Dana-Farber Cancer Institute, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
Cancer Causes Control. 2024 Nov;35(11):1407-1411. doi: 10.1007/s10552-024-01903-2. Epub 2024 Aug 8.
Peer support networks have been suggested to have significant utility in the care of patients with cancer, especially among racial minorities. This article proposes an approach to integrate peer support networks into the care of racial minorities with cancer.
Methods to integrate peer support groups across racial minorities with cancer include utilizing language and religion in strategic recruitment of peer supporters, recruiting minority peer supporters in online oncology peer support groups, and emphasizing relationship & trust building for participant retention.
Language concordance among peer support groups may enhance patient understandability, emotional expression, and create a sense of community and safety. Religious integration may also promote support group accessibility, particularly among Blacks, who tend to depend on their religious communities for cancer care guidance to a greater extent. In addition to providing knowledge, online opportunities may also decrease cancer-related stress, depression, and trauma. Trust between individuals and their sociocultural environment and healthcare system, as well as between the community and the healthcare system, is necessary, particularly for racial minorities who may harbor a historical mistrust of the healthcare system.
To close the racial cancer care gap, a multi-pronged approach is crucial. This includes establishing tailored peer support networks within minority communities that account for language, religion, and cultural factors to build trust and meet psycho-social needs. However, peer support is just one tool. Other critical tools such as holding healthcare institutions accountable for providing equitable care to racial minorities is equally vital in reducing disparities and improving survival outcomes.
同伴支持网络被认为在癌症患者的护理中具有重要作用,尤其是在少数族裔中。本文提出了一种将同伴支持网络融入少数族裔癌症患者护理的方法。
将跨种族癌症同伴支持小组整合到护理中的方法包括在战略上利用语言和宗教招募同伴支持者、在在线肿瘤同伴支持小组中招募少数族裔同伴支持者,以及强调关系和信任建设以保持参与者的参与。
同伴支持小组之间的语言一致性可能会增强患者的理解能力、情感表达能力,并建立社区感和安全感。宗教融合也可能促进支持小组的可及性,尤其是在黑人中,他们往往更依赖宗教社区来获得更多的癌症护理指导。除了提供知识外,在线机会还可能减轻癌症相关的压力、抑郁和创伤。个人及其社会文化环境与医疗保健系统之间,以及社区与医疗保健系统之间的信任是必要的,特别是对于那些可能对医疗保健系统历史上存在不信任的少数族裔。
要缩小癌症护理的种族差距,需要采取多管齐下的方法。这包括在少数族裔社区内建立针对语言、宗教和文化因素的量身定制的同伴支持网络,以建立信任并满足心理社会需求。然而,同伴支持只是一种工具。其他关键工具,如要求医疗机构负责为少数族裔提供公平的护理,对于减少差异和改善生存结果同样至关重要。