Behavioral Intervention to Reduce Breast Cancer Disparity in Underserved Koreans

行为干预可减少服务不足的韩国人患乳腺癌的差异

• 批准号: 8734354
• 负责人: SUNMIN LEE
• 金额: $ 16.03万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-13 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8734354
• 关键词: Address; Asian Americans; Asians; Awareness; Behavior Therapy; Behavioral; Cancer Control; Cancer Survivor; Cancer Survivorship; Chinese American; Clinical; Clinical Trials Design; Cognitive; Complementary and alternative medicine; Control Groups; Data; Education; Educational Materials; Effectiveness; Emotional; Emotions; Empirical Research; Ethnic group; Evaluation; Exploratory/Developmental Grant for Diagnostic Cancer Imaging; Family; Future; Goals; Growth; Hispanics; Hour; Immigrant; Incidence; Intervention; Korean American; Koreans; Licensing; Life; Linguistics; Malignant Neoplasms; Measures; Methods; Minority Groups; Modeling; Modification; Not Hispanic or Latino; Participant; Population; Process; Psychologist; Quality of life; Reporting; Research; Research Activity; Resources; Social Network; Stress; Stress and Coping; Subgroup; Support Groups; Testing; United States; Woman; base; cancer health disparity; coping; effective intervention; experience; follow-up; group intervention; implementation research; improved; innovation; interest; intervention effect; intervention program; malignant breast neoplasm; meetings; programs; public health relevance; randomized trial; social; stress management; survivorship; theories; therapy design; therapy development

DESCRIPTION (provided by applicant): Despite considerable progress made towards cancer control in the United States (U.S.), some minority groups have not equitably benefited from such efforts. While the Korean American (KA) population has increased rapidly, and KA women have experienced the largest increase in breast cancer incidence among all U.S.-born and foreign-born Asian subgroups, there has been surprisingly little empirical research conducted to improve survivorship in KA women with breast cancer. Previous research among Asian American breast cancer survivors indicated that the quality of life (QOL) scores for KAs have been reported to be significantly lower than for other Asian ethnic groups. Moreover, findings from our preliminary study also suggest that KA breast cancer survivors may have high stress and low QOL due to linguistic and cultural barriers that influence their ability to cope with the cancer and related problems. To address this critical gap and enhance cancer survivorship, we will test the effectiveness of a linguistically appropriate and culturally sensitive six-session intervention program that was developed to reduce perceived stress, enhance coping, and improve QOL in KA breast cancer survivors using a small-scale randomized trial design. Based on empirical evidence from our preliminary study results, we adapted Antoni's Cognitive-Behavioral Stress Management program, supplemented by additional topics of relevance to this population to make a more culturally sensitive program. The Stress and Coping Theory guided the intervention development and selection of evaluation measures. All intervention sessions and materials will be delivered in Korean by a licensed bilingual clinical psychologist. We hypothesize that, compared to women in the control group who receive a four-hour education seminar, women who attend the six-session program will demonstrate reduced stress, enhanced coping, and improved QOL after the intervention. In addition, we will examine whether these effects are sustained at 3-month follow-up. Specifically, we will address two aims: (1) Implement and evaluate the effects of a linguistically appropriate and culturally sensitive intervention on stress, coping and QOL among KA breast cancer survivors; and (2) Conduct a process evaluation to assess the feasibility and fidelity of the intervention, which will provide data that can be used to refine future interventions. The proposed project will be one of the first to examine the effects of a multifaceted and innovative intervention designed to enhance cancer survivorship in KA women with breast cancer. Study findings will yield new data on potential intervention effects. If proven effective, the intervention will be implemented in a larger-scale trial and used as a model program to meet the needs of underserved and understudied Korean American cancer survivors nationally as well as other socially or linguistically isolated Asian American minority groups. Therefore, the proposed study has the potential to make a significant contribution toward reducing disparities in cancer survivorship.

描述（由申请人提供）：尽管美国（美国）在癌症控制方面取得了很大进展，但一些少数群体并未从这种努力中公平地受益。尽管韩国美国人（KA）人口迅速增加，而KA妇女在所有美国出生和外国出生的亚洲亚组中的乳腺癌发病率最大，但令人惊讶的是，进行的经验研究很少，从而改善了KA乳腺癌妇女的生存。亚裔美国乳腺癌幸存者的先前研究表明，据报道，KAS的生活质量（QOL）得分明显低于其他亚裔族裔。此外，我们的初步研究的发现还表明，由于语言和文化障碍，KA乳腺癌幸存者可能具有较高的压力和低QOL，这会影响其应对癌症和相关问题的能力。为了解决这一关键的差距并增强癌症的生存，我们将测试使用小型随机试验设计的语言适当且具有文化敏感的六阶段干预计划的有效性，该计划是为了减轻感知的压力，增强应激，增强应激并改善KA乳腺癌幸存者的质量。根据我们的初步研究结果的经验证据，我们改编了安东尼·安东尼（Antoni）的认知行为压力管理计划，并补充了与该人群相关的其他主题，以使更具文化敏感的计划。压力和应对理论指导了干预措施的开发和选择措施。所有干预课程和材料将由持牌双语临床心理学家在韩国人进行。我们假设，与接受四个小时的教育研讨会的对照组中的女性相比，参加六次课程计划的女性将表现出减轻压力，加强应对和改善的QOL。此外，我们将检查这些影响是否在3个月的随访中持续。具体而言，我们将解决两个目标：（1）在KA乳腺癌幸存者中实施和评估语言适当和具有文化敏感的干预对压力，应对和质量的影响； （2）进行过程评估以评估干预措施的可行性和忠诚度，该数据将提供可用于完善未来干预措施的数据。拟议的项目将是第一个 检查 旨在增强KA乳腺癌妇女的癌症生存的多面和创新干预的影响。研究发现将产生有关潜在干预效果的新数据。如果证明有效，则将在大规模的试验中实施干预措施 作为一个模型计划，以满足全国范围内和研究不足的韩国癌症幸存者以及其他社会或语言孤立的亚裔美国少数群体的需求。因此，拟议的研究有可能为减少癌症生存的差异做出重大贡献。