Five Dimensions of Needs for Help: The Efficacy of a Technology-Based Intervention Among Asian American Breast Cancer Survivors

Eun Ok Im, Wonshik Chee, Sudeshna Paul, Mi Young Choi, Seo Yun Kim, Seon Ae Yeo, Connie M. Ulrich, Marilyn M. Schapira, Giang T. Nguyen, Salimah Meghani, Jun J. Mao, Grace Ma, Jillian Inouye, Janet A. Deatrick, David Shin, Ting Bao

Research output: Contribution to journalArticlepeer-review

Abstract

Cancer survivors including Asian American breast cancer survivors have reported their high needs for help during their survivorship process. With the COVID-19 pandemic, the necessity of technology-based programs to address their needs for help without face-to-face interactions has been highlighted. The purpose of this randomized intervention study was to determine the efficacy of a technology-based program in reducing various types of needs for help among this specific population. This was a randomized clinical trial with repeated measures. A total of 199 participants were included in the data analysis. The recruitment settings included both online and offline communities/groups for Asian Americans. The needs for help were assessed using the Support Care Needs Survey-34 Short Form (SCNS) subscales measuring psychological, information, physical, support, and communication needs. Data analysis was conducted through an intent-to-treat approach. In the mixed effect models, psychological needs, information needs, physical needs, and communication needs decreased over time (P <.001). However, there were no significant group * time effects. Social support significantly mediated the effects of a technology-based intervention on psychological, information, and support needs at the pre-test and the post-1 month. This study supported significant decreases in the needs for help of Asian American breast cancer survivors by a technology-based intervention. Further studies are needed with other racial/ethnic groups of cancer survivors to confirm the efficacy of a technology-based intervention in reducing cancer survivors’ needs for help during their survivorship process.

Original languageEnglish
Pages (from-to)335-348
Number of pages14
JournalJournal of Cancer Education
Volume39
Issue number3
Early online dateMar 9 2024
DOIs
StatePublished - Jun 2024

Keywords

  • Asian Americans
  • Breast cancer
  • Cancer survivors
  • Intervention
  • Needs assessment
  • Technology
  • Humans
  • Middle Aged
  • Social Support
  • Health Services Needs and Demand
  • Asian/psychology
  • SARS-CoV-2
  • Adult
  • COVID-19/prevention & control
  • Female
  • Surveys and Questionnaires
  • Aged
  • Breast Neoplasms/ethnology
  • Cancer Survivors/psychology
  • Needs Assessment

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