A Qualitative Assessment of Community-Based Breast Health Navigation Services for Southeast Asian Women in Southern California: Recommendations for Developing a Navigator Training Curriculum
A Qualitative Assessment of Community-Based Breast Health Navigation Services for Southeast Asian Women in Southern California: Recommendations for Developing a Navigator Training Curriculum
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DOI：
10.2105/ajph.2009.176743
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发表时间：
2011-01-01
影响因子：
12.7
通讯作者：
Foo, Mary Anne
中科院分区：
文献类型：
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作者：
Nguyen, Tu-Uyen N.;Tran, Jacqueline H.;Foo, Mary Anne
目标.我们确定了东南亚社区健康导航员（CBHNs）培训课程所需的关键要素，CBHNs帮助低收入、移民柬埔寨、老挝、泰国和越南妇女解决美国乳腺癌筛查和护理的文化和系统障碍。我们收集了3个群体的观点：CBHN，社区成员和他们的供应商。我们进行了16个焦点小组，110名妇女代表不同阶段的癌症护理连续体和深入采访15供应商和10导航员，以确定基本的角色，技能和人际交往的素质，成功的CBHNs.Results.为培训CBHN确定的最重要领域是信息（例如，了解相关的医疗信息和如何浏览资源），物流（运输，翻译）和情感人际交往技能（理解患者的语言和文化信仰，与提供者沟通，建立信任）。CBHN在建立信任和使筛查实践具有文化意义、可访问、可用和可接受方面发挥着至关重要的作用。未来的研究应侧重于开发培训课程，政策，资源和资金，以更好地最大限度地利用CBHN提供的专业知识和服务，并将我们的研究结果扩展到其他服务不足的社区。(Am J公共卫生。2011;101：87-93. doi：10.2105/AJPH.2009.176743）
Objectives. We identified key elements required for a training curriculum for Southeast Asian community-based health navigators (CBHNs), who help low-income, immigrant Cambodian, Laotian, Thai, and Vietnamese women negotiate cultural and systemic barriers to breast cancer screening and care in the United States.Methods. We gathered the perspectives of 3 groups: CBHNs, community members, and their providers. We conducted 16 focus groups with 110 women representing different stages of the cancer care continuum and in-depth interviews with 15 providers and 10 navigators to identify the essential roles, skills, and interpersonal qualities that characterize successful CBHNs.Results. The most important areas identified for training CBHNs were information (e.g., knowing pertinent medical information and how to navigate resources), logistics (transportation, interpretation), and affective interpersonal skills (understanding the language and cultural beliefs of patients, communicating with providers, establishing trust).Conclusions. CBHNs serve a crucial role in building trust and making screening practices culturally meaningful, accessible, usable, and acceptable. Future research should focus on developing training curricula, policies, resources, and funding to better maximize the expertise and services that CBHNs provide and to expand our findings to other underserved communities. (Am J Public Health. 2011;101:87-93. doi:10.2105/AJPH.2009.176743)