Psychosocial protective interventions for African American female breast cancer survivors: A systematic integrative review

dc.contributor.authorGordon, Talya
dc.contributor.authorBrooks, Alyssa T.
dc.contributor.authorLee, Lena J.
dc.contributor.authorTchangalova, Nedelina
dc.date.accessioned2021-12-06T13:03:43Z
dc.date.available2021-12-06T13:03:43Z
dc.date.issued2021
dc.description.abstractBACKGROUND: 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.en_US
dc.identifierhttps://doi.org/10.13016/voko-gpaf
dc.identifier.citationGordon, T., Brooks, A. T., Lee, L. J., & Tchangalova, N. (2021, April). Psychosocial protective interventions for African American female breast cancer survivors: A systematic integrative review. Annals of Behavioral Medicine 55 (Suppl. 1), S384-S384.en_US
dc.identifier.urihttp://hdl.handle.net/1903/28186
dc.language.isoen_USen_US
dc.publisherAnnals of Behavioral Medicine, vol. 55 (Suppl.1), pp. S384-384en_US
dc.relation.isAvailableAtDigital Repository at the University of Marylanden_us
dc.relation.isAvailableAtUniversity of Maryland Librariesen_us
dc.relation.isAvailableAtUniversity of Maryland (College Park, MD)en_us
dc.subjectBlack womenen_US
dc.subjectAfrican American womenen_US
dc.subjectbreast canceren_US
dc.subjectmedically underserveden_US
dc.subjectoncologyen_US
dc.subjectpsychosocial interventionsen_US
dc.subjectresilienceen_US
dc.subjectspiritualityen_US
dc.subjectsurvivorshipen_US
dc.titlePsychosocial protective interventions for African American female breast cancer survivors: A systematic integrative reviewen_US
dc.typeOtheren_US

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