Not a Death Sentence: Perspectives of African American Women Living With Lung Cancer

Webb, Lisa A.; McDonnell, Karen Kane

doi:10.1188/18.onf.46-54

Cited by 8 publications

(9 citation statements)

References 25 publications

(39 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, recruitment through the cancer registry was the most successful strategy. The recruitment rate was comparable to our other studies recruiting survivors of localized lung cancer and their family members (14%–20%) 32,36,37,40 . This study recruited survivors of all stages who described their health as fair to poor ( n = 30, 54%), which may have hindered recruitment rates.…”

Section: Discussionsupporting

confidence: 65%

“…The recruitment rate was comparable to our other studies recruiting survivors of localized lung cancer and their family members (14%–20%). 32 , 36 , 37 , 40 This study recruited survivors of all stages who described their health as fair to poor ( n = 30, 54%), which may have hindered recruitment rates. Other barriers may have included a short study time frame (4–6 months) and the research topic of stigma.…”

Section: Discussionmentioning

confidence: 99%

“… 31 This is true even more so with African Americans with lung cancer. Webb and McDonnell 32 found that African Americans living with lung cancer felt that the diagnosis was considered a death sentence, in part by the perceived stigma that these survivors experienced. These relationships may be due in part to the higher rates of smoking in this area of the country, which may be linked to relaxed smoking laws and policies.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The association between lung cancer stigma and race: A descriptive correlational study

McDonnell

Webb

Adams

et al. 2022

Health Expectations

View full text Add to dashboard Cite

Background: Stigma is a formidable burden for survivors of lung cancer that can reduce the quality of life (QOL), resulting in physical, social and psychological challenges. This study investigates associations between stigma and depression, QOL and demographic and health-related characteristics, including race.Design: An adapted conceptual model derived from the Cataldo Lung Cancer Stigma Scale guided this descriptive correlation study assessing stigma in African American and Caucasian survivors of lung cancer. Self-reported, written surveys measuring depression, QOL, lung cancer stigma and demographics were administered. Statistical analysis was conducted to assess associations between stigma and depression, stigma and QOL and stigma and race, while adjusting for demographic characteristics.Results: Participants (N = 56) included 30 Caucasian and 26 African American survivors of lung cancer recruited from a cancer registry of an American College of Surgeonsaccredited programme, a survivors' support club and an ambulatory oncology practice in the southeastern United States. Statistical analysis yielded (1) a significant moderate positive association between depression and lung cancer stigma; (2) a significant moderate negative association between QOL and lung cancer stigma; and (3) significant relationships between race and lung cancer stigma, specifically higher degree of stigma among African Americans compared to Caucasians. Conclusion:Stigma affects many aspects of survivors' lives. Healthcare professionals need to consider how health-related stigma may further complicate the physical burdens, psychological distresses and social challenges that accompany the disease, especially among African American survivors. Additional enquiry and interventions are needed to assist with mitigating the negative effects of stigma on survivors and their family members and friends.

show abstract

Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The association between lung cancer stigma and race: A descriptive correlational study

McDonnell

Webb

Adams

et al. 2022

Health Expectations

View full text Add to dashboard Cite

show abstract

“…Preliminary studies involving the target population, 13,14,26,27 existing evidence, advice from a team of experts, and community stakeholders informed protocol development and study design. These sources suggest that targeting multiple behaviors (stress management, physical activity) will lead to greater change than targeting only one behavior.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

A Prospective Pilot Study Evaluating Feasibility and Preliminary Effects of Breathe Easier: A Mindfulness-based Intervention for Survivors of Lung Cancer and Their Family Members (Dyads)

