Culture in Cancer Survivorship Interventions for Asian Americans: A Systematic Review and Critical Analyses.
Culture in Cancer Survivorship Interventions for Asian Americans: A Systematic Review and Critical Analyses.
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亚裔美国人癌症生存干预中的文化：系统回顾和批判性分析。
DOI：
10.1037/aap0000225
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发表时间：
2021-03
影响因子：
1.5
通讯作者：
Cho H
中科院分区：
文献类型：
--
作者：
Cao W;Cho H
亚裔美国人往往很难接触到，而且得不到充分的服务，他们是癌症是主要死亡原因的种族群体。有效的生存护理是很重要的，但鲜为人知的是，现存的干预措施，为这个社区，以及如何文化已融入这些努力。本研究使用由目标、理论、方法和干预人员的文化一致性组成的综合框架，探讨了亚裔美国人的癌症生存干预措施以及如何解决文化问题。采用了包括系统综述和批判性分析的混合方法。结果表明，只有13项干预措施已交付给这个社区，其中六个试点研究，他们使用了一个狭窄的范围内的重点癌症类型，所有干预措施的重点是乳腺癌的生存率。理论和方法的应用与情感表达和求助行为的文化价值不一致。文化一致性主要是作为干预者和幸存者之间的种族和民族匹配。深层文化因素，包括文化信仰和价值观，很少具体说明。理论和研究应该超越目前流行的种族，民族或语言的文化定义，干预措施应该考虑文化在其目标，理论，方法和人员中的作用。理论和研究的进步是必要的，因为无论是依赖西方范式还是对亚裔美国人的假设都不适合实现文化有效性。未来的概念化和操作化应该更多地考虑文化，而不是种族、民族或语言。
Frequently hard to reach and underserved, Asian Americans are the racial group whose chief cause of mortality is cancer. Efficacious survivorship care is important, but little is known about extant intervention efforts for this community and how culture has been integrated into these efforts. This study examined cancer survivorship interventions for Asian Americans and how culture has been addressed, using an integrated framework consisting of goals, theory, methods, and cultural concordance in the persons of the interventions. Mixed methods comprising a systematic review and critical analyses were employed. Results indicate that only 13 interventions have been delivered to this community, with six of them pilot studies, and that they used a narrow range of focus on cancer type, with all interventions focusing on breast cancer survivorship. Applications of theory and methods were incongruent with cultural valuation of emotion expression and help seeking behavior. Cultural concordance was operationalized mostly as the racial ethnic match between interventionists and survivors. Deep culture factors including cultural beliefs and values were rarely specified. Theory and research should move beyond the currently prevalent definition of culture as race, ethnicity, or language, and interventions should consider the role of culture in their goals, theory, methods, and persons. Advances in theory and research are needed, as neither reliance on the Western paradigm nor assumptions about Asian Americans can be appropriate for achieving cultural validity. Future conceptualization and operationalization should consider culture more than race, ethnicity, or language.
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DOI：
10.1007/s11764-018-0703-y
发表时间：
2018-10
期刊：
Journal of cancer survivorship : research and practice
影响因子：
--
作者：
Advani P;Bondy M;Thompson PA;Martínez ME;Nodora JN;Vernon SW;Diamond P;Burnett J;Brewster AM
通讯作者：
Brewster AM
DOI：
10.1111/j.1751-9004.2011.00362.x
发表时间：
2011-07-01
影响因子：
4.6
作者：
Friedlmeier, Wolfgang;Corapci, Feyza;Cole, Pamela M.
通讯作者：
Cole, Pamela M.
影响因子：
3
作者：
Gallagher, Matthew W.;Long, Laura J.;Lu, Qian
通讯作者：
Lu, Qian
影响因子：
3
作者：
CHEN, GM
通讯作者：
CHEN, GM
影响因子：
2.4
作者：
CELLA, DF;TULSKY, DS
通讯作者：
TULSKY, DS