IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i12p6075-d1165867.html
   My bibliography  Save this article

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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Tanisha F. Aflague & Kristi Hammond & Bernice Delos Reyes & Dareon Rios & Elaine De Leon & Rachael T. Leon Guerrero & Monica K. Esquivel, 2023. "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," IJERPH, MDPI, vol. 20(12), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:12:p:6075-:d:1165867
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/12/6075/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/12/6075/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kathrin Wunsch & Korbinian Kienberger & Claudia Niessner, 2022. "Changes in Physical Activity Patterns Due to the Covid-19 Pandemic: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(4), pages 1-48, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Apichai Wattanapisit & Manas Kotepui & Sanhapan Wattanapisit & Noah Crampton, 2022. "Bibliometric Analysis of Literature on Physical Activity and COVID-19," IJERPH, MDPI, vol. 19(12), pages 1-9, June.
    2. Marco D’Addario & Roberta Adorni & