Asian American Journal of Psychology最新文献

Healthcare Professionals' Views of Supportive Care Needs for Chinese, Korean, and Vietnamese Americans with Metastatic Cancer. 医护人员对患有转移性癌症的华裔、韩裔和越南裔美国人的支持性护理需求的看法。

IF 2.4 4区心理学

Asian American Journal of Psychology Pub Date : 2024-09-01 DOI: 10.1037/aap0000329

Jacqueline H J Kim, Kauser Ahmed, Sang-Hoon Ahn, Becky Nguyen, Peter Phung, Shirley Pan, Qian Lu, Marjorie Kagawa Singer, Annette L Stanton

{"title":"Healthcare Professionals' Views of Supportive Care Needs for Chinese, Korean, and Vietnamese Americans with Metastatic Cancer.","authors":"Jacqueline H J Kim, Kauser Ahmed, Sang-Hoon Ahn, Becky Nguyen, Peter Phung, Shirley Pan, Qian Lu, Marjorie Kagawa Singer, Annette L Stanton","doi":"10.1037/aap0000329","DOIUrl":"10.1037/aap0000329","url":null,"abstract":"The supportive care needs of people with metastatic cancer, particularly Asian Americans, are understudied. Distinct psychosocial support needs may exist across ethnocultural groups with Confucian-heritage values and norms. Cultural factors may shape how adults approach their oncologic care. This qualitative study represents the perspectives of 15 experienced healthcare professionals about the supportive care needs of Chinese-, Korean-, and Vietnamese-heritage (CKV) adults with metastatic solid cancers. Reflexive thematic analysis was conducted with transcripts from three semi-structured focus groups and five parallel-format individual interviews. Inductive coding and iterative theme development resulted in four themes describing the types of needs (basic, care-related, mental health, relational trust) that should be met for CKV patients with metastatic cancer, which may fall through the gaps when the healthcare system and patient's differing cultural contexts collide. In conclusion, greater involvement of psychosocial care specialists with cultural expertise is essential to promote patients' and families' well-being, prevent care disparities, and better support the healthcare team. Systemic changes that increase workforce diversity, reduce language and insurance barriers, and allow healthcare professionals to build relational trust with patients, are needed to improve quality of life for CKV patients with metastatic cancer.","PeriodicalId":46922,"journal":{"name":"Asian American Journal of Psychology","volume":"15 3","pages":"233-245"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Discussion of Emotions Among Newly Diagnosed Non-Hispanic White and Chinese American Patients With Breast Cancer and Their Oncologists. 新确诊的非西班牙裔白人和华裔美国人乳腺癌患者及其肿瘤医生对情绪的讨论。

IF 2.4 4区心理学

Asian American Journal of Psychology Pub Date : 2024-09-01 DOI: 10.1037/aap0000325

Charlene Chao-Li Kuo, Pamela A Saunders, Hsinyi Hsiao, Suh Chen Hsiao, Tian Han, Judy Huei-Yu Wang

{"title":"Discussion of Emotions Among Newly Diagnosed Non-Hispanic White and Chinese American Patients With Breast Cancer and Their Oncologists.","authors":"Charlene Chao-Li Kuo, Pamela A Saunders, Hsinyi Hsiao, Suh Chen Hsiao, Tian Han, Judy Huei-Yu Wang","doi":"10.1037/aap0000325","DOIUrl":"10.1037/aap0000325","url":null,"abstract":"This qualitative study analyzed how Chinese American (CA) and non-Hispanic White (NHW) breast cancer patients and their oncologists communicated about patients' emotional concerns. Data included twenty-four recordings of clinical encounters between oncologists and four CA and eight NHW women with a new breast cancer diagnosis between 2013 and 2015. Using an interactional sociolinguistics approach to discourse analysis, we examined how CA and NHW patients and their oncologists initiated conversations about patients' emotions. We also categorized oncologists' responses by whether oncologists turned toward, turned away, or remained neutral to patients' emotions. When bringing up emotions with oncologists, NHW patients brought up social and personal life topics, whereas CA patients only brought up biomedical topics. We also observed that oncologists initiated discussions about emotions with only English-speaking patients of both racial groups. There were no observed differences in how oncologists remained neutral to or turned away from both CA and NHW patients' emotional expressions. When oncologists turned away from patients' emotions, they did so to solve administrative or biomedical problems. In conclusion, the findings suggest that CA patients' racial backgrounds and the language spoken during the encounters may influence how patients and oncologists initiate discussion about patients' emotions. Furthermore, the findings suggest that oncologists remain neutral and turn away from CA and NHW patients' emotions in similar ways. This study provides preliminary data for more comprehensive investigations of Asian American cancer patients' actual communication with their providers regarding emotions and treatment decisions to facilitate patient-provider communication quality.","PeriodicalId":46922,"journal":{"name":"Asian American Journal of Psychology","volume":"15 3","pages":"223-232"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socioeconomic Status, Stress, and Cancer-related Fatigue among Chinese American Breast Cancer Survivors: The Mediating Roles of Sleep. 美籍华人乳腺癌幸存者的社会经济地位、压力和癌症相关疲劳：睡眠的中介作用

