Interventions to improve cancer survivorship among Indigenous Peoples and communities: a systematic review with a narrative synthesis.
Interventions to improve cancer survivorship among Indigenous Peoples and communities: a systematic review with a narrative synthesis.
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DOI：
10.1007/s00520-021-06216-7
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Graham ID
中科院分区：
文献类型：
--
作者：
Gifford W;Rowan M;Dick P;Modanloo S;Benoit M;Al Awar Z;Wazni L;Grandpierre V;Thomas R;Sikora L;Graham ID
本系统评价的目的是综合癌症原住民所采用的干预措施类型的证据，并报告这些干预措施与原住民社区的相关性以及它们如何与整体健康保持一致。进行了叙述综合的系统回顾。搜索产生了 7995 条唯一记录；纳入了 27 项评估 20 项干预措施的研究。大多数研究是在美国进行的，其中五项在澳大利亚进行，一项在秘鲁进行。研究设计是横断面的（n=13）；定性（n=5）；混合方法（n=4）；实验（n=3）；和准实验（n=2）。与参与的土著社区的相关性被评为中到低。干预措施的目的、成分和结果各不相同。目标涉及 (1) 支持医疗保健之旅，(2) 增加知识，(3) 提供社会心理支持，以及 (4) 促进有关癌症的对话。干预措施的主要内容是社区会议、患者导航、艺术和印刷/在线/音频材料。参与者主要是女性。百分之八十九的研究显示出对评估结果的积极影响。没有研究涉及对许多社区土著健康至关重要的整体健康的所有四个维度（身体、心理、社会和精神）。我们发现的研究代表了少数原住民国家和人民，并且在报告与原住民社区的接触方面不符合相关标准。为了改善癌症幸存者的旅程，我们需要采取相关的、文化上安全和有效的干预措施，并尊重世界各地原住民对健康和福祉的不同概念。在线版本包含可在 10.1007/s00520-021-06216-7 获取的补充材料。
The purpose of this systematic review is to synthesize the evidence on the types of interventions that have been utilized by Indigenous Peoples living with cancer, and report on their relevance to Indigenous communities and how they align with holistic wellness. A systematic review with narrative synthesis was conducted. The search yielded 7995 unique records; 27 studies evaluating 20 interventions were included. The majority of studies were conducted in USA, with five in Australia and one in Peru. Study designs were cross-sectional (n=13); qualitative (n=5); mixed methods (n=4); experimental (n=3); and quasi-experimental (n=2). Relevance to participating Indigenous communities was rated moderate to low. Interventions were diverse in aims, ingredients, and outcomes. Aims involved (1) supporting the healthcare journey, (2) increasing knowledge, (3) providing psychosocial support, and (4) promoting dialogue about cancer. The main ingredients of the interventions were community meetings, patient navigation, arts, and printed/online/audio materials. Participants were predominately female. Eighty-nine percent of studies showed positive influences on the outcomes evaluated. No studies addressed all four dimensions of holistic wellness (physical, mental, social, and spiritual) that are central to Indigenous health in many communities. Studies we found represented a small number of Indigenous Nations and Peoples and did not meet relevance standards in their reporting of engagement with Indigenous communities. To improve the cancer survivorship journey, we need interventions that are relevant, culturally safe and effective, and honoring the diverse conceptualizations of health and wellness among Indigenous Peoples around the world. The online version contains supplementary material available at 10.1007/s00520-021-06216-7.
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影响因子：
4
作者：
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