的内容来增强。
