Symptoms and Self Management in Low Income African Americans with Advanced Cancer

本研究的目的是探讨低收入非裔美国成人第四期癌症的症状体验和症状自我管理实践。具体目的是：1)探讨低收入非裔美国晚期癌症患者的症状体验；2)探讨低收入非裔美国晚期癌症患者的症状自我管理体验。将使用定性描述方法来描述患者所描述的症状经历，包括描述其症状、用于管理症状的策略以及管理癌症相关症状的任何促进因素和障碍。大约15名男性和15名女性将参加深入访谈，讨论症状体验和症状自我管理策略。了解和纠正差异已经成为许多主要研究机构的首要任务，如国家癌症研究所、国家少数民族健康和健康差异中心、国家护理研究所、国家疾病控制和预防中心、医学研究所、健康与人类服务部健康人2010和美国癌症协会。这项研究的意义在于解决了许多这些组织的倡议。具体来说，这一申请的重点涉及《全国人口研究战略计划》（2006-2010年）四个研究兴趣领域中的两个领域，即提高生活质量和消除健康差距，并对第三个领域，即生命终结产生影响。

This purpose of the study is to explore the symptom experience and symptom self- management practices of low-income African American adults with Stage IV cancer. The specific aims are to: 1) explore the symptom experience of low-income African American patients with advanced cancer and 2) explore the symptom self-management experience of low- income African American patients with advanced cancer. A qualitative descriptive approach will be used to describe the symptom experiences as described by patients including a description of their symptoms, strategies used to manage symptoms and any facilitators and barriers to their management of cancer-related symptoms. Approximately 15 men and 15 women will be enrolled in in-depth interviews to discuss symptom experience and symptom self-management strategies. Understanding and correcting disparities has become a priority for many leading research organizations such as the National Cancer Institute, the National Center on Minority Health and Health Disparities, the National Institute of Nursing Research, the National Centers for Disease Control and Prevention, the Institute of Medicine, Healthy People 2010 of Health and Human Services, and the American Cancer Society. The significance of this study addresses the initiatives of many of these organizations. Specifically the focus of this application addresses two of the four areas of research interest of the NINR Strategic Plan (2006-2010), improving quality of life and eliminating health disparities, and has implications for a third area, end-of-life.