Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Supportive Care in Cancer
Published in: Supportive Care in Cancer 9/2019

01-09-2019 | Psychotherapy | Original Article

Patient perspectives on adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population

Authors: Jennifer Leng, Florence Lui, Xiaoxiao Huang, William Breitbart, Francesca Gany

Published in: Supportive Care in Cancer | Issue 9/2019

Login to get access

Abstract

The Chinese immigrant community faces multiple obstacles to effective cancer support and psychosocial care post diagnosis. Meaning-centered psychotherapy (MCP) is an empirically based treatment (EBT) that has been found to significantly reduce psychological distress while increasing spiritual well-being and a sense of meaning and purpose in life in patients with advanced cancer. However, it has not yet been adapted for Chinese immigrants who have unique linguistic and cultural needs. This study presents a community needs assessment to inform the cultural adaptation of MCP for Chinese patients with advanced cancer using Bernal et al.’s ecological validity model and the cultural adaptation process model of Domenech-Rodriquez and Weiling. Interviews were conducted until saturation with 12 Chinese immigrants with advanced cancer to determine the community’s needs and preferences regarding the MCP intervention. Transcripts were translated and analyzed using Atlas.ti and six frequently occurring themes were identified: Coping; End of Life; Family; Culture, Religion, and Language; Immigration; and Specific Adaptations to MCP. Sociocultural values, beliefs, and practices such as filial piety and the use of Traditional Chinese Medicine (TCM) should be considered when adapting EBTs for Chinese immigrant cancer patients.
Literature
1.
2.
NYC Department of City Planning (2017) Info brief: NYC’s foreign-born, 2000 to 2015. 2017; March 2017
3.
Chen MS Jr (2005) Cancer health disparities among Asian Americans: what we know and what we need to do. Cancer 104(S12):2895–2902CrossRefPubMed
4.
McCracken M, Olsen M, Chen MS et al (2007) Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin 57(4):190–205CrossRefPubMed
5.
Guidry JJ, Torrence W, Herbelin S (2005) Closing the divide: diverse populations and cancer survivorship. Cancer 104(S11):2577–2583CrossRefPubMed
6.
Lam WW, Fielding R (2003) The evolving experience of illness for Chinese women with breast cancer: a qualitative study. Psycho-Oncology 12(2):127–140CrossRefPubMed
7.
Ngo-Metzger Q, Massagli MP, Clarridge BR, Manocchia M, Davis RB, Iezzoni LI, Phillips RS (2003) Linguistic and cultural barriers to care. J Gen Intern Med 18(1):44–52CrossRefPubMedPubMedCentral
8.
Liang W, Wang JH, Chen M et al (2008) Developing and validating a measure of Chinese cultural views of health and cancer. Health Educ Behav 35(3):361–375CrossRefPubMed
9.
Mui AC, Kang S, Kang D, Domanski MD (2007) English language proficiency and health-related quality of life among Chinese and Korean immigrant elders. Health Soc Work 32(2):119–127CrossRefPubMed
10.
Yu MY, Hong OS, Seetoo AD (2003) Uncovering factors contributing to under-utilization of breast cancer screening by Chinese and Korean women living in the United States. Ethn Dis 13(2):213–219PubMed
11.
Surbone A (2008) Cultural aspects of communication in cancer care. Support Care Cancer 16(3):235–240CrossRefPubMed
12.
Thorne SE, Hislop TG, Armstrong E, Oglov V (2008) Cancer care communication: the power to harm and the power to heal? Patient Educ Couns 71(1):34–40CrossRefPubMed
13.
Castillo-Page L (2010) Diversity in the physician workforce: facts and figures 2010. Association of American Medical Colleges. (Summer 2010)
14.
Reeves T, Bennett CE (2004) We the people: Asians in the United States. Vol 17. US Department of Commerce, Economic and Statistics Administration, US Census Bureau
15.
MLA Language Map Data Center (2008) Data center results
16.
Hsiao S, Gau M, Ingleton C, Ryan T, Shih F (2011) An exploration of spiritual needs of Taiwanese patients with advanced cancer during the therapeutic processes. J Clin Nurs 20(7–8):950–959CrossRefPubMed
17.
Lin JS, Finlay A, Tu A, Gany FM (2005) Understanding immigrant Chinese Americans’ participation in cancer screening and clinical trials. J Community Health 30(6):451–466CrossRefPubMed
18.
Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, Tomarken A, Timm AK, Berg A, Jacobson C, Sorger B, Abbey J, Olden M (2010) Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psycho-Oncology 19(1):21–28CrossRefPubMedPubMedCentral
19.
Breitbart W (2002) Spirituality and meaning in supportive care: spirituality-and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer 10(4):272–280CrossRefPubMed
20.
Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG (2015) Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol 33(7):749–754CrossRefPubMedPubMedCentral
21.
Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, Olden M, Pessin H, Lichtenthal W, Sjoberg D, Cassileth BR (2012) Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol 30(12):1304–1309CrossRefPubMedPubMedCentral
22.
Breitbart W, Poppito SR (2014) Meaning-centered group psychotherapy for patients with advanced cancer: a treatment manual. Oxford University Press, USA
23.
Breitbart WS, Poppito SR (2014) Individual meaning-centered psychotherapy for patients with advanced cancer: a treatment manual. Oxford University Press, USACrossRef
24.
Hall GC, Hong JJ, Zane NW, Meyer OL (2011) Culturally competent treatments for Asian Americans: the relevance of mindfulness and acceptance-based psychotherapies. Clin Psychol Sci Pract 18(3):215–231CrossRef
25.
Leng J, Lui F, Chen A, Huang X, Breitbart W, Gany F (2018) Adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population. J Immigr Minor Health 20(3):680–686CrossRefPubMedPubMedCentral
26.
Domenech-Rodríguez M, Wieling E (2004) Developing culturally appropriate evidence based treatments for interventions with ethnic minority populations. In: Rastogi M, Wieling E (eds) Voices of color: first person accounts of ethnic minority therapists. Sage Publications, Thousand Oaks, pp 313–333
27.
Bernal G, Bonilla J, Bellido C (1995) Ecological validity and cultural sensitivity for outcome research: issues for the cultural adaptation and development of psychosocial treatments with Hispanics. J Abnorm Child Psychol 23(1):67–82CrossRefPubMed
28.
Strauss A, Corbin JM (1990) Basics of qualitative research: grounded theory procedures and techniques. Sage Publications, Inc, Thousand Oaks
29.
30.
Thomas DR (2006) A general inductive approach for analyzing qualitative evaluation data. Am J Eval 27(2):237–246CrossRef
31.
Takeuchi DT, Sue S, Yeh M (1995) Return rates and outcomes from ethnicity-specific mental health programs in Los Angeles. Am J Public Health 85(5):638–643CrossRefPubMedPubMedCentral
32.
Yeh M, Takeuchi DT, Sue S (1994) Asian-American children treated in the mental health system: a comparison of parallel and mainstream outpatient service centers. J Clin Child Psychol 23(1):5–12CrossRef
33.
Betancourt JR (2003) Cross-cultural medical education: conceptual approaches and frameworks for evaluation. Acad Med 78(6):560–569CrossRefPubMed
34.
Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O 2nd (2003) Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep 118(4):293–302CrossRefPubMedPubMedCentral
35.
Kagawa-Singer M, Kassim-Lakha S (2003) A strategy to reduce cross-cultural miscommunication and increase the likelihood of improving health outcomes. Acad Med 78(6):577–587CrossRefPubMed
36.
Kearney MK, Weininger RB, Vachon ML, Harrison RL, Mount BM (2009) Self-care of physicians caring for patients at the end of life: “Being connected... a key to my survival”. JAMA 301(11):1155–1164CrossRefPubMed
37.
Lin T, Tardiff K, Donetz G, Goresky W (1978) Ethnicity and patterns of help-seeking. Cult Med Psychiatry 2(1):3–13CrossRefPubMed
38.
Sue D, Sue S (1987) Cultural factors in the clinical assessment of Asian Americans. J Consult Clin Psychol 55(4):479–487CrossRefPubMed
39.
Sue S (1977) Psychological theory and implications for Asian Americans. J Couns Dev 55(7):381–389
40.
Hwang W (2006) The psychotherapy adaptation and modification framework: application to Asian Americans. Am Psychol 61(7):702–715CrossRefPubMed
41.
Tervalon M, Murray-Garcia J (1998) Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved 9(2):117–125CrossRefPubMed
42.
Vasquez MJ (2007) Cultural difference and the therapeutic alliance: an evidence-based analysis. Am Psychol. 62(8):878–885CrossRef
43.
Chen SW, Davenport DS (2005) Cognitive-behavioral therapy with Chinese American clients: cautions and modifications. Psychother Theory Res Pract Train 42(1):101–110CrossRef
44.
Lorence DP, Park H, Fox S (2006) Racial disparities in health information access: resilience of the digital divide. J Med Syst 30(4):241–249CrossRefPubMed
Metadata
Title
Patient perspectives on adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population
Authors
Jennifer Leng
Florence Lui
Xiaoxiao Huang
William Breitbart
Francesca Gany
Publication date
01-09-2019
Publisher
Springer Berlin Heidelberg
Keyword
Psychotherapy
Published in
Supportive Care in Cancer / Issue 9/2019
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-019-4638-2

Other articles of this Issue 9/2019

Supportive Care in Cancer 9/2019 Go to the issue

Original Article

Feasibility of an exercise and nutritional intervention for weight management during adjuvant treatment for localized breast cancer: the PASAPAS randomized controlled trial

Original Article

High incidence of invasive fungal infection during acute myeloid leukemia treatment in a resource-limited country: clinical risk factors and treatment outcomes

Original Article

Ten-year experience of the multidisciplinary Osteoncology Center

Review Article

Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies

Original Article

Tri-country translation, cultural adaptation, and validity confirmation of the Scored Patient-Generated Subjective Global Assessment

Original Article

Frequency of low-grade adverse events and quality of life during chemotherapy determine patients’ judgement about treatment in advanced-stage thoracic cancer
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine
Image Credits