PDF(Pubmed)
Abstract：
Cancer is the leading cause of death among Asian Americans, who often face barriers to cancer care. Cancer supportive care needs among Asian Americans remain understudied.
We examined cancer supportive care needs and participant factors correlated with these needs, identified profiles of supportive care needs, and examined whether needs profiles are associated with quality of life among Asian American adults.
We recruited 47 Asian American adults with colorectal, liver, or lung cancer who spoke Chinese, English, or Vietnamese, and were starting or undergoing cancer treatment. We assessed cancer supportive care needs in four domains: cancer information, daily living, behavioral health, and language assistance. Hierarchical cluster analysis was used to identify clusters of participants based on their supportive need profiles to further examine the association between need profiles and quality of life (QoL) assessed by the Functional Assessment of Cancer Therapy. Participants (mean age = 57.6) included 72% males and 62% spoke English less than very well. Older participants (age ≥ 65) and those with annual income <$50K reported higher daily living needs. Men and younger participants (age < 50) reported higher behavioral health needs. We found three clusters displaying distinct cancer supportive need profiles: Cluster 1 (28% of the sample) displayed high needs across all domains; Cluster 2 (51%) had low needs across all domains; and Cluster 3 (21%) had high needs for cancer information and daily living. Cluster 1 participants reported the lowest QoL.
Cancer supportive care needs among Asian American patients with colorectal, liver, and lung cancer were associated with patient characteristics and QoL. Understanding cancer supportive care needs will inform future interventions to improve care and QoL for Asian American patients with cancer.
gov Identifier: NCT03867916.
We examined cancer supportive care needs and participant factors correlated with these needs, identified profiles of supportive care needs, and examined whether needs profiles are associated with quality of life among Asian American adults.
We recruited 47 Asian American adults with colorectal, liver, or lung cancer who spoke Chinese, English, or Vietnamese, and were starting or undergoing cancer treatment. We assessed cancer supportive care needs in four domains: cancer information, daily living, behavioral health, and language assistance. Hierarchical cluster analysis was used to identify clusters of participants based on their supportive need profiles to further examine the association between need profiles and quality of life (QoL) assessed by the Functional Assessment of Cancer Therapy. Participants (mean age = 57.6) included 72% males and 62% spoke English less than very well. Older participants (age ≥ 65) and those with annual income <$50K reported higher daily living needs. Men and younger participants (age < 50) reported higher behavioral health needs. We found three clusters displaying distinct cancer supportive need profiles: Cluster 1 (28% of the sample) displayed high needs across all domains; Cluster 2 (51%) had low needs across all domains; and Cluster 3 (21%) had high needs for cancer information and daily living. Cluster 1 participants reported the lowest QoL.
Cancer supportive care needs among Asian American patients with colorectal, liver, and lung cancer were associated with patient characteristics and QoL. Understanding cancer supportive care needs will inform future interventions to improve care and QoL for Asian American patients with cancer.
gov Identifier: NCT03867916.
摘要：
背景：癌症是亚裔美国人死亡的主要原因，他们经常面临癌症治疗的障碍。亚裔美国人的癌症支持性护理需求仍未得到充分研究。
目的：我们检查了癌症支持治疗的需求以及与这些需求相关的参与者因素，确定支持性护理需求的概况，并研究了亚裔美国成年人的需求状况是否与生活质量相关。
结果：我们招募了47名患有结直肠的亚裔美国成年人，肝脏,或者说中文的肺癌，英语,或者越南人,正在开始或接受癌症治疗。我们评估了四个领域的癌症支持护理需求：癌症信息，日常生活,行为健康,语言援助。分层聚类分析用于根据支持需求概况识别参与者的聚类，以进一步检查需求概况与癌症治疗功能评估评估的生活质量（QoL）之间的关联。参与者（平均年龄=57.6）包括72％的男性和62％的英语说得不够好。年龄较大的参与者（年龄≥65岁）和年收入<5万美元的参与者报告了更高的日常生活需求。男性和年轻参与者（年龄<50岁）报告了更高的行为健康需求。我们发现三个集群显示不同的癌症支持需求概况：集群1（样本的28％）在所有领域都显示出高需求；集群2（51％）在所有领域都具有低需求；集群3（21％）对癌症信息和日常生活具有高需求。第1组参与者报告的QoL最低。
结论：亚裔美国结直肠患者的癌症支持护理需求，肝脏,肺癌与患者特征和QoL相关。了解癌症支持性护理需求将为未来的干预措施提供信息，以改善亚裔美国癌症患者的护理和QoL。
结果：gov标识符：NCT03867916。
目的：我们检查了癌症支持治疗的需求以及与这些需求相关的参与者因素，确定支持性护理需求的概况，并研究了亚裔美国成年人的需求状况是否与生活质量相关。
结果：我们招募了47名患有结直肠的亚裔美国成年人，肝脏,或者说中文的肺癌，英语,或者越南人,正在开始或接受癌症治疗。我们评估了四个领域的癌症支持护理需求：癌症信息，日常生活,行为健康,语言援助。分层聚类分析用于根据支持需求概况识别参与者的聚类，以进一步检查需求概况与癌症治疗功能评估评估的生活质量（QoL）之间的关联。参与者（平均年龄=57.6）包括72％的男性和62％的英语说得不够好。年龄较大的参与者（年龄≥65岁）和年收入<5万美元的参与者报告了更高的日常生活需求。男性和年轻参与者（年龄<50岁）报告了更高的行为健康需求。我们发现三个集群显示不同的癌症支持需求概况：集群1（样本的28％）在所有领域都显示出高需求；集群2（51％）在所有领域都具有低需求；集群3（21％）对癌症信息和日常生活具有高需求。第1组参与者报告的QoL最低。
结论：亚裔美国结直肠患者的癌症支持护理需求，肝脏,肺癌与患者特征和QoL相关。了解癌症支持性护理需求将为未来的干预措施提供信息，以改善亚裔美国癌症患者的护理和QoL。
结果：gov标识符：NCT03867916。
