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Supportive Care in Cancer
Published in: Supportive Care in Cancer 4/2013

01-04-2013 | Original Article

The relationship between communication and health-related quality of life in survivorship care for Chinese-American and Korean-American breast cancer survivors

Authors: Jung-won Lim, Min-so Paek

Published in: Supportive Care in Cancer | Issue 4/2013

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Abstract

Objective

The purpose of this study was (1) to compare family communication, decision support (i.e., supporting the patient in making decisions), self-efficacy in patient–physician communication (i.e., patients’ confidence level in communicating with physicians), and health-related quality of life (HRQOL) between Chinese-American and Korean-American breast cancer survivors (BCS) and (2) to investigate how family communication, decision support, and self-efficacy in patient–physician communication influence HRQOL for Chinese-American and Korean-American BCS.

Methods

A cross-sectional design was used. A total of 157 Chinese-American (n = 86) and Korean-American (n = 71) BCS were recruited from the California Cancer Surveillance Program and area hospitals in Los Angeles County. The chronic care model was utilized.

Results

Chinese-Americans and Korean-Americans showed a significant difference in the decision support only. Self-efficacy in patient–physician communication was directly associated with HRQOL for Chinese-Americans, whereas for Korean-Americans, family communication was related to HRQOL. The mediating effects of decision support and self-efficacy in physician–patient communication in the relationship between family communication and HRQOL were observed for Chinese-Americans only. Multiple group analysis demonstrated that the structural paths varied between Chinese-American and Korean-American BCS.

Conclusions

Our results provide insight into the survivorship care of Chinese-American and Korean-American BCS, allowing a better understanding of communication among survivors, family, and healthcare providers. Communication skills to manage conflict and attain consensus among them under the cultural contexts are essential to improve HRQOL for BCS.
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Metadata
Title
The relationship between communication and health-related quality of life in survivorship care for Chinese-American and Korean-American breast cancer survivors
Authors
Jung-won Lim
Min-so Paek
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 4/2013
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-012-1641-2

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