IF 2.4 4区心理学

Asian American Journal of Psychology Pub Date : 2024-09-01 DOI: 10.1037/aap0000330

William Tsai, Jacqueline H J Kim, Nelson C Y Yeung, Qian Lu

{"title":"Socioeconomic Status, Stress, and Cancer-related Fatigue among Chinese American Breast Cancer Survivors: The Mediating Roles of Sleep.","authors":"William Tsai, Jacqueline H J Kim, Nelson C Y Yeung, Qian Lu","doi":"10.1037/aap0000330","DOIUrl":"10.1037/aap0000330","url":null,"abstract":"Sleep-related issues may be one significant pathway through which socioeconomic disadvantages are associated with worse self-reported states in cancer. The present study examined the relationships between SES (income and education level) and two important biobehavioral factors (cancer-related fatigue and perceived stress), as well as mediation through sleep-related problems (sleep medication use, daytime dysfunction, and sleep quality) among a sample of Chinese American breast cancer survivors. 136 Chinese American breast cancer survivors completed a self-reported questionnaire. We found that relative to those with the lowest annual household income, those with the highest income have lower perceived stress. This relationship was mediated by lower sleep quality. Relative to those with a high school degree or less, those with graduate degrees have lower daytime dysfunction, and in turn lower cancer-related fatigue. Our findings point to the importance of addressing sleep-related issues, perceived stress, and cancer-related fatigue among Chinese American breast cancer survivors with low SES backgrounds.","PeriodicalId":46922,"journal":{"name":"Asian American Journal of Psychology","volume":"15 3","pages":"213-222"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Community-Based Cervical Cancer Education and Navigation Program for Korean American Women. 针对美籍韩裔妇女的社区宫颈癌教育和导航计划。

IF 2.4 4区心理学

Asian American Journal of Psychology Pub Date : 2024-09-01 DOI: 10.1037/aap0000324

Alison C Brecher, Elizabeth A Handorf, Yin Tan, Joanne Rhee, Charles Kim, Grace X Ma, Carolyn Y Fang

{"title":"A Community-Based Cervical Cancer Education and Navigation Program for Korean American Women.","authors":"Alison C Brecher, Elizabeth A Handorf, Yin Tan, Joanne Rhee, Charles Kim, Grace X Ma, Carolyn Y Fang","doi":"10.1037/aap0000324","DOIUrl":"10.1037/aap0000324","url":null,"abstract":"In the United States (US), rates of cervical cancer screening among Asian American women (notably Korean American women) lag far behind other populations. Thus, guided by the Health Belief Model, we developed a multi-component intervention to enhance Korean American women's knowledge and beliefs about screening and to increase screening uptake. The intervention group (N=341) received a culturally-relevant cancer education program and navigation services. The control group (N=335) received a similar program on cervical cancer risk and screening, along with information about free/low-cost screening sites. Women's knowledge and beliefs were measured at baseline and post-program, and screening behavior was assessed at 12-months post-program. It was hypothesized that the intervention would lead to positive changes in health beliefs and knowledge about cervical cancer and screening, which were then evaluated as potential mediators of the intervention on screening behavior. From pre- to post-program, the intervention group reported significantly greater increases in knowledge (p<0.01) and perceived risk (p=0.02) and significantly greater decreases in perceived barriers (p<0.001) compared to the control group. However, changes in knowledge and health beliefs did not mediate intervention effects on screening behavior. Use of navigation services was associated with greater odds of obtaining screening (OR=3.15, 95% CI=2.28-4.01, p<0.001) and attenuated the significant effect of group assignment (intervention vs. control) on screening behavior to non-significance. In conclusion, although our intervention program was effective in improving women's knowledge and beliefs about screening, delivery of navigation services was the critical component in increasing cervical cancer screening rates in this underserved population.","PeriodicalId":46922,"journal":{"name":"Asian American Journal of Psychology","volume":"15 3","pages":"196-204"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient COUNTS: A pilot navigation program for Asian American cancer patients. 患者重要：针对亚裔美国人癌症患者的试点导航计划。

IF 2.4 4区心理学

Asian American Journal of Psychology Pub Date : 2024-09-01 DOI: 10.1037/aap0000319

Janet N Chu, Janice Y Tsoh, Salma Shariff-Marco, Laura Allen, Debora Oh, Mei-Chin Kuo, Ching Wong, Hoan Bui, Junlin Chen, Angeline Truong, Katarina Wang, Andrea Hwang, Feng Ming Li, Carmen Ma, Scarlett L Gomez, Tung T Nguyen

