Traditional and new lifestyle interventions to prevent breast cancer recurrence (TANICA): a qualitative study.
Traditional and new lifestyle interventions to prevent breast cancer recurrence (TANICA): a qualitative study.
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DOI：
10.1007/s00520-023-07663-0
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发表时间：
2023-03-17
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
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乳腺癌是关岛和夏威夷的第二大癌症死亡原因，对夏威夷原住民、查莫罗人和菲律宾妇女的影响尤为严重。虽然有一些文化上知情的干预措施，解决乳腺癌生存率存在，没有开发或测试夏威夷土著，查莫罗和菲律宾妇女。为了解决这个问题，TANICA的研究从2021年的关键线人访谈开始。有目的的抽样和扎根理论的方法被用来进行半结构化的访谈，在提供医疗保健或实施社区计划和/或研究的个人在关岛和夏威夷的利益与族裔群体。文献综述和专家咨询确定了干预组件，参与策略和设置。访谈问题旨在了解循证干预措施的相关性，并探讨社会文化因素。参与者完成了人口统计和文化归属调查。访谈由训练有素的研究人员独立分析。主题由评审员共同商定，并根据频率确定关键主题。在夏威夷（n=9）和关岛（n=10）进行了19次访谈。访谈证实了大多数以前确定的夏威夷土著，查莫罗和菲律宾乳腺癌幸存者的循证干预组成部分的相关性。围绕文化上敏感的干预组成部分和战略的想法出现了，这些想法在每个族裔群体和地点都是共享的和独特的。基于证据的干预措施似乎是相关的，但关岛和夏威夷的夏威夷土著妇女、查莫罗妇女和菲律宾妇女需要基于文化和地点的战略。未来的研究应将这些发现与夏威夷原住民、查莫罗人和菲律宾乳腺癌幸存者的生活经历进行三角分析，以制定文化上知情的干预措施。在线版本包含补充材料，可通过10.1007/s 00520 -023-07663-0获得。
Breast cancer is the second cause of death from cancer in Guam and Hawai‘i and disproportionately impacts Native Hawaiian, CHamoru, and Filipino women. Although a few culturally informed interventions addressing breast cancer survivorship exist, none have been developed or tested for Native Hawaiian, CHamoru, and Filipino women. To address this, the TANICA study began with key informant interviews in 2021. Purposive sampling and grounded theory approaches were used to conduct semi-structured interviews with individuals experienced in providing healthcare or implementing community programs and/or research with ethnic groups of interest in Guam and Hawai‘i. A literature review and expert consultation identified intervention components, engagement strategies, and settings. Interview questions aimed to understand the relevance of evidence-based interventions and explored socio-cultural factors. Participants completed demographics and cultural affiliation surveys. Interviews were independently analyzed by trained researchers. Themes were mutually agreed upon by reviewers and key themes were identified based on frequencies. Nineteen interviews were conducted in Hawai‘i (n=9) and Guam (n=10). Interviews confirmed the relevance of most of the previously identified evidence-based intervention components for Native Hawaiian, CHamoru, and Filipino breast cancer survivors. Ideas around culturally responsive intervention components and strategies emerged that were shared across and unique to each ethnic group and site. Evidence-based intervention components appear relevant, yet cultural and place-based strategies are needed for Native Hawaiian, CHamoru, and Filipino women in Guam and Hawai‘i. Future research should triangulate these findings with the lived experiences of Native Hawaiian, CHamoru, and Filipino breast cancer survivors to develop culturally informed interventions. The online version contains supplementary material available at 10.1007/s00520-023-07663-0.
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DOI：
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发表时间：
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影响因子：
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作者：
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期刊：
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