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

项目摘要/摘要 拟议的K01指导研究科学家发展奖将为申请者提供先进的 培训和技能，以启动一个独立的研究计划，专注于发展和适应文化- 减少少数民族癌症心理负担差异的敏感干预措施 癌症患者和幸存者。这个K01建议寻求从文化上适应和测试写作的可行性- 基于干预、表现性帮助及其对心理健康、生活质量的影响 美籍华裔癌症幸存者的癌症相关性疲劳(CRF)。富有表现力的帮助整合了两个 不同领域的研究表明，表现性写作(即促进情绪的写作干预 披露)和帮助他人(例如，给予支持)可以改善健康和 临床人群。在表达帮助中，参与者写下了他们的癌症经历，透露了他们的 情感，并提供鼓励和指导，并知道他们的叙述将被分享 与其他癌症幸存者一起使用，并作为资源使用。研究的目标1是进行定性研究，以 在文化上适应华裔美国癌症幸存者的富有表现力的帮助干预。24个纵深 与华裔美国癌症幸存者和关键线人的访谈和3次焦点小组讨论将 通过关注物质发展，告知表现性帮助干预措施的适应情况 招聘、实施和留住战略。在目标2中，采用混合方法随机对照试验。 将进行表现性帮助，以测试其在心理健康方面的可行性和初步效果。 生活质量和CRF结局(N=108)。参与者将在1-、3-和 6个月的随访。一部分参与者(n=20)将完成干预后的定性访谈 考察写作可能如何影响他们的心理社会适应。拟议中的研究非常适合 申请人为项目带来的专业知识，并且非常适合在纽约市(NYC)进行，如 纽约是亚洲以外华人人口最多的城市。K01奖项将促进申请人的 从与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。这将有助于他建立长期的职业目标 减少癌症患者心理负担中癌症健康差异的循证干预措施 少数癌症幸存者。作为这一奖项的一部分，申请者将接受癌症生存、社区- 基于参与性研究(CBPR)、定性研究和混合方法干预研究 与周亭博士(主要导师)、钱路博士(共同教授)合作进行拟议的研究。 Mentor)、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).