Abstract
Minoritized groups including Latinos are less engaged in awareness and discussion of advance care planning (ACP) due to the United States English-dominated healthcare system that contributes to systemic inequities related to language and cultural barriers. Explicit interventions, such as a sole Spanish-speaking educational session, may begin discussions of ACP among Latina breast cancer survivors. However, what constitutes a culturally sensitive Spanish-language ACP educational session is currently unknown. To address this need, this current project (1) presented a nurse-led ACP educational session and (2) held a focus group to assess the acceptability of the Spanish-focused ACP educational session to a Spanish-speaking group of Latina breast cancer survivors. Thematic analysis revealed four themes: (1) familial involvement, (2) need for advance care planning education, (3) addressing language and cultural barriers, and (4) culturally sensitive and informative resources. Features of a culturally sensitive Spanish-focused ACP educational session were identified and found to reduce current barriers that hinder ACP conversations in Latina breast cancer survivors.
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Acknowledgements
We thank Sarah Carbajal Salisbury and Jeannette Villalta from Alliance Community Services for assistance with support and for providing translation services for this project.
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Cajavilca, M.F., Dassel, K., Portugal-Bouza, G. et al. Establishing a Spanish-Focused Advance Care Planning Educational Session for Latina Breast Cancer Survivors. J Canc Educ 39, 147–152 (2024). https://doi.org/10.1007/s13187-023-02387-5
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DOI: https://doi.org/10.1007/s13187-023-02387-5