University of Exeter Medical School, University of Exeter, Exeter, UK.
The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Sha Tin, China.
Behav Med. 2020 Jan-Mar;46(1):34-42. doi: 10.1080/08964289.2018.1541862. Epub 2019 Jan 18.
Breast cancer survivors report persistent psychological and physical symptoms, which affect their quality of life and may challenge the recovery process. Due to social, cultural, and linguistic barriers, culturally sensitive care is largely unavailable for Chinese Americans, and their psychological needs are not often addressed. We aimed to investigate whether the Joy Luck Academy (JLA), a psychosocial intervention providing both information and peer support, was associated with positive adjustment among Chinese American breast cancer survivors. Thirty-nine Chinese American breast cancer survivors participated in a pilot psychosocial intervention. The educational materials and lectures were delivered in the participants' native language of Chinese. All of the educators and mentors shared the same linguistic and cultural background with the participants. The program utilized a community-based participatory research (CBPR) approach to further enhance the cultural sensitivity of the intervention. Participants' post-traumatic growth and positive affect were assessed before and after the intervention. The JLA showed an improvement in positive affect, and they had a greater appreciation for life. The intervention was found to be feasible, well-accepted, and beneficial for this population. Chinese American breast cancer survivors reported improved psychological health after attending the intervention. These findings encourage the development and implementation of psychosocial interventions for Chinese breast cancer survivors. Similar programs could be integrated into other ethnic or cultural communities.
乳腺癌幸存者报告持续存在的心理和生理症状，这影响了他们的生活质量，并可能挑战康复过程。由于社会、文化和语言障碍，美国华裔群体获得的文化敏感护理服务非常有限，他们的心理需求往往得不到满足。我们旨在研究心理社会干预措施——“巧连智学院”（JLA）是否与美国华裔乳腺癌幸存者的积极调整有关。JLA 提供信息和同伴支持，是一种心理社会干预措施。39 名美国华裔乳腺癌幸存者参加了一项试点心理社会干预。教育材料和讲座均以参与者的母语中文提供。所有的教育者和导师都与参与者具有相同的语言和文化背景。该计划采用基于社区的参与式研究（CBPR）方法，进一步提高干预措施的文化敏感性。在干预前后评估了参与者的创伤后成长和积极情绪。JLA 显示出积极情绪的改善，并且他们对生活有了更大的欣赏。该干预措施被证明是可行的、被广泛接受的，并对这一人群有益。参加该干预后，美国华裔乳腺癌幸存者报告称心理卫生状况有所改善。这些发现鼓励为中国乳腺癌幸存者开发和实施心理社会干预措施。类似的项目可以整合到其他种族或文化群体中。
