nach oben

Supportive Care in Cancer

Erschienen in:

19.01.2019 | Original Article

Patient perspectives on adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population

verfasst von: Jennifer Leng, Florence Lui, Xiaoxiao Huang, William Breitbart, Francesca Gany

Erschienen in: Supportive Care in Cancer | Ausgabe 9/2019

Einloggen, um Zugang zu erhalten

Abstract

The Chinese immigrant community faces multiple obstacles to effective cancer support and psychosocial care post diagnosis. Meaning-centered psychotherapy (MCP) is an empirically based treatment (EBT) that has been found to significantly reduce psychological distress while increasing spiritual well-being and a sense of meaning and purpose in life in patients with advanced cancer. However, it has not yet been adapted for Chinese immigrants who have unique linguistic and cultural needs. This study presents a community needs assessment to inform the cultural adaptation of MCP for Chinese patients with advanced cancer using Bernal et al.’s ecological validity model and the cultural adaptation process model of Domenech-Rodriquez and Weiling. Interviews were conducted until saturation with 12 Chinese immigrants with advanced cancer to determine the community’s needs and preferences regarding the MCP intervention. Transcripts were translated and analyzed using Atlas.ti and six frequently occurring themes were identified: Coping; End of Life; Family; Culture, Religion, and Language; Immigration; and Specific Adaptations to MCP. Sociocultural values, beliefs, and practices such as filial piety and the use of Traditional Chinese Medicine (TCM) should be considered when adapting EBTs for Chinese immigrant cancer patients.

Lopez G, Cillufo A, Patten E. Chinese in the U.S. fact sheet. Pew Research Center: Social & Demographic Trends Web site. http://www.pewsocialtrends.org/fact-sheet/asian-americans-chinese-in-the-u-s/. Published September 8 2017. Updated 2018. Accessed 6 June 2018

NYC Department of City Planning (2017) Info brief: NYC’s foreign-born, 2000 to 2015. 2017; March 2017

Chen MS Jr (2005) Cancer health disparities among Asian Americans: what we know and what we need to do. Cancer 104(S12):2895–2902CrossRefPubMed

McCracken M, Olsen M, Chen MS et al (2007) Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin 57(4):190–205CrossRefPubMed

Guidry JJ, Torrence W, Herbelin S (2005) Closing the divide: diverse populations and cancer survivorship. Cancer 104(S11):2577–2583CrossRefPubMed

Lam WW, Fielding R (2003) The evolving experience of illness for Chinese women with breast cancer: a qualitative study. Psycho-Oncology 12(2):127–140CrossRefPubMed

Ngo-Metzger Q, Massagli MP, Clarridge BR, Manocchia M, Davis RB, Iezzoni LI, Phillips RS (2003) Linguistic and cultural barriers to care. J Gen Intern Med 18(1):44–52CrossRefPubMedPubMedCentral

Liang W, Wang JH, Chen M et al (2008) Developing and validating a measure of Chinese cultural views of health and cancer. Health Educ Behav 35(3):361–375CrossRefPubMed

Mui AC, Kang S, Kang D, Domanski MD (2007) English language proficiency and health-related quality of life among Chinese and Korean immigrant elders. Health Soc Work 32(2):119–127CrossRefPubMed

10.

Yu MY, Hong OS, Seetoo AD (2003) Uncovering factors contributing to under-utilization of breast cancer screening by Chinese and Korean women living in the United States. Ethn Dis 13(2):213–219PubMed

11.

Surbone A (2008) Cultural aspects of communication in cancer care. Support Care Cancer 16(3):235–240CrossRefPubMed

12.

Thorne SE, Hislop TG, Armstrong E, Oglov V (2008) Cancer care communication: the power to harm and the power to heal? Patient Educ Couns 71(1):34–40CrossRefPubMed

13.

Castillo-Page L (2010) Diversity in the physician workforce: facts and figures 2010. Association of American Medical Colleges. (Summer 2010)

14.

Reeves T, Bennett CE (2004) We the people: Asians in the United States. Vol 17. US Department of Commerce, Economic and Statistics Administration, US Census Bureau

15.

MLA Language Map Data Center (2008) Data center results

16.

Hsiao S, Gau M, Ingleton C, Ryan T, Shih F (2011) An exploration of spiritual needs of Taiwanese patients with advanced cancer during the therapeutic processes. J Clin Nurs 20(7–8):950–959CrossRefPubMed

17.

Lin JS, Finlay A, Tu A, Gany FM (2005) Understanding immigrant Chinese Americans’ participation in cancer screening and clinical trials. J Community Health 30(6):451–466CrossRefPubMed

18.

Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, Tomarken A, Timm AK, Berg A, Jacobson C, Sorger B, Abbey J, Olden M (2010) Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psycho-Oncology 19(1):21–28CrossRefPubMedPubMedCentral

19.

Breitbart W (2002) Spirituality and meaning in supportive care: spirituality-and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer 10(4):272–280CrossRefPubMed

20.

Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG (2015) Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol 33(7):749–754CrossRefPubMedPubMedCentral

21.

Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, Olden M, Pessin H, Lichtenthal W, Sjoberg D, Cassileth BR (2012) Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol 30(12):1304–1309CrossRefPubMedPubMedCentral

22.

