Developing a Culturally Competent Peer Support Intervention for Spanish-speaking Latinas with Breast Cancer
Developing a Culturally Competent Peer Support Intervention for Spanish-speaking Latinas with Breast Cancer
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DOI：
10.1007/s10903-008-9128-4
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发表时间：
2009-08-01
影响因子：
1.9
通讯作者：
Diaz-Mendez, Marynieves
中科院分区：
文献类型：
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作者：
Napoles-Springer, Anna M.;Ortiz, Carmen;Diaz-Mendez, Marynieves
关于拉丁裔乳腺癌患者对心理社会支持服务的需求、障碍、可接受性和有效性的研究很少，尽管他们心理社会痛苦的风险增加了。这项形成性研究确定了对最近被诊断为乳腺癌的讲西班牙语的拉丁裔人进行有效的同伴支持顾问干预的障碍和好处以及干预的组成部分。分析基于对89名被转介到心理社会服务的拉丁裔癌症患者、29名讲西班牙语的乳腺癌幸存者和17名文化上有能力的拉美癌症倡导者的采访。结果表明，干预措施应在接近诊断时开始；建立自我护理技能；在文化上称职和在情感上支持；提供适当的语言癌症信息；鼓励自我表达；解决缺乏获得服务和了解服务的问题。创建这样的心理社会项目，让幸存者和与患者有相似自我认同的倡导者提供意见，将提高多样化和服务不足人群的生活质量。
Little research exists on the need for, barriers to, and acceptability and effectiveness of psychosocial support services among Latinas with breast cancer, despite their increased risks of psychosocial distress. This formative research study identifies barriers to and benefits and components of an effective peer support counselor intervention for Spanish-speaking Latinas recently diagnosed with breast cancer. Analysis was based on interviews of 89 Latino cancer patients referred to psychosocial services; 29 Spanish-speaking survivors of breast cancer; and 17 culturally competent advocates for Latinos with cancer. Results indicate that interventions should begin close to diagnosis; build self-care skills; be culturally competent and emotionally supportive; provide language appropriate cancer information; encourage self-expression; and address lack of access to and knowledge of services. Creating such psychosocial programs with input from survivors and advocates who have similar self-identities to patients would improve quality of life in diverse and underserved populations.