Survivorship Care Plan Preferences and Utilization Among Asian American Breast Cancer Survivors.
Timiya S Nolan, Elizabeth Arthur, Ogechi Nwodim and 2 others
PMID 34411085WHAT IT FOUND
Asian American breast cancer survivors wanted survivorship care plans that fit their language, family roles, and beliefs.
Use was low and fit was poor, but survivors welcomed plans if delivered clearly and culturally appropriate.
Key findings
01Asian American breast cancer survivors preferred survivorship care that respected their language, etiquette, gender roles, and openness to Eastern medicine.
02Survivorship care plan use was reported as low, and some women were dissatisfied because they felt ill-equipped for life with a cancer diagnosis.
03Barriers to survivorship care delivery were reported in language, patient-provider relationships, survivorship education, and healthcare-system factors.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The evidence base was thin: 14 articles met criteria, and only two studies explicitly addressed survivorship care plans. Most included studies were qualitative or had small samples, and there were few randomized controlled trials, so this review cannot show that any survivorship care plan strategy works. No included study addressed cervical cancer survivorship, despite the search terms. Participants were generally educated and mostly identified as Chinese, Korean, Japanese, or Filipina, so findings may not apply to less educated survivors or other Asian American groups. Four articles drew from the same study, so the 725 survivors may not be independent across all 14 articles.
Declared interests
The supplied metadata lists NIH extramural and non-U.S. government research support. The article text does not include a conflict-of-interest declaration.
The easy way to misread this
Do not read this review as evidence that survivorship care plans improve outcomes for Asian American breast cancer survivors. It summarizes preferences and barriers from 14 mostly qualitative studies, with few randomized trials and small samples, so it cannot show effectiveness.