Breitbart W, Poppito SR (2014) Meaning-centered group psychotherapy for patients with advanced cancer: a treatment manual. Oxford University Press, USA

23.

Breitbart WS, Poppito SR (2014) Individual meaning-centered psychotherapy for patients with advanced cancer: a treatment manual. Oxford University Press, USACrossRef

24.

Hall GC, Hong JJ, Zane NW, Meyer OL (2011) Culturally competent treatments for Asian Americans: the relevance of mindfulness and acceptance-based psychotherapies. Clin Psychol Sci Pract 18(3):215–231CrossRef

25.

Leng J, Lui F, Chen A, Huang X, Breitbart W, Gany F (2018) Adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population. J Immigr Minor Health 20(3):680–686CrossRefPubMedPubMedCentral

26.

Domenech-Rodríguez M, Wieling E (2004) Developing culturally appropriate evidence based treatments for interventions with ethnic minority populations. In: Rastogi M, Wieling E (eds) Voices of color: first person accounts of ethnic minority therapists. Sage Publications, Thousand Oaks, pp 313–333

27.

Bernal G, Bonilla J, Bellido C (1995) Ecological validity and cultural sensitivity for outcome research: issues for the cultural adaptation and development of psychosocial treatments with Hispanics. J Abnorm Child Psychol 23(1):67–82CrossRefPubMed

28.

Strauss A, Corbin JM (1990) Basics of qualitative research: grounded theory procedures and techniques. Sage Publications, Inc, Thousand Oaks

29.

ATLAS.ti: The qualitative data analysis & research software (2012). http://www.atlasti.com/index.html. Accessed Jan 2018

30.

Thomas DR (2006) A general inductive approach for analyzing qualitative evaluation data. Am J Eval 27(2):237–246CrossRef

31.

Takeuchi DT, Sue S, Yeh M (1995) Return rates and outcomes from ethnicity-specific mental health programs in Los Angeles. Am J Public Health 85(5):638–643CrossRefPubMedPubMedCentral

32.

Yeh M, Takeuchi DT, Sue S (1994) Asian-American children treated in the mental health system: a comparison of parallel and mainstream outpatient service centers. J Clin Child Psychol 23(1):5–12CrossRef

33.

Betancourt JR (2003) Cross-cultural medical education: conceptual approaches and frameworks for evaluation. Acad Med 78(6):560–569CrossRefPubMed

34.

Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O 2nd (2003) Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep 118(4):293–302CrossRefPubMedPubMedCentral

35.

Kagawa-Singer M, Kassim-Lakha S (2003) A strategy to reduce cross-cultural miscommunication and increase the likelihood of improving health outcomes. Acad Med 78(6):577–587CrossRefPubMed

36.

Kearney MK, Weininger RB, Vachon ML, Harrison RL, Mount BM (2009) Self-care of physicians caring for patients at the end of life: “Being connected... a key to my survival”. JAMA 301(11):1155–1164CrossRefPubMed

37.

Lin T, Tardiff K, Donetz G, Goresky W (1978) Ethnicity and patterns of help-seeking. Cult Med Psychiatry 2(1):3–13CrossRefPubMed

38.

Sue D, Sue S (1987) Cultural factors in the clinical assessment of Asian Americans. J Consult Clin Psychol 55(4):479–487CrossRefPubMed

39.

Sue S (1977) Psychological theory and implications for Asian Americans. J Couns Dev 55(7):381–389

40.

Hwang W (2006) The psychotherapy adaptation and modification framework: application to Asian Americans. Am Psychol 61(7):702–715CrossRefPubMed

41.

Tervalon M, Murray-Garcia J (1998) Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved 9(2):117–125CrossRefPubMed

42.

Vasquez MJ (2007) Cultural difference and the therapeutic alliance: an evidence-based analysis. Am Psychol. 62(8):878–885CrossRef

43.

Chen SW, Davenport DS (2005) Cognitive-behavioral therapy with Chinese American clients: cautions and modifications. Psychother Theory Res Pract Train 42(1):101–110CrossRef

44.

Lorence DP, Park H, Fox S (2006) Racial disparities in health information access: resilience of the digital divide. J Med Syst 30(4):241–249CrossRefPubMed

Titel: Patient perspectives on adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population
verfasst von: Jennifer Leng
Florence Lui
Xiaoxiao Huang
William Breitbart
Francesca Gany
Publikationsdatum: 19.01.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 9/2019
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-4638-2

Springer Medizin

Patient perspectives on adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population

Abstract

Neu im Fachgebiet Onkologie

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Update Onkologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2019

Evolution of antiemetic studies for radiation-induced nausea and vomiting within an outpatient palliative radiotherapy clinic

Effect of acupressure on constipation in patients with advanced cancer

Correction to: Human Development Index and its association with staff spiritual care provision: a Middle Eastern oncology study

Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies

Managing malignant pleural mesothelioma: experience and perceptions of health care professionals caring for people with mesothelioma

Pharmacological evidence of medicinal cannabis in oncology: a systematic review

Neu im Fachgebiet Onkologie

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Update Onkologie