Acceptability and Use of Mind-Body Interventions Among African American Cancer Survivors: An Integrative Review.

Acceptability and Use of Mind-Body Interventions Among African American Cancer Survivors: An Integrative Review.
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DOI:
10.1177/15347354221103275
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发表时间:
2022-01
影响因子:
2.9
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
作者:

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身心干预已被证明可以改善癌症幸存者的身心健康结果,非裔美国人是所有种族/族裔群体中癌症死亡率最高的国家之一,但在高质量医疗保健方面往往面临相当大的障碍。非裔美国癌症幸存者报告很难进行身心实践,很少有研究专门针对非裔美国人。这项综合审查旨在探讨非裔美国癌症幸存者对身心干预措施的接受度和使用情况。本综述旨在确定当前的研究是否表明身心干预可能有助于改善非裔美国癌症幸存者的预后。文献检索共获得 284 项研究,其中 14 项符合纳入标准。纳入标准是 2016 年或之后发表的、以英语撰写、涉及身心模式的文章,并且包括 ≥50% 的非裔美国癌症幸存者的研究人群。其他没有结果的综述、荟萃分析或研究被排除在外。结果表明,非裔美国癌症幸存者表示愿意接受正念、冥想、瑜伽、太极拳和其他身心或补充/替代医学干预措施。尽管如此,很少有研究专门针对非裔美国癌症幸存者提供此类干预措施。这项审查表明,不同人口背景的非裔美国癌症幸存者都对身心实践感兴趣,并将其视为改善生活质量、疼痛干扰、疲劳、焦虑、抑郁和身体健康的可接受的方式;然而,干预措施应在文化上适当且易于接受。总之,尽管人们对身心干预越来越感兴趣,但非裔美国人社区往往没有意识到在其社区中参与这些实践的机会,并且由于成本或地理位置而无法进行身心实践。有必要进行更多针对非裔美国癌症幸存者提供此类干预措施的研究。
Mind-body interventions have been shown to improve physical and mental health outcomes among cancer survivors, and African Americans have one of the highest cancer mortality rates of all racial/ethnic groups, while often facing considerable barriers to quality healthcare. African American cancer survivors report difficulty accessing mind-body practices, and few studies have focused exclusively on African American populations. This integrative review aims to explore the acceptability and use of mind-body interventions among African American cancer survivors. This review seeks to determine if current research indicates that mind-body interventions may be helpful in improving outcomes for African American cancer survivors. The literature search resulted in 284 studies, of which 14 met the inclusion criteria. Inclusion criteria were articles published in or after 2016, written in the English language, addressing mind-body modalities, and including a study population of ≥50% African American cancer survivors. Other reviews, meta-analyses, or studies without results were excluded. Results indicate that African American cancer survivors have expressed receptiveness to interventions incorporating mindfulness, meditation, yoga, Tai Chi, and other mind-body or complimentary/alternative medicine interventions. Still, few studies have offered such interventions exclusively to African American cancer survivors. This review indicated that African American cancer survivors across demographic backgrounds are interested in and view mind-body practices as an acceptable way to improve quality of life, pain interference, fatigue, anxiety, depression, and physical health; however, the interventions should be culturally appropriate and accessible. In conclusion, despite a growing interest in mind-body interventions, African American communities are often unaware of opportunities to engage in these practices in their communities, and mind-body practices are inaccessible due to cost or geographical location. Additional research that offers such interventions specific to African American cancer survivors is warranted.
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