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评估针对华裔乳腺癌幸存者创伤后成长的文化敏感型心理社会干预的试点研究。

Evaluating a Pilot Culturally Sensitive Psychosocial Intervention on Posttraumatic Growth for Chinese American Breast Cancer Survivors.

机构信息

School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Health Disparities Research, University of Texas MD Anderson Cancer Center.

出版信息

Behav Med. 2022 Jul-Dec;48(4):251-260. doi: 10.1080/08964289.2020.1845600. Epub 2020 Nov 23.

Abstract

This study investigated the potential benefit of a pilot culturally sensitive group support intervention, named Joy Luck Academy (JLA), in fostering posttraumatic growth among Chinese American breast cancer survivors. Eighty-six Chinese American breast cancer survivors participated in an eight-week single-arm pre-/post-test trial of an intervention program, which included educational lectures and peer mentor support. The JLA participants were compared with an independent sample of 109 Chinese American breast cancer survivors who went through routine care. Both groups completed baseline and eight-week follow-up assessments of the five facets of posttraumatic growth (meaningful interpersonal relationships, finding new possibilities in life, personal strength, appreciation of life, and spirituality). From baseline to follow-up, the JLA participants displayed significant improvements in the total score of posttraumatic growth, meaningful interpersonal relationships, appreciation of life, finding new possibilities in life, and personal strength. In contrast, the routine care participants showed no significant change in any of these outcome variables. The findings suggest the potential benefit of a culturally sensitive group support intervention in facilitating posttraumatic growth for Chinese American breast cancer survivors, indicating the need for a randomized controlled trial. The educational lectures and peer mentor support may be adapted to tailor the needs of other ethnic minority cancer patients.

摘要

本研究旨在探讨一项名为“欢乐命运学院”(Joy Luck Academy,JLA)的文化敏感性小组支持干预措施对促进华裔美国乳腺癌幸存者创伤后成长的潜在益处。86 名华裔美国乳腺癌幸存者参加了为期八周的单臂预/后测试试验的干预计划,其中包括教育讲座和同行导师支持。JLA 参与者与 109 名接受常规护理的华裔美国乳腺癌幸存者的独立样本进行了比较。两组均在基线和八周随访时评估了创伤后成长的五个方面(有意义的人际关系、发现生活中的新可能性、个人力量、珍惜生活和精神性)。从基线到随访,JLA 参与者在创伤后成长的总分、有意义的人际关系、珍惜生活、发现生活中的新可能性和个人力量方面均有显著改善。相比之下,常规护理组在这些结果变量中均未显示出显著变化。这些发现表明,文化敏感性小组支持干预措施对促进华裔美国乳腺癌幸存者创伤后成长具有潜在益处,这表明需要进行随机对照试验。教育讲座和同行导师支持可以根据其他少数族裔癌症患者的需求进行调整。

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