{"title":"Patient COUNTS: A pilot navigation program for Asian American cancer patients.","authors":"Janet N Chu, Janice Y Tsoh, Salma Shariff-Marco, Laura Allen, Debora Oh, Mei-Chin Kuo, Ching Wong, Hoan Bui, Junlin Chen, Angeline Truong, Katarina Wang, Andrea Hwang, Feng Ming Li, Carmen Ma, Scarlett L Gomez, Tung T Nguyen","doi":"10.1037/aap0000319","DOIUrl":"10.1037/aap0000319","url":null,"abstract":"Many Asian American cancer patients face barriers to cancer care but little is known about their navigational needs. We designed and implemented a pilot study to provide culturally- and linguistically-appropriate navigation for Asian American cancer patients. We recruited Asian American adults age 21+ years, who spoke English, Cantonese, Mandarin, or Vietnamese, with newly diagnosed, stage I-III colorectal, liver, or lung cancer in the Northern California Bay Area. Participants were assigned a language-concordant patient navigator, who provided support and resources over 6 months. Surveys were administered at baseline, 3-, and 6-months to assess sociodemographic characteristics, healthcare access, quality of life (FACT-G), and cancer care needs. Participants' mean age was 65 years (range 38-81); 62% were men, 67% spoke Chinese, and 75% reported limited English proficiency. Forty-two percent of participants had lung, 38% colorectal, and 21% liver cancer. Of 24 participants who enrolled, 67% completed the program and 75% completed standard of care cancer treatment. The average total FACT-G score was 72.6 (SD 17) at baseline, 68.0 (SD 20) at 3 months, and 69.9 (SD 22) at 6 months. All participants reported that the program was culturally appropriate and would recommend it. Asian American cancer patients in a patient navigation program reported lower quality of life compared to the general adult cancer population. Even with navigation, 75% of participants reported completing standard of care treatment. While participants were satisfied with the program, more research is needed to address the quality of cancer care Asian American cancer patients receive.","PeriodicalId":46922,"journal":{"name":"Asian American Journal of Psychology","volume":"15 3","pages":"205-212"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing the Meaning-Centered Program for Chinese Americans with Advanced Cancer: Applying Cultural Adaptation Frameworks. 为晚期癌症的美籍华人开发以意义为中心的项目：应用文化适应框架。

IF 2.4 4区心理学

Asian American Journal of Psychology Pub Date : 2024-09-01 DOI: 10.1037/aap0000318

Florence Lui, Zhaoyi Chen, Yunshan Niu, William Breitbart, Francesca Gany, Jennifer Leng

{"title":"Developing the Meaning-Centered Program for Chinese Americans with Advanced Cancer: Applying Cultural Adaptation Frameworks.","authors":"Florence Lui, Zhaoyi Chen, Yunshan Niu, William Breitbart, Francesca Gany, Jennifer Leng","doi":"10.1037/aap0000318","DOIUrl":"10.1037/aap0000318","url":null,"abstract":"Asian Americans have surpassed Hispanics as the fastest-growing racial/ethnic group in the United States and Chinese Americans are the largest Asian American subgroup. Cancer is the leading cause of death among Chinese Americans while heart disease remains the leading cause of death in the U.S. overall. Foreign-born immigrants are more likely to be diagnosed with advanced stage cancers than their native-born counterparts. Patients with advanced cancer have specific psychosocial needs, such as end-of-life concerns and existential distress. Meaning-Centered Psychotherapy (MCP), which enhances a sense of meaning in life to increase QOL, is among the most promising psychosocial treatments for advanced cancer patients, having demonstrated efficacy in several randomized controlled trials. Our preliminary qualitative work suggested a meaning-centered intervention was acceptable but required adaptation to ensure ecological validity among Chinese cancer patients. This paper presents the cultural and linguistic adaptation of Meaning-Centered Program for Chinese Americans with advanced cancer (MCP-Ch), which was informed by the Ecological Validity Model (EVM) and Psychotherapy Adaptation and Modification Framework (PAMF) for cultural adaptation of evidence-based interventions. Implementation considerations, which will be assessed in the next phase of the project, are also discussed. MCP-Ch is used as a case example to illustrate how to adapt culturally syntonic and sustainable evidence-based psychosocial interventions for racial/ethnic minority cancer populations.","PeriodicalId":46922,"journal":{"name":"Asian American Journal of Psychology","volume":"15 3","pages":"262-273"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unpacking the model minority stereotype: Different pathways to self-esteem through internalized stereotypes of hard work and innate intelligence. 解读模范少数群体的刻板印象：通过内化的勤奋和先天智力定型观念获得自尊的不同途径。

IF 1.5 4区心理学

Asian American Journal of Psychology Pub Date : 2024-01-08 DOI: 10.1037/aap0000335

Melissa R. Witkow, Taylor L. Thompson, Lisa Kiang