Graduate College of Social Work, University of Houston, Houston, Texas, USA.
Department of Health Disparities Research, UT MD Anderson Cancer Center, Houston, Texas, USA.
Health Soc Care Community. 2022 May;30(3):e605-e620. doi: 10.1111/hsc.13623. Epub 2021 Oct 29.
The ability to actively cope with cancer has been extensively associated with better patient-reported outcomes (PROs). This systematic review aims to synthesise the available literature assessing the experience of cancer patients from racial-ethnic minoritised groups. Given the role of sociocontextual factors, greater emphasis was placed on the relationship between family communication and cancer patients' coping within the three largest racial-ethnic minority groups in the United States. Five databases (CINAHL, MEDLINE, PsycINFO, PubMed, Web of Science) were used to search for peer-reviewed empirical studies published between 2008 and 2021, investigating family communication patterns, coping, and well-being among Black/African American, Asian, and Hispanic/Latinx cancer survivors. Short reports, chapters, abstracts/summaries, systematic reviews, and conference proceedings were excluded. This review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA). The Criteria for Critically Appraising Systematic Reviews and Meta-Analyses were used to assess the quality and risk of bias in the included studies. The synthesis process focused on study aims, methods, measures of interests, sample characteristics, data analysis, and study findings. A total of 117 articles were identified, of which 9 met the inclusion criteria. The selected articles were cross-sectional, implementing both quantitative and qualitative designs. Studies included breast, prostate, and mixed cancer types. Sample sizes of quantitative studies ranged from 64 to 338 respondents, while qualitative studies' samples ranged between 9 and 43 participants. Family communication and coping styles varied across minoritised groups, with open family communication contributing to effective individual and family coping. However, empirical evidence about the nature and contribution of family communication to the coping process is sparse. Future research is needed to increase knowledge and psychosocial assessment techniques and interventions targeting family communication and coping among minority communities.
癌症患者的积极应对能力与更好的患者报告结局（PROs）密切相关。本系统评价旨在综合评估少数族裔癌症患者体验的现有文献。鉴于社会文化因素的作用，本研究更加强调美国家庭中三种最大的少数族裔群体的家庭沟通与癌症患者应对能力之间的关系。使用 CINAHL、MEDLINE、PsycINFO、PubMed 和 Web of Science 这五个数据库，检索了 2008 年至 2021 年期间发表的关于家庭沟通模式、应对和黑/非裔、亚裔和西班牙裔/拉丁裔癌症幸存者的幸福感的同行评议实证研究。排除短篇报告、章节、摘要/总结、系统评价和会议记录。本研究遵循系统评价和荟萃分析的首选报告项目（PRISMA）声明。还使用了评估系统评价和荟萃分析的标准来评估纳入研究的质量和偏倚风险。综合过程侧重于研究目的、方法、感兴趣的测量、样本特征、数据分析和研究结果。共确定了 117 篇文章，其中 9 篇符合纳入标准。所选文章为横断面研究，实施了定量和定性设计。研究包括乳腺癌、前列腺癌和混合癌症类型。定量研究的样本量范围为 64 至 338 名受访者，而定性研究的样本量范围为 9 至 43 名参与者。少数族裔群体的家庭沟通和应对方式各不相同，开放的家庭沟通有助于有效的个人和家庭应对。然而，关于家庭沟通对应对过程的性质和贡献的实证证据仍然很少。需要进一步的研究来增加针对少数族裔社区的家庭沟通和应对的知识和心理社会评估技术及干预措施。
