학술논문

Patient-reported supportive care needs among Asian American cancer patients
Document Type
article
Source
Supportive Care in Cancer. 30(11)
Subject
Health Services and Systems
Nursing
Health Sciences
Aging
Clinical Research
Digestive Diseases
Cancer
Colo-Rectal Cancer
Good Health and Well Being
Humans
Young Adult
Adult
Asian
Pilot Projects
Health Services Accessibility
Lung Neoplasms
Patient Reported Outcome Measures
Asian American
Patient navigation
Multilingual
Cultural humility
Cultural competence
Supportive care needs
Medical and Health Sciences
Psychology and Cognitive Sciences
Oncology & Carcinogenesis
Biomedical and clinical sciences
Health sciences
Psychology
Language
Abstract
PurposeCancer is the leading cause of death for Asian Americans. However, few studies have documented supportive care needs from the perspective of Asian American cancer patients. This study describes the needs reported by Asian American patients with colorectal, liver, or lung cancer over a 6-month period during their treatment.MethodsParticipants were recruited through the Greater Bay Area Cancer Registry and from cancer care providers in San Francisco. Participants self-identified as Asian or Asian American; were age 21 or older; spoke English, Chinese, or Vietnamese; and had stage I-III colon, rectum, liver, or lung cancer. Participants were matched with a language concordant patient navigator who provided support during a 6-month period. Needs were assessed by surveys at baseline, 3, and 6 months.ResultsAmong 24 participants, 58% were 65 years or older, 42% did not complete high school, and 75% had limited English proficiency (LEP). At baseline, the most prevalent needs were cancer information (79%), nutrition and physical activity (67%), language assistance (54%), and daily living (50%). At the 3- and 6-month follow-up surveys, there was a higher reported need for mental health resources and healthcare access among participants.ConclusionIn this pilot study of Asian American cancer patients who predominantly had LEP, participants reported many needs, with cancer information and language assistance as the most prominent. The findings highlight the importance of culturally and linguistically appropriate patient navigators in addressing supportive care needs among cancer patients with LEP.Trial registrationClinicalTrials.gov identifier: NCT03867916.