Culturally Sensitive Approaches in Psychosocial Interventions to Enhance Well-Being of Immigrant Adults Diagnosed with Breast Cancer: A Systematic Review

Melba Sheila D’Souza (), Juanita-Dawne Bacsu, Arsh Sharma and Ashwin Nairy
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Melba Sheila D’Souza: Nursing and Population Health, Thompson Rivers University, Kamloops, BC V2C 0C8, Canada
Juanita-Dawne Bacsu: School of Nursing, Population Health and Aging Rural Research (PHARR) Centre, Thompson Rivers University, Kamloops, BC V2C 0C8, Canada
Arsh Sharma: Faculty of Science, The University of British Columbia, Vancouver, BC V6T 1Z1, Canada
Ashwin Nairy: Faculty of Science, The University of British Columbia, Vancouver, BC V6T 1Z1, Canada

IJERPH, 2025, vol. 22, issue 3, 1-17

Abstract: Objective: The objective is to synthesize the literature on culturally sensitive approaches in psychosocial interventions to enhance the well-being of immigrant adults diagnosed with breast cancer. Methods: We conducted a systematic review following the guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and reporting literature searches, and a multi-database search strategy of qualitative research studies and reports published in academic journals and grey literature within a 20-year duration. Results: We extracted data from twenty-two studies that met the inclusion criteria. Content analysis revealed experiences of cultural considerations in the care and psychosocial well-being of immigrants such as the development of culturally responsive care models; barriers and gaps in culturally responsive care in rural communities; patient information, education, and culturally responsive care; cultural stigma, and self-perception of the access, use, and role of healthcare providers, the impact of cancer and linguistically appropriate care; and challenges with psychosocial well-being and culturally responsive care. Conclusions: Concerns relating to psychosocial well-being of immigrant adults diagnosed with breast cancer are consistently described in the literature. Interventions exist to address psychosocial well-being; however, none have been developed or tested in immigrant adults diagnosed with breast cancer. Addressing the psychosocial well-being of immigrant adults will require the integration of culturally appropriate considerations in care to attitudes impacting patient care and reported outcomes.

Keywords: breast cancer; oncology; cultural care; psychosocial well-being; immigrants; patient; health; quality of life; systematic review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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