Patient perspectives on adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population Journal Article


Authors: Leng, J.; Lui, F.; Huang, X.; Breitbart, W.; Gany, F.
Article Title: Patient perspectives on adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population
Abstract: The Chinese immigrant community faces multiple obstacles to effective cancer support and psychosocial care post diagnosis. Meaning-centered psychotherapy (MCP) is an empirically based treatment (EBT) that has been found to significantly reduce psychological distress while increasing spiritual well-being and a sense of meaning and purpose in life in patients with advanced cancer. However, it has not yet been adapted for Chinese immigrants who have unique linguistic and cultural needs. This study presents a community needs assessment to inform the cultural adaptation of MCP for Chinese patients with advanced cancer using Bernal et al.’s ecological validity model and the cultural adaptation process model of Domenech-Rodriquez and Weiling. Interviews were conducted until saturation with 12 Chinese immigrants with advanced cancer to determine the community’s needs and preferences regarding the MCP intervention. Transcripts were translated and analyzed using Atlas.ti and six frequently occurring themes were identified: Coping; End of Life; Family; Culture, Religion, and Language; Immigration; and Specific Adaptations to MCP. Sociocultural values, beliefs, and practices such as filial piety and the use of Traditional Chinese Medicine (TCM) should be considered when adapting EBTs for Chinese immigrant cancer patients. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
Keywords: advanced cancer; psycho-oncology; spiritual well-being; meaning-centered psychotherapy; chinese immigrants; cultural adaptation
Journal Title: Supportive Care in Cancer
Volume: 27
Issue: 9
ISSN: 0941-4355
Publisher: Springer Verlag  
Date Published: 2019-09-01
Start Page: 3431
End Page: 3438
Language: English
DOI: 10.1007/s00520-019-4638-2
PUBMED: 30661201
PROVIDER: scopus
PMCID: PMC6642030
DOI/URL:
Notes: Source: Scopus
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MSK Authors
  1. William S Breitbart
    465 Breitbart
  2. Jennifer Chung Foung Leng
    65 Leng
  3. Francesca Mara Gany
    165 Gany
  4. Xiaoxiao Huang
    7 Huang
  5. Florence Lui
    9 Lui