研究动态
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不同种族黑人前列腺癌幸存者的健康相关生活质量:收敛并行混合方法。

Health-related quality of life in ethnically diverse Black prostate cancer survivors: a convergent parallel mixed-methods approach.

发表日期:2024 Jul 15
作者: Motolani E Ogunsanya, Ernest Kaninjing, Tanara N Ellis, Daniel J Morton, Andrew G McIntosh, Jian Zhao, Sabrina L Dickey, Darla E Kendzor, Kathleen Dwyer, Mary Ellen Young, Folakemi T Odedina
来源: PHYSICAL THERAPY & REHABILITATION JOURNAL

摘要:

本研究调查了美国患有前列腺癌 (CaP) 的不同种族黑人 (BM) 的健康相关生活质量 (HRQoL)。采用定性和定量研究的收敛并行混合方法设计,涉及招募黑人Cap幸存者通过多种渠道。目标人群是本土出生的BM (NBBM)、非洲出生的BM (ABBM) 和加勒比出生的BM (CBBM)。使用癌症治疗前列腺功能评估 (FACT-P) 措施对所有男性的生活质量进行评估,其中包括五个领域:身体 - (PWB)、情感 - (EWB)、社交 - (SWB) 和功能健康 (FWB) ) 和 Cap 子量表 (PCS)。一部分男性完成了定性访谈。还收集了人口统计学和临床​​特征。 49-85 岁的黑人 CaP 幸存者参与了该研究 (n = 108),其中一部分 (n = 31) 完成了定性访谈。参与者主要是NBBM(72.2%)和接受放射治疗(51.9%)。 FACT-P 量表总平均分 (±SD) 为 114±24.1(理论范围 0-156),SWB、FWB 和 EWB 领域的得分较低。混合方法的研究方法包括通过整合相应的定量和定性数据得出的元推论,涵盖 FACT-P 中的所有领域。Black Cap 幸存者经历了影响其整体 HRQoL 的重大负担。分析揭示了对身体、社会和情感健康的影响,不同种族群体之间存在差异,表明需要根据文化量身定制干预措施。 EWB 也受到 Cap 治疗的深刻影响,所有群体都强调普遍的情绪负担。医疗保健提供者必须认识到并满足这些多方面的需求,以促进 Black Cap 幸存者获得更好的结果和 HRQoL。© 2024。作者,获得 Springer Nature Switzerland AG 的独家许可。
This study examined the health-related quality of life (HRQoL) among ethnically diverse Black men (BM) with prostate cancer (CaP) in the United States.A convergent parallel mixed-methods design, employing both qualitative and quantitative research, involved recruiting Black CaP survivors through multiple channels. The target population was native-born BM (NBBM), African-born BM (ABBM), and Caribbean-born BM (CBBM). QoL for all men was assessed using The Functional Assessment Cancer Therapy-Prostate (FACT-P) measure, which includes five domains: physical- (PWB), emotional- (EWB), social-(SWB), and functional-wellbeing (FWB), and a CaP subscale (PCS). A subset of men completed qualitative interviews. Demographic and clinical characteristics were also collected.Black CaP survivors aged 49-85 participated in the study (n = 108), with a subset (n = 31) completing a qualitative interview. Participants were mainly NBBM (72.2%) and treated with radiotherapy (51.9%). The FACT-P scale total mean score (± SD) was 114 ± 24.1 (theoretical range 0-156), with lower scores reported on the SWB, FWB, and EWB domains. The mixed-methods findings approach included meta-inferences derived from integrating the corresponding quantitative and qualitative data, covering all the domains within the FACT-P.Black CaP survivors experienced significant burdens that impacted their overall HRQoL. The analysis revealed impacts on physical, social, and emotional well-being, with variations among ethnic groups suggesting the need for culturally tailored interventions. EWB was also profoundly impacted by CaP treatment, with universal emotional burdens emphasized across all groups. Healthcare providers must recognize and address these multifaceted needs to promote better outcomes and HRQoL for Black CaP survivors.© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.