Advertisement

Supportive Care in Cancer

, Volume 22, Issue 10, pp 2651–2659 | Cite as

Perceived information needs and social support of Chinese-Australian breast cancer survivors

  • C. Kwok
  • K. White
Original Article

Abstract

Background

Both informational and social support are vital components in achieving a high quality of life as a cancer survivor. The study aims to explore the perceptions of information needs and social support among Chinese-Australian breast cancer survivors and how these resources impacted their cancer experience.

Methods

Three focus groups were conducted with 23 Chinese-Australian women diagnosed with breast cancer in their native language (Mandarin and Cantonese). Each interview was translated and transcribed. Content analysis was used to uncover the major themes.

Result

Themes for information needs were identified as (1) using linguistically appropriate information, (2) the need for culturally sensitive information for the management of expected side effect and promotion of recovery and (3) the need for information on signs and symptoms of recurrence. Families were described as a primary source of multifaceted social support, although it was challenging to obtain. Support groups were also an important support source, but health care professionals were not identified as a source of support.

Conclusion

Our study has provided practical insight into the information needs and social support of Chinese women with breast cancer. These findings can be used to inform the development of linguistically and culturally tailored support and survivorship interventions for this vulnerable population.

Keywords Information needs Social support Chinese-Australian breast cancer survivors 

Notes

Acknowledgments

This research was funded by 06/ECF/1-14 from the Cancer Institute NSW. The authors would like to gratefully acknowledge the help received from all study participants and would like to express their appreciation for the recruitment assistance given by the Chinese cancer support group.

Conflict of interest

The authors declare that there is no conflict of interest related to this research and there is no financial relationship with the organisation that sponsored the research. The authors have full control of all primary data and allow the journal to review the data if requested.

