Improvement in quality of life and psychological well-being associated with a culturally based psychosocial intervention for Chinese American breast cancer survivors

Support Care Cancer. 2021 Aug;29(8):4565-4573. doi: 10.1007/s00520-020-05942-8. Epub 2021 Jan 22.

Abstract

Purpose: The purpose of this study was to investigate improvements in quality of life and psychological well-being among Chinese American breast cancer survivors who participated in a pilot community education and peer-mentor support program.

Methods: One hundred and twenty-nine Chinese American breast cancer survivors who recently completed treatment participated in eight cohorts of the program, Joy Luck Academy, which included weekly education and peer-mentor support sessions. The education sessions covered topics designed to help participants adjust to new life after breast cancer treatment. The peer-mentor support component was designed to provide social support. Quality of life and psychological well-being (e.g., depressive symptoms, anxiety, and low- and high-arousal positive and negative affect) were assessed at baseline and immediately after the intervention.

Results: Paired samples t tests indicated improvements in quality of life, low- and high-arousal positive affect, and reductions in depressive symptoms, anxiety, and low-arousal negative affect.

Conclusion: Our findings suggest that a psychosocial group intervention may improve quality of life and psychological well-being among Chinese American breast cancer survivors. Our intervention has the potential to be applied to other ethnic-minority cancer survivors. Future randomized controlled trials are warranted.

Keywords: Breast cancer; Chinese American; Psychological well-being; Psychosocial intervention; Quality of life.

MeSH terms

  • Adult
  • Asian / psychology*
  • Breast Neoplasms / ethnology
  • Breast Neoplasms / psychology*
  • Cancer Survivors / psychology*
  • China / ethnology
  • Culturally Competent Care / methods
  • Female
  • Humans
  • Middle Aged
  • Peer Group
  • Psychosocial Intervention / methods*
  • Quality of Life / psychology*
  • Social Support