Behavioral & Community Health Research Works
Permanent URI for this collectionhttp://hdl.handle.net/1903/1636
Browse
4 results
Search Results
Item Psychosocial protective interventions for African American/Black female breast cancer survivors: A systematic integrative review.(2021-04-12) Gordon, Talya; Lee, Lena J.; Tchangalova, Nedelina; Brooks, Alyssa T.BACKGROUND: Despite the higher incidence rate of breast cancer among African American women compared to their White counterparts, this populations’ five-year survival rate has increased in recent years. The growing number of African American breast cancer survivors highlights the need for culturally appropriate psychosocial interventions to improve survivors’ quality of life and psychological wellbeing. OBJECTIVE: This systematic integrative review provides an overview of the current research-based psychosocial interventions for African American breast cancer survivors supplemented by an overview of the qualitative studies focusing on psychosocial wellbeing. METHODS: Utilizing the evidence-based PEO framework, a search of five databases was conducted for English-language articles published between 2013–2020: Pubmed, Academic Search Ultimate, CINAHL, PsycINFO, and Web of Science. Studies were excluded if there was a lack of primary data collection or if the population in the study was not identified as African American female breast cancer survivors. The seven interventions and twenty-one qualitative studies included in the final analysis underwent data extraction, critical appraisal using SRQR and STROBE checklists, and thematic analysis. RESULTS: Twenty-eight studies were identified in the search, including seven interventions and twenty-one qualitative studies. Analysis of the interventions revealed the importance of alleviating structural barriers and including peer support for African American breast cancer survivors. Analysis of the qualitative studies revealed five main themes: 1) spirituality and religion as a protective factor, 2) social support as a protective factor, 3) cultural perceptions of breast cancer, 4) negative impacts of treatment, and 5) healthcare system experience. CONCLUSUION: While study designs differed in the interventions, this review showed the critical need for culturally competent psychoeducational interventions for African American breast cancer survivors to improve this population’s psychological wellbeing. The qualitative research highlighted the importance of spirituality and social support as protective factors for African American breast cancer survivors’ psychological wellbeing. Further research using rigorous methodologies and transparent reporting practices is needed to further evaluate how to most effectively alleviate structural barriers that African American breast cancer survivors face.Item Psychosocial protective interventions for African American female breast cancer survivors: A systematic integrative review(Annals of Behavioral Medicine, vol. 55 (Suppl.1), pp. S384-384, 2021) Gordon, Talya; Brooks, Alyssa T.; Lee, Lena J.; Tchangalova, NedelinaBACKGROUND: Despite the higher incidence rate of breast cancer among African American women compared to their White counterparts, this populations’ five-year survival rate has increased in recent years. The growing number of African American breast cancer survivors highlights the need for culturally appropriate psychosocial interventions to improve survivors’ quality of life and psychological wellbeing. OBJECTIVE: This systematic integrative review provides an overview of the current research-based psychosocial interventions for African American breast cancer survivors supplemented by an overview of the qualitative studies focusing on psychosocial wellbeing. METHODS: Utilizing the evidence-based PEO framework, a search of five databases was conducted for English-language articles published between 2013–2020: Pubmed, Academic Search Ultimate, CINAHL, PsycINFO, and Web of Science. Studies were excluded if there was a lack of primary data collection or if the population in the study was not identified as African American female breast cancer survivors. The seven interventions and twenty-one qualitative studies included in the final analysis underwent data extraction, critical appraisal using SRQR and STROBE checklists, and thematic analysis. RESULTS: Twenty-eight studies were identified in the search, including seven interventions and twenty-one qualitative studies. Analysis of the interventions revealed the importance of alleviating structural barriers and including peer support for African American breast cancer survivors. Analysis of the qualitative studies revealed five main themes: 1) spirituality and religion as a protective factor, 2) social support as a protective factor, 3) cultural perceptions of breast cancer, 4) negative impacts of treatment, and 5) healthcare system experience. CONCLUSION: While study designs differed in the interventions, this