References

  1. 1.
    Kaiser K (2008) The meaning of the survivor identify for women with breast cancer. Soc Sci Med 67:79–87PubMedCentralPubMedCrossRefGoogle Scholar
  2. 2.
    National Breast and Ovarian Cancer Centre (2003) Clinical practice guidelines for the psychosocial care of adults with cancer. National Breast Cancer Centre, CamperdownGoogle Scholar
  3. 3.
    Davis C, Rust C, Darby K (2013) Coping skills among African-American breast cancer survivors. Social Work Health Care 52(5):434–48CrossRefGoogle Scholar
  4. 4.
    Cappiello M, Cunningham RS, Knobf MT, Erdos D (2007) Breast cancer survivors: information and support after treatment. Clin Nurs Res 16(4):278–293PubMedCrossRefGoogle Scholar
  5. 5.
    O'Leary KA, Estabrooks CA, Olson K, Cumming C (2007) Information acquisition for women facing surgical treatment for breast cancer: influencing factors and selected outcomes. Patient Educ Couns 69(1–3):5–19PubMedCrossRefGoogle Scholar
  6. 6.
    Hawley S, Lantz P, Janz N, Salem B, Morrow M, Schwartz K, Liu L, Katz S (2007) Factors associated with patient involvement in surgical treatment decision making for breast cancer. Patient Educ Couns 65:387–395PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Gray RE, Fitch M, Greenberg M, Hampson A, Doherty M, Labrecque M (2008) The information needs of well, longer-term survivors of breast cancer. Patient Educ Couns 33:245–255CrossRefGoogle Scholar
  8. 8.
    Janz NK, Mujahid MS, Hawley ST, Griggs JJ, Hamliton AS, Katz SJ (2008) Racial/ethnic differences in adequacy of information and support for women with breast cancer. Cancer 113(5):1058–1067PubMedCentralPubMedCrossRefGoogle Scholar
  9. 9.
    Leng J, Lee T, Sarpel U, Lau J, Li Y, Cheng C, Chang M, Gany F (2012) Identifying the informational and psychological needs of Chinese immigrant cancer patients: a focus group study. Support Care Cancer 20(12):321–329CrossRefGoogle Scholar
  10. 10.
    Russell KM, Von Ah DM, Giesler RB et al (2008) Quality of life of African American breast cancer survivors: how much do we know? Cancer Nurs 31(6):E36–E45PubMedCrossRefGoogle Scholar
  11. 11.
    Kwok C, White K (2011) Cultural and linguistic isolation: the breast cancer experience among Chinese-Australia women—a qualitative study. Contemp Nurse 39(1):85–94PubMedCrossRefGoogle Scholar
  12. 12.
    Kwok C, Sullivan G, Cant R (2006) The role of culture in breast health practices among Chinese-Australian women. Patient Educ Couns 64(1–3):268–279PubMedCrossRefGoogle Scholar
  13. 13.
    Wu T, West B, Chen Y, Hergert C (2006) Health beliefs and practices related to breast cancer screening in Filipino, Chinese and Asian-Indian women. Cancer Detect Prev 30:58–66PubMedCrossRefGoogle Scholar
  14. 14.
    Yeo SS, Meiser B, Barlow-Stewart K, Goldstein D, Tucker K, Eisenbruch M (2005) Understanding community beliefs of Chinese-Australians about cancer: initial insights using an ethnographic approach. Psycho-Oncology 14(1):174–186PubMedCrossRefGoogle Scholar
  15. 15.
    Kwok C, Sullivan G (2007) Health seeking behaviours among Chinese-Australian women: implication for health promotion programs. Health: An Interdiscip J Soc Study Health Illn 11(3):401–15Google Scholar
  16. 16.
    Stroebe W (2000) Social psychology and health, 2nd edn. Open University Press, BuckinghamGoogle Scholar
  17. 17.
    Thompson T, Rodebaugh T, Pérez M, Schootman M, Jeffe D (2013) Perceived social support change in patients with early stage breast cancer and controls. Health Psychol 32(8):886–895PubMedCentralPubMedCrossRefGoogle Scholar
  18. 18.
    Manuel JC, Burwell SR, Crawford SL, Lawrence RH, Farmer DF, Hege A (2007) Younger women’s perceptions of coping with breast cancer. Cancer Nurs 30(2):85–94PubMedCrossRefGoogle Scholar
  19. 19.
    Erci B, Karabulut N (2007) Appraising the self-assessed support needs of Turkish women with breast cancer. Eur J Cancer Care 16(2):137–143CrossRefGoogle Scholar
  20. 20.
    Sammarco A, Konecny LM (2010) Quality of life, social support, and uncertainty among Latina and Caucasian breast cancer survivors: a comparative study. Ocology Nursing Forum 37(1):93–99CrossRefGoogle Scholar
  21. 21.
