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

被引：0
作者：
Jennifer Leng
Florence Lui
Xiaoxiao Huang
William Breitbart
Francesca Gany
机构：
[1] Memorial Sloan Kettering Cancer Center,Immigrant Health and Cancer Disparities Center, Department of Psychiatry and Behavioral Sciences
[2] Memorial Sloan Kettering Cancer Center,Department of Medicine
[3] Weill Cornell Medical College,Department of Healthcare Policy and Research
[4] The City College of New York,Department of Clinical Psychology
[5] Memorial Sloan Kettering Cancer Center,Department of Psychiatry and Behavioral Sciences
[6] Weill Cornell Medical College,Department of Medicine
来源：
Supportive Care in Cancer | 2019年 / 27卷
关键词：
Chinese immigrants; Advanced cancer; Psycho-oncology; Meaning-centered psychotherapy; Cultural adaptation; Spiritual well-being;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
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页码：3431 / 3438
页数：7
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