CNP: Health Benefits of Expressive Writing among Chinese Breast Cancer Survivors

描述(申请人提供)：尽管亚裔美国人的人口规模显著增加(&gt；1300万)，而且他们是这个群体中乳腺癌发病率显著增加的唯一种族，但很少有人关注亚裔美国人乳腺癌幸存者的心理需求。由于社会、文化和语言的因素，这些女性很大程度上无法获得文化上称职的精神卫生保健，而且只发表了八项研究，记录了亚裔美国乳腺癌幸存者未得到满足的心理需求：显然，亚裔美国人是一个研究不足、服务不足的群体。由于亚裔美国人人口中有数百个不同的亚裔群体和不同的语言，因此有必要为这些妇女制定和验证文化上适当和可接受的干预努力。富有表现力的写作干预是在高加索美国人中得到验证的模式，允许妇女私下表达自己，并有可能很容易地以其主要语言适应和针对特定种族群体。据报道，实验性的书面情感披露可以给包括高加索乳腺癌幸存者在内的各种人群带来身体和心理上的好处。作为这一系列研究的第一步，这项拟议的研究旨在使用基于社区的参与式研究方法，在南加州说中文的乳腺癌幸存者中测试表达写作干预的文化敏感性和有效性。超过40万华裔美国人生活在加利福尼亚州洛杉矶。亚裔美国女性是该州发病率在统计上显著上升的唯一群体，乳腺癌发病率在过去30年里稳步上升。通过评估干预措施的文化契合度，以促进幸存者的整体福祉，这项研究可能会直接使华裔美国乳腺癌幸存者受益，如果干预被证明有效，这项技术可能会为其他亚裔美国人制定文化上合适的支持战略提供信息。这项试点研究将为R01应用程序生成初步数据，以评估表达写作的随机对照试验对改善华裔美国乳腺癌幸存者的身心健康的效果。华裔美国乳腺癌幸存者承受着不必要和可以避免的癌症健康差距。这项研究的设计和方法体现了AANCART和CNP通过社区参与式模式减少这些癌症健康差距的使命和目标。

DESCRIPTION (provided by applicant): Despite the significantly increasing size of Asian American population (> 13 million) and the fact that they are only ethnic group with a significantly increasing rate of breast cancer in this population, little attention is focused on Asian American breast cancer survivor's psychological needs. Due to social, cultural, and linguistic factors, culturally competent mental health care is largely unavailable for these women, and only eight studies have been published that document the unmet psychological needs of Asian American breast cancer survivors: clearly an understudied and underserved population. With hundreds of diverse subgroups and different languages in the Asian American population, the need is critical to develop and validate culturally appropriate and acceptable intervention efforts for these women. Expressive writing interventions are modalities validated in Caucasian Americans that allow women to express themselves privately, and have the potential to be easily adapted and targeted for a particular ethnic group in their primary language. Experimental written emotional disclosure has been reported to confer physical and psychological benefits "or a variety of populations, including Caucasian breast cancer survivors. As a first step of this line of research, the proposed study aims to test the cultural sensitivity and efficacy of an intervention of expressive writing among Chinese-speaking breast cancer survivors in southern California using a community-based participatory research approach. Over 400,000 Chinese Americans live in Los Angeles, CA. Asian American women are the only group with a statistically significant increase in incidence for the State, and breast cancer rates have risen steadily over the last 30 years. By evaluating the cultural fit of the intervention to promote the overall well-being of survivors, the study may directly benefit Chinese American breast cancer survivors, and if the intervention proves to be effective, this technique could inform the development of a culturally appropriate support strategy for other Asian Americans. The pilot study will generate preliminary data for a R01 application to evaluate the effects of a randomized controlled trial of expressive writing to improve physical and psychological health among Chinese American breast cancer survivors, a group burdened by unnecessary and avoidable cancer health disparities. The design and methods of this study embody the missions and goals of AANCART and CNP to reduce these cancer health disparities through the community-based participatory model.