Faith-Based African American cancer Survivorship Storytelling: A culturally relevant intervention to alleviate psychological stress.

项目总结 在这项研究中，我们计划开发与文化相关的支持性护理干预措施，以 缓解新确诊的非洲人经历的高度心理痛苦 美国癌症患者和他们的家庭照顾者(FCG)。讲故事的干预措施 用于促进癌症筛查、坚持后续护理和慢性病患者的自我护理 生病了。融合了宗教信仰和灵性的干预措施也在出现， 在非裔美国人和癌症患者中用于改善健康的生活方式(减肥 和健康饮食)以及患者的生活质量和临终体验 照顾者。然而，讲故事和基于信仰的干预并没有将富人纳入其中 非裔美国人通过宗教歌曲中的叙事来缓解恐惧的文化史 与危及生命的疾病有关。讲故事和基于信仰的干预一直是 然而，将这种丰富的文化遗产结合起来的好处是，显示出促进健康结果 将宗教歌曲和文字讲故事纳入干预措施的可能性尚未得到严格评估。 在拟议的研究中，我们将发展基于信仰的非裔美国人癌症 生存故事干预，这是理论驱动的，基于叙事的，并使用 将宗教歌曲和文本融入一系列癌症幸存者的多媒体平台 故事。在我们的前期工作中，非裔美国癌症幸存者接受了采访，以获取 关于有压力的诊断和治疗的故事，基于信仰的应对策略，以及 经历过的健康后果。PI的研究团队已经对这些数据进行了编码并确定了 代表基于信仰的应对策略的主题。在拟议的研究中，我们是 请求支持以完成此过程的步骤3和步骤4。在步骤3中，来自压力的概念 应对理论将指导选择这些录像叙事的过程 专业的编辑。在第4步中，运输理论中的概念将指导我们评估 该视频记录了用于可用性的叙述和用于交通(识别， 叙事参与和情感反应)。因此，这项研究的最终结果将是 这些叙事最有可能影响人们积极的情感和行为变化 目标人群。这种务实的干预可能会在其他人群中进行测试，但也 轻松融入医疗保健、社区和基于信仰的环境。

PROJECT SUMMARY In this study, we plan to develop a culturally relevant supportive care intervention to alleviate high levels of psychological distress experienced among newly diagnosed African American cancer patients and their family caregivers (FCG’s). Storytelling Interventions have been used to promote cancer screening, adherence to follow-up care, and self-care with chronic illness. Interventions that incorporate religious beliefs and spirituality are also emerging and used among African Americans and cancer patients to improve healthy lifestyles (weight loss and healthy eating) and quality of life and end of life experiences among patients and caregivers. However, storytelling and faith-based interventions have not incorporated the rich African American cultural history of turning to the narratives in religious songs to alleviate fears associated with life-threatening illness. Storytelling and faith-based interventions have been shown to promote health outcomes, however, the benefit of combining this rich cultural heritage of storytelling with religious songs and text into interventions has yet to be rigorously evaluated. In the proposed study, we will develop the Faith-Based African American Cancer Survivorship Storytelling Intervention, which is theory-driven, narrative based, and uses a multimedia platform to incorporate religious songs and text into a series of cancer survivorship stories. In our preliminary work, African American cancer survivors were interviewed to capture stories about a stressful diagnosis and treatment, the faith-based coping strategies used, and health outcomes experienced. The PI’s research team has coded this data and identified themes that represent the faith-based coping strategies. In the proposed study, we are requesting support to complete Steps 3 and 4 of this process. In Step 3, concepts from Stress and Coping Theory will guide the process of selecting those video-recorded narratives for professional editing. In Step 4, concepts from Transportation Theory will guide our evaluation of the video recorded narratives for usability and pilot testing for transportation (identification, narrative engagement, and emotional response). Thus, the final product of this study will be those narratives most likely to influence positive affective and behavioral changes among the target population. This pragmatic intervention might be tested in other populations but also readily integrated into healthcare, community, and faith-based settings.