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| Id | 808 | |
| Author | Lu Q., Zheng D., Young L., Kagawa-Singer M., Loh A. | |
| Title | A pilot study of expressive writing intervention among Chinese-speaking breast cancer survivors | |
| Reference | Lu Q., Zheng D., Young L., Kagawa-Singer M., Loh A.; A pilot study of expressive writing intervention among Chinese-speaking breast cancer survivors ;Health Psychology vol:31.0 issue: 5 page:548 |
Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84872165790&doi=10.1037%2fa0026834&partnerID=40&md5=ac831b1fea290e23ccedb1c39a5b7687 |
| Abstract | Objective: Little attention has been focused on Asian American breast cancer survivors psychological needs. No outcome-based psychosocial interventions have been reported to target at this population. Expressive writing interventions have been previously shown to improve health outcomes among non-Hispanic White breast cancer populations. This pilot study aimed to test the cultural sensitivity, feasibility, and potential health benefits of an expressive writing intervention among Chinese-speaking breast cancer survivors. Methods: Participants (N = 19) were asked to write about their deepest thoughts and feelings, their coping efforts, and positive thoughts and feelings regarding their experience with breast cancer each week for 3 weeks. Health outcomes were assessed at baseline, 3, and 6 months after the intervention. A Community-Based Participatory Research Approach (CBPR) is used. Results: Expressive writing was associated with medium and large effect sizes (ηp2 = 0.066̃0.208) in improving multiple health outcomes (quality of life, fatigue, posttraumatic stress, intrusive thoughts, and positive affect) at follow-ups. Participants perceived the study to be valuable. The study yielded high compliance and completion rates. Conclusion: Expressive writing is associated with long-term improvement of health outcomes among Chinese breast cancer survivors and has the potential to be utilized as a support strategy for minority cancer survivors. In addition, CBPR is valuable in improving feasibility and cultural sensitivity of the intervention in understudied populations. Future studies employing randomized, controlled trial designs are warranted. © 2012 American Psychological Association. |
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| In addition, the CBPR enabled the development of true partnership between researchers and the community, which paved the way for designing culturally relevant and appropriate research, promoting the program's sustainability and dissemination, and facilitating further collaboration between community and researchers. . | We hypothesized that expressive writing would be associated with improvement in quality of life, physical health (i.e., fatigue and physical symptoms) and psychological adjustment (i.e., affect, intrusive thoughts, post-traumatic stress, and post-traumatic growth). . | More importantly, the current study demonstrated that writing was associated with improvement in fatigue, quality of life, and psychological adjustment (posttraumatic stress, intrusive thoughts, and positive affect). . | Expressive writing is a private andguided writing exercise designed to improve health by prompting emotional and cognitive processes. . | This writing task aimed to facilitate emotional disclosure, effective coping, and finding benefit, which would work together to bring stressors and personal goals into awareness and regulate thoughts and emotions relevant to the cancer experience. . | The community members provided particularly valuable input in modifying study design, recruitment strategies, and study materials to be culturally appropriate and acceptable. . |
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