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Barriers, Facilitators, and Strategies for Developing a Culturally Informed Lifestyle Intervention for Native Hawaiian, CHamoru, and Filipino Breast Cancer Survivors

Mixed-Methods Findings from Focus Group Participants

Bibliographic Data

ID15515451
AuthorsTanisha Aflague (0000-0001-9477-4717, University of Guam, corresponding author), Tanisha F Aflague (College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96923, USA), Kristi Hammond (0000-0003-4582-5404, University of Hawaiʻi at Mānoa), Bernice Delos Reyes (0000-0002-1970-5962, University of Hawaiʻi at Mānoa), Dareon Rios (University of Guam), Elaine C de Leon (0009-0005-8463-8718, University of Guam), Rachael T Leon Guerrero (0000-0002-7000-3966, University of Guam), Monica Esquivel (0000-0002-1685-5244, University of Hawaiʻi at Mānoa)
Year2023
Volume20
Issue12
Pages6075-6075
Publication date2023-06-07
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20126075
PMID37372662
OpenAlexW4379882186
LanguageEN
References cited35

Breast cancer disproportionately impacts Native Hawaiian, CHamoru, and Filipino women. Few culturally informed interventions addressing breast cancer survivors exist and none have been developed or tested specifically for Native Hawaiian, CHamoru, and Filipino women. This study aimed to conduct focus groups with Native Hawaiian, CHamoru, and Filipino women previously diagnosed with breast cancer to inform future research in Guam and Hawai'i. Convenience sampling and grounded theory approaches were used. Focus group sessions were conducted during summer 2023 and included questions to understand the barriers, motivators, and implementation recommendations for lifestyle interventions aimed at reducing the risk for breast cancer recurrence among the target population. Data saturation was reached after a total of seven focus groups (an average of four survivors/group per site) were conducted (three in Hawai'i and four in Guam), which represented 28 breast cancer survivors. Themes from the focus groups emerged around developing support systems with other survivors, providing physical activity and nutrition intervention activities and materials in multiple formats, and incorporating activities and foods that accommodate the side effects of breast cancer treatments and are culturally relevant. The average desired intervention length was eight weeks. These findings will inform the development and feasibility testing of a culturally informed lifestyle intervention for breast cancer survivors in Guam and Hawai'i

Breast cancer · Cancer · Family medicine · Focus group · Intervention (counseling · Sociology · Global Cancer Incidence and Screening · Medicine · Nursing · Psychology · Gerontology · Internal Medicine

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