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Cancer Survivorship and Care / Cancer Related Cognitive Impairment Studies · Journal article
Cancer Nursing · August 11, 2026
Reinforces what was already believed, rather than introducing something new.
This secondary analysis of an RCT identified ethnic differences in the associations between psychosocial factors and breast cancer survivorship outcomes among Asian American survivors. Chinese Americans showed stronger negative associations between lack of social support and perceived barriers with worse survivorship outcomes, while Korean Americans' unmet care needs were linked to loneliness and lower social influence. These findings support consideration of ethnic differences in designing survivorship interventions.
Secondary analysis of a randomized controlled trial. Asian American breast cancer survivors (Chinese, Korean, and Japanese Americans) enrolled in a randomized clinical trial; specific eligibility criteria and setting not described.. Intervention: Parent RCT intervention not specified in this abstract.. Compared with: Ethnic comparisons (Chinese Americans vs. Japanese Americans; Korean Americans analyzed separately).. n = 167.
Chinese Americans reported more negative attitudes toward cancer survivorship compared with Japanese Americans (ANOVA test, p not reported) Japanese Americans reported lower levels of social influence than other groups (ANOVA test, p not reported) Chinese Americans exhibited stronger negative associations between lack of social support and cancer survivorship outcomes compared with Japanese Americans (mixed-effects regression, p not reported)
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
Oncology nurses and survivorship care teams should recognize ethnic-specific psychosocial associations when assessing and planning interventions for Asian American breast cancer survivors. Culturally tailored approaches addressing social support, perceived barriers, and loneliness may improve outcomes, particularly for Chinese and Korean American survivors.
Secondary analysis of an RCT using validated outcome measures and mixed-effects regression to confirm ethnic differences in psychosocial associations with breast cancer survivorship outcomes, reinforcing the need for culturally tailored approaches in an understudied population.
As stated by the source record.
Quoted from the source exactly as published.
Oncology nurses and survivorship care teams should recognize ethnic-specific psychosocial associations when assessing and planning interventions for Asian American breast cancer survivors. Culturally tailored approaches addressing social support, perceived barriers, and loneliness may improve outcomes, particularly for Chinese and Korean American survivors.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
BACKGROUND: Asian American breast cancer survivors face substantial disparities in recurrence rates; however, ethnic differences in breast cancer survivorship remain understudied. OBJECTIVE: To examine the associations between psychosocial factors and breast cancer survivorship, with a focus on ethnic differences among Chinese, Korean, and Japanese Americans. METHODS: This secondary analysis used data from 167 participants in a randomized clinical trial of Asian American breast cancer survivors. Cancer survivorship was measured with the Supportive Care Needs Survey, the Memorial Symptom Assessment Scale, and the Functional Assessment of Cancer Therapy-Breast Cancer. Psychosocial factors included attitudes, self-efficacy, perceived barriers, and social influences. All assessments were administered at baseline, 4-week posttest, and 12-week posttest. Baseline differences across ethnic groups were examined with analysis of variance (ANOVA), post hoc, and chi-square tests. Panel data were analyzed with mixed-effects linear regression models. RESULTS: ANOVA tests indicated that Chinese Americans reported more negative attitudes toward cancer survivorship, whereas Japanese Americans reported lower levels of social influence. Mixed-effects linear regression models showed significant ethnic differences in associations: Compared with Japanese Americans, Chinese Americans exhibited stronger negative associations of cancer survivorship outcomes with a lack of social support and perceived barriers. Among Korean Americans, higher loneliness and lower social influence were associated with greater unmet needs (Supportive Care Needs Survey). CONCLUSION: To address survivorship experiences among Asian American breast cancer survivors, ethnic differences must be considered. IMPLICATIONS FOR ONCOLOGY NURSING PRACTICE: Survivorship care for Asian American breast cancer survivors should incorporate ethnic differences and modifiable psychosocial factors to guide culturally tailored interventions.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.