Abstract：
Countries with large economies are observing a growing number of culturally and linguistically diverse (CALD) older adults, many of whom will be affected by cancer. Little is known about the experiences and factors that influence cancer treatment decision-making in this population. The purposes of this scoping review are: (1) to summarize the published literature on cancer treatment-related decision-making with this population; and (2) to identify potential differences in how cancer treatment decisions are made compared to non-CALD older adults with cancer.
We conducted a scoping review following Arksey and O\'Malley and Levac methods, Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review Guidelines. We conducted a comprehensive multidatabase search, screening 1,139 titles/abstracts. Following data abstraction, we analyzed the data using tabular and narrative summary.
We extracted data from six studies that met the inclusion criteria: four quantitative and two qualitative; five from the United States and one from Canada. Three themes were identified: (1) barriers to decision-making, (2) the influence of family and friends on decisionmaking, and (3) differences in uptake and types of treatment received between CALD and non-CALD older adults.
This comprehensive review of treatment decision-making among CALD older adults with cancer highlights the paucity of research in this area. The findings are limited to North American populations and may not represent experiences in other regions of the world. Future research should focus on studying their treatment-related decision-making experiences to improve the quality of care for this vulnerable population.
We conducted a scoping review following Arksey and O\'Malley and Levac methods, Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review Guidelines. We conducted a comprehensive multidatabase search, screening 1,139 titles/abstracts. Following data abstraction, we analyzed the data using tabular and narrative summary.
We extracted data from six studies that met the inclusion criteria: four quantitative and two qualitative; five from the United States and one from Canada. Three themes were identified: (1) barriers to decision-making, (2) the influence of family and friends on decisionmaking, and (3) differences in uptake and types of treatment received between CALD and non-CALD older adults.
This comprehensive review of treatment decision-making among CALD older adults with cancer highlights the paucity of research in this area. The findings are limited to North American populations and may not represent experiences in other regions of the world. Future research should focus on studying their treatment-related decision-making experiences to improve the quality of care for this vulnerable population.
摘要：
背景：经济大国正在观察越来越多的文化和语言多样化（CALD）老年人，他们中的许多人将受到癌症的影响。对影响该人群癌症治疗决策的经验和因素知之甚少。本范围审查的目的是：（1）总结有关该人群癌症治疗相关决策的已发表文献；（2）与非CALD老年人癌症相比，确定癌症治疗决策的潜在差异。
方法：我们根据Arksey和O\'Malley和Levac方法进行了范围审查，系统审查和荟萃分析的首选报告项目范围审查指南。我们进行了全面的多数据库搜索，筛选1,139篇标题/摘要。在数据抽象之后，我们使用表格和叙述性总结分析数据。
结果：我们从符合纳入标准的六项研究中提取了数据：四个定量和两个定性；五个来自美国，一个来自加拿大。确定了三个主题:(1)决策障碍，（2）家人和朋友对决策的影响，和（3）在摄取和接受的治疗类型之间的CALD和非CALD老年人之间的差异。
结论：对患有癌症的CALD老年人的治疗决策进行的全面综述突出了该领域研究的匮乏。这些发现仅限于北美人群，可能无法代表世界其他地区的经验。未来的研究应侧重于研究他们与治疗相关的决策经验，以提高对这一弱势群体的护理质量。
方法：我们根据Arksey和O\'Malley和Levac方法进行了范围审查，系统审查和荟萃分析的首选报告项目范围审查指南。我们进行了全面的多数据库搜索，筛选1,139篇标题/摘要。在数据抽象之后，我们使用表格和叙述性总结分析数据。
结果：我们从符合纳入标准的六项研究中提取了数据：四个定量和两个定性；五个来自美国，一个来自加拿大。确定了三个主题:(1)决策障碍，（2）家人和朋友对决策的影响，和（3）在摄取和接受的治疗类型之间的CALD和非CALD老年人之间的差异。
结论：对患有癌症的CALD老年人的治疗决策进行的全面综述突出了该领域研究的匮乏。这些发现仅限于北美人群，可能无法代表世界其他地区的经验。未来的研究应侧重于研究他们与治疗相关的决策经验，以提高对这一弱势群体的护理质量。
