Helping Oneself by Helping Others: A Writing Intervention for Chinese American Cancer Survivors

项目总结/摘要 拟议的K 01指导研究科学家发展奖将为申请人提供先进的 培训和技能，以启动一个独立的研究计划，重点是发展和适应文化- 敏感的干预措施，以减少少数民族癌症心理负担的差异 癌症患者和幸存者。这个K 01提案旨在文化适应和测试写作的可行性- 基于干预，表达性帮助，及其对心理健康，生活质量（QoL）， 癌症相关疲劳（CRF）在美国癌症幸存者中的作用表达性帮助整合了两个 不同领域的研究表明，表达性写作（即，一种写作干预， 披露）和帮助他人（例如，提供支持）改善健康和 临床人群。在表达性帮助中，参与者写下他们的癌症经历， 情绪，并提供鼓励和指导，与知识，他们的叙述将被分享 作为其他癌症幸存者的资源。本研究的目的1是进行定性研究， 在文化上适应对华裔癌症幸存者的表达性帮助干预。24深入 与华裔癌症幸存者和关键知情人的访谈和3次焦点小组讨论将 通过关注物质发展来告知表达性帮助干预的适应， 招聘、实施和保留战略。在目标2中，一项混合方法随机对照试验， 将进行表达性帮助的可行性和对心理幸福感的初步效果测试， QoL和CRF结局（N = 108）。参与者将在1、3和4点完成随访结果问卷 6-月随访。一部分参与者（n = 20）将完成干预后定性访谈 研究写作如何影响他们的心理社会适应。拟议的研究非常适合 申请人为项目带来的专业知识，非常适合在纽约市（NYC）进行， 纽约是亚洲以外中国人口最多的城市。K 01奖将有助于申请人 从对健康的亚裔美国人进行文化和情绪调节的基础研究过渡到 对少数癌症幸存者的干预研究。这将有助于建立他的长期职业目标， 以证据为基础的干预措施，以减少癌症心理负担的癌症健康差异， 少数癌症幸存者作为该奖项的一部分，申请人将在癌症生存，社区- 基于参与性研究（CBPR），定性研究和混合方法干预研究， 与Chau Trinh-Shevrin博士（主要导师）、Qian Lu（合作者）合作开展拟议研究， 导师），Jennifer Leng（共同导师），Marjorie Kagawa-Singer（顾问）和Annette Stanton（顾问）。

Project Summary/Abstract The proposed K01 Mentored Research Scientist Development Award will provide the applicant with advanced training and skills to launch an independent research program focused on developing and adapting culturally- sensitive interventions to reduce disparities in the psychological burden of cancer among ethnic minority cancer patients and survivors. This K01 proposal seeks to culturally-adapt and test the feasibility of a writing- based intervention, expressive helping, and its efficacy on psychological well-being, quality of life (QoL), and cancer-related fatigue (CRF) among Chinese American cancer survivors. Expressive helping integrates two distinct areas of research showing that expressive writing (i.e., a writing intervention that facilitates emotional disclosure) and helping others (e.g., support giving) improves psychological well-being among healthy and clinical populations. In expressive helping, participants write about their cancer experiences, disclosing their emotions and providing encouragement and guidance, with the knowledge that their narratives will be shared with and used as a resource for other cancer survivors. Aim 1 of the study is to conduct a qualitative study to culturally adapt the expressive helping intervention for Chinese American cancer survivors. 24 In-depth interviews and 3 focus group discussions with Chinese American cancer survivors and key informants will inform the adaptation of the expressive helping intervention by focusing on material development and recruitment, implementation, and retention strategies. In Aim 2, a mixed methods randomized controlled trial of expressive helping will be conducted to test the feasibility and preliminary efficacy on psychological well-being, QoL, and CRF outcomes (N = 108). Participants will complete follow-up outcome questionnaires at 1-, 3-, and 6-month follow-ups. A subset of the participants (n = 20) will complete post-intervention qualitative interviews to examine how writing may have influenced their psychosocial adjustment. The proposed study is well-suited to the expertise the applicant brings to the project, and well-suited to be conducted in New York City (NYC), as NYC has the largest Chinese population of any city outside of Asia. The K01 award will facilitate the applicant’s transition from conducting basic research on culture and emotion regulation with healthy Asian Americans to intervention research with minority cancer survivors. It will help build his long-term career goal in implementing evidence-based interventions to reduce cancer health disparities in the psychological burden of cancer among minority cancer survivors. As part of this award, the applicant will train in cancer survivorship, community- based participatory research (CBPR), qualitative research, and mixed methods intervention research by conducting the proposed study in collaboration with Drs. Chau Trinh-Shevrin (primary mentor), Qian Lu (co- mentor), Jennifer Leng (co-mentor), Marjorie Kagawa-Singer (consultant), and Annette Stanton (consultant).