et al. 2020

View full text Add to dashboard Cite

Objective: Symptom burden remains a distressing problem for survivors with non-small-cell lung cancer (stages I-IIIa). This pilot study evaluated feasibility and preliminary effects of a tailored mindfulness-based intervention, Breathe Easier, which encompasses meditation, 2 levels of mindful hatha yoga, breathing exercises, and participant interaction. Methods: Participants were recruited from 2 cancer programs in the US Southeast. A family member was required for participation. Sixty-two participants enrolled (20% recruitment) and 49 completed the intervention (79% retention). Participants chose level 1 yoga (basic) or level 2 (more advanced). Of the completers, survivors were 39% male and 65% Black. A community-based participatory research framework helped identify the specific needs and interests of potential participants and foreseeable barriers to implementation. A 2-month prospective, 1-group, pre-post design evaluated feasibility. Intervention dosage was measured using written protocols. Attendance and completion of daily home assignments measured adherence. Acceptability was assessed using a 10-item questionnaire, completed at three time points. Preliminary outcome data collected pre- and post-intervention tested the hypothesis that participants who received the 8-week intervention Breathe Easier would, post-intervention, demonstrate (a) less dyspnea, (b) less fatigue, (c) less stress, (d) improved sleep, (e) improved anxiety and depression, and (f) improved functional exercise capacity. Exit interviews were conducted, transcribed verbatim, and analyzed for content using descriptive statistics. Results: Quantitative and qualitative measures indicated strong feasibility. Over time, level 1 participants had statistically less dyspnea, fatigue and improved exercise capacity, as well as improved sleep, and stress scores. Level 2 participants experienced slightly increased dyspnea and fatigue but improved sleep, stress, and exercise capacity. All participants experienced anxiety and depression within normal limits pre- and post-intervention. Five major themes emerged out of exit interviews: Learning to Breathe Easier; Interacting with Others as a Personal Benefit; Stretching, Releasing Tension, and Feeling Energized; Enhancing Closeness with Committed Partners; Refocusing on Living; and Sustaining New Skills as a Decision. Conclusions: The study offers insight into the feasibility of an 8-week in-person mindfulness-based intervention with a unique subset of understudied survivors of lung cancer and family members. Outcome data interpretation is limited by the 1-group design and sample size.

show abstract

“…Such a perspective was reinforced by doctors who were reported as authoritarians. Another paper also described that healthcare providers did not tell patients about potential symptoms following operations, radiotherapy, or chemotherapy, which influenced their quality of life and generated worry [31]. For example, 'The doctor till not tell me once.…”

Section: Patients Felt Uninformedmentioning

confidence: 99%

Experience in Accessing Healthcare in Ethnic Minority Patients with Chronic Respiratory Diseases: A Qualitative Meta-Synthesis

Zhang,

Jaswal,

Quint

2023

Healthcare

View full text Add to dashboard Cite

Background: Access to healthcare is part of every individual’s human rights; however, many studies have illustrated that ethnic minority patients seem to be confronted with barriers when using healthcare services. Understanding how healthcare utilities are accessed from the perspective of patients and why healthcare disparities occur with patients from a minority background has the potential to improve health equality and care quality. This qualitative systematic review aims to gain insights into the experiences of people with chronic respiratory diseases (CRDs) from a minority background and explore factors contributing to their experiences in accessing healthcare to inform related health policy makers and healthcare providers. Methods: This systematic review complied with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, where the Joanna Briggs Institute meta-aggregative instrument facilitated the qualitative synthesis. The study protocol was registered with PROSPERO (CRD42022346055). PubMed, Scopus, Web of Science, and CINAHL were the databases explored. Results: From the papers selected, 47 findings were derived from 10 included studies, and four synthesised findings were generated: (1) the relationship between patients and healthcare professionals affects the usage of healthcare services; (2) patients’ perceptions and cultural beliefs affect their compliance with disease management; (3) personal behaviours affect the usage of healthcare services; and (4) health resource inequalities have an impact on accessing healthcare services. Conclusions: This systematic review demonstrates that ethnic minorities with CRDs face inequalities when engaging in healthcare. The relationship between patients and clinicians impacting the use of healthcare is the most pivotal discovery, where not speaking the same language and being of a different race alongside the accompanying criticism and faith in facilities are key contributors to this effect. In addition, the thinking patterns of these marginalised groups may reflect their cultural upbringing and diminish their engagement with therapies. This paper has uncovered ways to attenuate inequalities amongst ethnic minorities in engaging with healthcare providers and provides insight into building effective equity-promoting interventions in healthcare systems. To overcome these disparities, coaching doctors to communicate better with minority cohorts could help such patients to be more comfortable in connecting with medical facilities.

show abstract

Not a Death Sentence: Perspectives of African American Women Living With Lung Cancer

Cited by 8 publications

References 25 publications

The association between lung cancer stigma and race: A descriptive correlational study

The association between lung cancer stigma and race: A descriptive correlational study

A Prospective Pilot Study Evaluating Feasibility and Preliminary Effects of Breathe Easier: A Mindfulness-based Intervention for Survivors of Lung Cancer and Their Family Members (Dyads)

Experience in Accessing Healthcare in Ethnic Minority Patients with Chronic Respiratory Diseases: A Qualitative Meta-Synthesis

Contact Info

Product

Resources

About