Guan Ting, Cook Paz, Xu Shenmeng, Ranzinger Lisa Hart, Conklin Jamie L, Alfahad Abdulrahman Abdulmuslih S, Ping Yu, Shieh Karl, Barroso Susana, Villegas Natalia, Song Lixin
School of Social Work, Syracuse University, Syracuse, NY, United States.
Gillings School of Public Health, University of North Carolina at Chapel Hill (UNC), Chapel Hill, NC, United States.
Front Psychol. 2023 Mar 30;14:1052229. doi: 10.3389/fpsyg.2023.1052229. eCollection 2023.
This review aimed to systematically examine the characteristics and outcomes of family-based psychosocial interventions offered to adult Latino patients with cancer and their caregivers.
We searched six databases from their inception dates through June 2022. Studies were eligible for inclusion if they (1) targeted both adult Latino patients diagnosed with cancer and their adult caregivers or reported subgroup analyses of Latino patients and caregivers; (2) included family-based psychosocial interventions; (3) used randomized controlled trial (RCT) or quasi-experimental designs; and (4) were published in English, Spanish or Portuguese. Members of our multidisciplinary team assessed the risk of bias in the reviewed studies using the Cochrane Collaboration's Risk of Bias Tool.
Our database searches yielded five studies. The studies were conducted in the U.S. and Brazil. Three studies were RCTs, and two used quasi-experimental designs. The sample sizes ranged from 18 to 230 patient-caregiver dyads. These studies culturally adapted the intervention contents and implementation methods and involved bilingual interventionists. The interventions had beneficial effects on multiple aspects of psychosocial outcomes for both patients and caregivers. We also identified methodological limitations in the reviewed studies.
Findings from this systematic review help deepen our understanding of family-based psychosocial interventions for Latinos affected by cancer. The small number of psychosocial interventions focused on adult Latino cancer patients and their caregivers is concerning, considering that Latino populations are disproportionally burdened by cancer. Future research needs to design and evaluate culturally-appropriate interventions to support Latino patients and families who cope with cancer.
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=274993, identifier CRD42021274993.
本综述旨在系统考察为成年拉丁裔癌症患者及其照护者提供的基于家庭的心理社会干预措施的特点和效果。
我们检索了六个数据库，检索时间从各数据库创建之日至2022年6月。纳入标准为：（1）研究对象为成年拉丁裔癌症患者及其成年照护者，或报告了拉丁裔患者和照护者的亚组分析；（2）包含基于家庭的心理社会干预措施；（3）采用随机对照试验（RCT）或准实验设计；（4）以英文、西班牙文或葡萄牙文发表。我们的多学科团队成员使用Cochrane协作网的偏倚风险工具评估纳入研究的偏倚风险。
我们的数据库检索共得到五项研究。这些研究在美国和巴西开展。三项研究为随机对照试验，两项采用准实验设计。样本量从18至230对患者-照护者不等。这些研究在文化上对干预内容和实施方法进行了调整，并配备了双语干预人员。这些干预措施对患者和照护者心理社会结局的多个方面均有有益影响。我们还发现了纳入研究中的方法学局限性。
本系统综述的结果有助于加深我们对为受癌症影响的拉丁裔人群提供的基于家庭的心理社会干预措施的理解。鉴于拉丁裔人群在癌症负担方面不成比例，针对成年拉丁裔癌症患者及其照护者的心理社会干预措施数量较少令人担忧。未来的研究需要设计和评估适合文化背景的干预措施，以支持应对癌症的拉丁裔患者及其家庭。
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=274993，标识符CRD42021274993 。