review showed the critical need for culturally competent psychoeducational interventions for African American breast cancer survivors to improve this population’s psychological wellbeing. The qualitative research highlighted the importance of spirituality and social support as protective factors for African American breast cancer survivors’ psychological wellbeing. Further research using rigorous methodologies and transparent reporting practices is needed to further evaluate how to most effectively alleviate structural barriers that African American breast cancer survivors face.Item Psychosocial protective interventions associated with a better quality of life and psychological wellbeing for African American/Black female breast cancer survivors: An integrative review(Supportive Care in Cancer, 2021-08-21) Gordon, Talya; Lee, Lena J.; Tchangalova, Nedelina; Brooks, Alyssa T.PURPOSE This integrative review provides an overview of current psychosocial interventions and qualitative studies exploring African American Breast Cancer Survivors (AABCS)’ psychosocial wellbeing. METHODS We conducted a search of five databases: PubMed, Academic Search Ultimate, CINAHL, PsycINFO, and Web of Science. Peer-reviewed articles written in English and published from 2011 to May 26, 2021 were included. We critically appraised intervention studies and qualitative studies using established frameworks. RESULTS Of the 633 unique studies identified, seven interventions and twenty-one qualitative studies were included. Analysis of the interventions revealed the importance of alleviating structural barriers and facilitating peer support for AABCS. Analysis of the qualitative studies revealed seven themes: (1) spirituality/religion, (2) social support, (3) cultural perceptions of BC, (4) lack of representation, (5) negative impacts of treatment, (6) healthcare system experience, and (7) barriers to psychosocial care. CONCLUSIONS This review highlights the dearth of psychosocial interventions created specifically for AABCS. The qualitative literature in this review elucidates the unique psychosocial challenges that AABCS experience, providing rich data to inform the creation of future culturally competent interventions in this population. IMPLICATIONS FOR CANCER SURVIVORS This review found spirituality and social support to be protective factors for AABCS’ psychosocial wellbeing. Further research using rigorous methodologies is needed to further evaluate how to most effectively alleviate structural barriers that AABCS face in obtaining long-term support.Item A Review and Report of Community-based Health Literacy Interventions(National Academy of Sciences, 2017-07-19) Baur, Cynthia; Martinez, Lourdes M.; Tchangalova, Nedelina; Rubin, DonBACKGROUND: A scoping literature review was conducted to identify and describe the state-of the-art of community-based health literacy interventions. “Health literacy” and “community” were the core concepts used to identify relevant interventions for review and analysis. “Health literacy,” “community” and “community-based” are terms with a range of meanings, and the review aimed to find and report those interventions that intentionally brought together groups of people to participate in an intervention that addressed health literacy issues or tried to change health literacy skills, behaviors, status, or other outcomes as defined by researchers. METHODS: Literature searching was conducted using PubMed, selected EBSCO and Proquest databases, as well as Web of Science for relevant studies. Grey literature was searched on web sites to identify eligible community-based programs. Search results were limited to English publications from June 2010 to 2017, however no limit was applied to geographical location, participants, health topic, or intervention type. Two authors screened titles and abstracts and identified 170 references suitable for full-text analysis. Papers were reviewed using a standard template with descriptive categories about the intervention; and criteria from the CDC “Best Practices” for evidence-based practices and Guide to Community Preventive Services study designs. RESULTS: Of the 2,402 papers located with the search strategy, 74 papers met the inclusion criteria. Of the included papers, 55 reported that intervention communities were selected because of health literacy concerns; 63 reported that health literacy principles or techniques were used for content or program development; 54 used health literacy measures; and 53 included health literacy outcome information. Only two papers reported large magnitude effects. CONCLUSIONS: A wide range of community-based health literacy interventions provide qualitative and quantitative evidence of positive outcomes; knowledge change was the most common outcome. Interventions can be strengthened in a number of ways to continue to build the body of knowledge about when and how to best address health literacy in community interventions.