Barriers, Facilitators, and Strategies for Developing a Culturally Informed Lifestyle Intervention for Native Hawaiian, CHamoru, and Filipino Breast Cancer Survivors: Mixed-Methods Findings from Focus Group Participants

Tanisha F. Aflague (), Kristi Hammond, Bernice Delos Reyes, Dareon Rios, Elaine De Leon, Rachael T. Leon Guerrero and Monica K. Esquivel
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Tanisha F. Aflague: College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96923, USA
Kristi Hammond: Department of Human Nutrition, Food and Animal Sciences, University of Hawai’i at Mānoa, Honolulu, HI 96822, USA
Bernice Delos Reyes: Department of Human Nutrition, Food and Animal Sciences, University of Hawai’i at Mānoa, Honolulu, HI 96822, USA
Dareon Rios: Office of Research and Sponsored Programs, University of Guam, Mangilao, GU 96923, USA
Elaine De Leon: College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96923, USA
Rachael T. Leon Guerrero: Office of Research and Sponsored Programs, University of Guam, Mangilao, GU 96923, USA
Monica K. Esquivel: Department of Human Nutrition, Food and Animal Sciences, University of Hawai’i at Mānoa, Honolulu, HI 96822, USA

IJERPH, 2023, vol. 20, issue 12, 1-13

Abstract: Breast cancer disproportionately impacts Native Hawaiian, CHamoru, and Filipino women. Few culturally informed interventions addressing breast cancer survivors exist and none have been developed or tested specifically for Native Hawaiian, CHamoru, and Filipino women. This study aimed to conduct focus groups with Native Hawaiian, CHamoru, and Filipino women previously diagnosed with breast cancer to inform future research in Guam and Hawai’i. Convenience sampling and grounded theory approaches were used. Focus group sessions were conducted during summer 2023 and included questions to understand the barriers, motivators, and implementation recommendations for lifestyle interventions aimed at reducing the risk for breast cancer recurrence among the target population. Data saturation was reached after a total of seven focus groups (an average of four survivors/group per site) were conducted (three in Hawai’i and four in Guam), which represented 28 breast cancer survivors. Themes from the focus groups emerged around developing support systems with other survivors, providing physical activity and nutrition intervention activities and materials in multiple formats, and incorporating activities and foods that accommodate the side effects of breast cancer treatments and are culturally relevant. The average desired intervention length was eight weeks. These findings will inform the development and feasibility testing of a culturally informed lifestyle intervention for breast cancer survivors in Guam and Hawai’i.

Keywords: Asian Pacific Islanders; breast cancer survivors; lifestyle intervention (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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