Barriers, Facilitators, and Strategies for Developing a Culturally Informed Lifestyle Intervention for Native Hawaiian, CHamoru, and Filipino Breast Cancer Survivors: Mixed-Methods Findings from Focus Group Participants.
Barriers, Facilitators, and Strategies for Developing a Culturally Informed Lifestyle Intervention for Native Hawaiian, CHamoru, and Filipino Breast Cancer Survivors: Mixed-Methods Findings from Focus Group Participants.
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DOI：
10.3390/ijerph20126075
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发表时间：
2023-06-07
影响因子：
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通讯作者：
Esquivel, Monica K
中科院分区：
文献类型：
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作者：
Aflague, Tanisha F;Hammond, Kristi;Delos Reyes, Bernice;Rios, Dareon;De Leon, Elaine;Leon Guerrero, Rachael T;Esquivel, Monica K
乳腺癌对夏威夷原住民、查莫罗人和菲律宾妇女的影响尤为严重。针对乳腺癌幸存者的文化干预措施很少，而且还没有专门针对夏威夷原住民、查莫罗人和菲律宾妇女开发或测试的干预措施。这项研究旨在对先前被诊断患有乳腺癌的夏威夷原住民、查莫罗人和菲律宾妇女进行焦点小组讨论，为关岛和夏威夷的未来研究提供信息。使用了方便抽样和扎根理论方法。焦点小组会议于 2023 年夏季举行，其中包括了解生活方式干预措施的障碍、动机和实施建议的问题，旨在降低目标人群乳腺癌复发的风险。在进行了总共 7 个焦点小组（每个地点平均 4 名幸存者/组）（夏威夷 3 个，关岛 4 个）代表 28 名乳腺癌幸存者后，数据达到饱和。焦点小组的主题围绕与其他幸存者一起建立支持系统、提供多种形式的身体活动和营养干预活动和材料，以及纳入适应乳腺癌治疗副作用且具有文化相关性的活动和食物。平均期望的干预时间为八周。这些发现将为关岛和夏威夷乳腺癌幸存者的文化生活方式干预的开发和可行性测试提供信息。
Breast cancer disproportionately impacts Native Hawaiian, CHamoru, and Filipino women. Few culturally informed interventions addressing breast cancer survivors exist and none have been developed or tested specifically for Native Hawaiian, CHamoru, and Filipino women. This study aimed to conduct focus groups with Native Hawaiian, CHamoru, and Filipino women previously diagnosed with breast cancer to inform future research in Guam and Hawai’i. Convenience sampling and grounded theory approaches were used. Focus group sessions were conducted during summer 2023 and included questions to understand the barriers, motivators, and implementation recommendations for lifestyle interventions aimed at reducing the risk for breast cancer recurrence among the target population. Data saturation was reached after a total of seven focus groups (an average of four survivors/group per site) were conducted (three in Hawai’i and four in Guam), which represented 28 breast cancer survivors. Themes from the focus groups emerged around developing support systems with other survivors, providing physical activity and nutrition intervention activities and materials in multiple formats, and incorporating activities and foods that accommodate the side effects of breast cancer treatments and are culturally relevant. The average desired intervention length was eight weeks. These findings will inform the development and feasibility testing of a culturally informed lifestyle intervention for breast cancer survivors in Guam and Hawai’i.