    Kroenke CH, Kwan ML, Neugut AI, Ergas IJ, Wright JD, Caan BJ, Hershman D, Kushi LH (2013) Social networks, social support mechanisms, and quality of life after breast cancer diagnosis. Health Psychol 20(1):41–46Google Scholar
  22. 22.
    Vivar CG, McQueen A (2005) Informational and emotional needs of long-term survivors of breast cancer. J Adv Nurs 51(5):520–528PubMedCrossRefGoogle Scholar
  23. 23.
    Lee S, Chen L, Ma GX, Fang CY, Oh Y, Scully L (2013) Challenges and needs of Chinese and Korean American breast cancer survivors: in-depth interviews. N Am J Med Sci (Boston) 6(1):1–8Google Scholar
  24. 24.
    Sun A, Wong-Kim E, Stearman S, Chow E (2005) Quality of life in Chinese patients with breast cancer. Cancer 104(12 suppl):2952–2954PubMedCentralPubMedCrossRefGoogle Scholar
  25. 25.
    Cheng H, Sit JW, Chan CW, So WK, Choi KC, Cheng KK (2013) Social support and quality of life among Chinese breast cancer survivors: findings from a mixed methods study. Eur J Oncol Nurs 17(6):788–96PubMedCrossRefGoogle Scholar
  26. 26.
  27. 27.
    Grulich AE, McCredie M, Coates M (1995) Cancer incidence in Asian migrants to New South Wales, Australia. Br J Cancer 71(2):400–408PubMedCentralPubMedCrossRefGoogle Scholar
  28. 28.
    Minichiello V, Sullivan G, Greenwood K, Axford R (1999) Handbook for research methods in health sciences. Addison-Wesley, Frenchs ForestGoogle Scholar
  29. 29.
    Stewart DW, Shamdasani PN, Rook DW (2007) Focus groups: theory and practice, 2nd edn. Sage, Thousand OaksGoogle Scholar
  30. 30.
    Kwok C, Ho M (2011) Development and evaluation of a culturally sensitive support group program for Chinese-Australian women with breast cancer—a pilot study. Eur J Cancer Care 20(6):795–802CrossRefGoogle Scholar
  31. 31.
    Miles MB, Huberman AM (1994) An expanded sourcebook: qualitative data analysis (2nd Ed). Sage, LondonGoogle Scholar
  32. 32.
    Behling O, Law K (2000) Translating questionnaires and other research instruments: problem and solutions. Sage, Thousand OaksGoogle Scholar
  33. 33.
    Smith SL, Singh-Carlson SS, Downie L, Payeur N, Wai ES (2011) Survivors of breast cancer: patient perspectives on survivorship care planning. J Cancer Survivor 5:337–344CrossRefGoogle Scholar
  34. 34.
    Yi JK, Swartz MD, Reyes-Gibby CC (2011) English proficiency, symptoms, and quality of life in Vietnamese- and Chinese-American breast cancer survivors. J Pain Symptom Manag 42(1):83–92CrossRefGoogle Scholar
  35. 35.
    Howard AF, Balneaves LG, Bottorff JL (2007) Ethnocultural women’s experiences of breast cancer: a qualitative meta-study. Cancer Nurs 30(4):E27–35PubMedCrossRefGoogle Scholar
  36. 36.
    Simpson R (2003) Family beliefs about diet and traditional Chinese medicine for Hong Kong women with breast cancer. Oncol Nurs Forum 30(5):834–840PubMedCrossRefGoogle Scholar
  37. 37.
    Alfano CM, Rowland JH (2006) Recovery issues in cancer survivorship: a new challenge for supportive care. Cancer J 12(5):432–443PubMedCrossRefGoogle Scholar
  38. 38.
    Lui C, Ip D, Chui W (2009) Ethnic experience of cancer: a qualitative study of Chinese-Australians in Brisbane, Queensland. Soc Work Health Care 48:14–37PubMedCrossRefGoogle Scholar
  39. 39.
    Butow PN, Lobb E, Jefford M, Goldstein D, Eisenbruch M, Girgis A, King M, Sze M, Aldridge L, Schofield P (2012) A bridge between cultures: interpreters’ perspectives of consultations with migrant oncology patients. Support Care Cancer 20(2):235–244PubMedCrossRefGoogle Scholar
  40. 40.
    Tsai T, Morisky D, Kagawa-Singer M, Ashing-Giwa K (2011) Acculturation in the adaptation of Chinese-American women to breast cancer: a mixed-method approach. J Clin Nurs 20:3383–3393PubMedCrossRefGoogle Scholar
  41. 41.
    Chan CW, Hon HC, Chien WT, Lopez V (2004) Social support and coping in Chinese patients undergoing cancer surgery. Cancer Nurs 27(3):230–236PubMedCrossRefGoogle Scholar
  42. 42.
    Napoles-Springer A, Ortz C, O’Brien H, Diaz-Mendez M (2009) Developing a culturally competent peer support intervention for Spanish-speaking Latinas with breast cancer. J Immigr Minor Health 11(4):268–80PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.University of Western SydneySydneyAustralia
  2. 2.University of SydneySydneyAustralia

Personalised recommendations