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

描述（由申请人提供）：尽管亚裔美国人人口的规模显著增加（> 1300万），并且他们是该人群中乳腺癌发病率显著增加的唯一种族群体，但很少关注亚裔美国人乳腺癌幸存者的心理需求。由于社会、文化和语言因素，这些女性基本上无法获得文化上合格的心理健康护理，只有八项研究发表了记录亚裔美国人乳腺癌幸存者未满足的心理需求：显然是一个研究不足和服务不足的人群。亚裔美国人中有数百个不同的亚群和不同的语言，因此，为这些妇女制定和验证文化上适当和可接受的干预措施至关重要。表达性写作干预是在白人美国人中验证的模式，允许女性私下表达自己，并有可能很容易适应和针对特定种族群体的主要语言。据报道，实验性的书面情感表露对各种人群都有生理和心理上的好处，包括白人乳腺癌幸存者。作为这一研究路线的第一步，拟议中的研究旨在测试的文化敏感性和表达性写作干预的有效性，在南加州使用社区为基础的参与性研究方法中，讲中文的乳腺癌幸存者。超过40万华裔美国人居住在加利福尼亚州的洛杉矶。亚裔美国妇女是该州发病率在统计上显著增加的唯一群体，乳腺癌发病率在过去30年中稳步上升。通过评估干预的文化适合性以促进幸存者的整体福祉，该研究可能直接使华裔美国乳腺癌幸存者受益，如果干预被证明是有效的，这种技术可以为其他亚裔美国人制定文化上适当的支持策略提供信息。该试点研究将为R01应用程序生成初步数据，以评估表达性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影响，这是一个背负着不必要和可避免的癌症健康差异的群体。本研究的设计和方法体现了AANCART和CNP的使命和目标，通过以社区为基础的参与模式来减少这些癌症健康差异。

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.