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基于文化调适的技术干预在亚裔美国结直肠癌幸存者中的应用面临的实际问题。

Practical Issues in a Culturally Tailored Technology-Based Intervention for Asian American Colorectal Cancer Survivors.

机构信息

Author Affiliations: Nell Hodgson Woodruff School of Nursing (Drs Im, Kim, and Chee) and Rollins School of Public Health (Mss Ujiie and Wang), Emory University, Atlanta, Georgia.

出版信息

Cancer Nurs. 2024;47(6):E387-E394. doi: 10.1097/NCC.0000000000001246. Epub 2023 May 26.

Abstract

BACKGROUND

Despite an increasing number of culturally tailored technology-based interventions for racial/ethnic minorities, little is known about practical issues in conducting a culturally tailored technology-based intervention study among racial/ethnic minority groups, especially among Asian American colorectal cancer survivors.

OBJECTIVE

The aim of this study was to describe the practical issues in conducting a study using a culturally tailored technology-based intervention among Asian American colorectal cancer survivors.

METHODS

In a technology-based colorectal cancer intervention study, research team members wrote memos on issues in conducting a culturally tailored technology-based intervention study among the specific population and plausible reasons for the issues. Then, a content analysis was used to analyze the research diaries and written records of the research team.

RESULTS

The practical issues found in the research process included ( a ) unauthentic cases, ( b ) a low response rate, ( c ) high dropout rates, ( d ) technological literacy, ( e ) language issues, ( f ) cultural tailoring issues, and ( g ) time and geographical limitations.

CONCLUSIONS

These practical issues need to be considered in planning and implementing culturally tailored technology-based interventions among Asian American colorectal cancer survivors.

IMPLICATIONS FOR PRACTICE

Multiple implications such as detailed information sheets, flexibility in languages, open attitudes toward cultural differences and variances, and continuous training of interventionists are proposed for culturally tailored technology-based interventions among this specific population.

摘要

背景

尽管针对少数族裔的基于技术的文化适应干预措施越来越多,但对于在少数族裔群体中进行基于技术的文化适应干预研究的实际问题知之甚少,尤其是在亚裔美国结直肠癌幸存者中。

目的

本研究旨在描述在亚裔美国结直肠癌幸存者中进行基于技术的文化适应干预研究的实际问题。

方法

在一项基于技术的结直肠癌干预研究中,研究团队成员就针对特定人群进行基于技术的文化适应干预研究中存在的问题以及这些问题的可能原因撰写了备忘录。然后,使用内容分析法对研究团队的研究日记和书面记录进行分析。

结果

研究过程中发现的实际问题包括:(a)非典型案例,(b)低响应率,(c)高辍学率,(d)技术素养,(e)语言问题,(f)文化适应问题,以及(g)时间和地理限制。

结论

在为亚裔美国结直肠癌幸存者规划和实施基于技术的文化适应干预措施时,需要考虑这些实际问题。

实践意义

针对这一特定人群的基于技术的文化适应干预措施提出了多项实践意义,例如详细的信息表、语言的灵活性、对文化差异和差异的开放态度以及干预者的持续培训。

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本文引用的文献

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Comput Inform Nurs. 2019 May;37(5):243-249. doi: 10.1097/CIN.0000000000000503.
2
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The use of multiple languages in a technology-based intervention study: A discussion paper.
Appl Nurs Res. 2017 Dec;38:147-152. doi: 10.1016/j.apnr.2017.10.011. Epub 2017 Oct 16.
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Maturitas. 2017 Jan;95:24-30. doi: 10.1016/j.maturitas.2016.10.009. Epub 2016 Oct 19.
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