Abstract: |
Given the unmet need in the Chinese population for spiritual support, the risk of cross-cultural misunderstanding surrounding care at the end of life, a substantial body of literature suggesting that treatments undertaken by minorities are affected by the cultural sensitivity of the treatment, and the interrelatedness between MCP and the themes found in previous studies conducted in this area among Chinese patients, adapting MCP is a logical and important next step. It will advance the knowledge base to enhance spiritual well-being and quality of life, and it will reduce psychological distress and end-of-life despair in this vulnerable population. This chapter describes a community needs study of Chinese American advanced cancer patients conducted with key community leaders. We sought to determine the needs and issues that are important to the community. Specifically, we inquired about the need for psychosocial interventions in end-of-life care (i.e., the type of end-of-life assistance that is needed and the delivery method that the community prefers for this type of assistance), potential cultural norms and attitudinal barriers to the intervention (i.e., cancer stigmas that might affect the delivery of this care, the role of family members, and the role of religion), and issues that are important to community members with cancer (i.e., spiritual needs, family relationships, standing in the community, etc.) in order to determine how to best adapt the MCP intervention to address the community's needs. The chapter then details strengths that may make MCP especially relevant for the Chinese community, followed by six areas of focus to address in adapting MCP for Chinese cancer patients. (PsycINFO Database Record (c) 2017 APA, all rights reserved) |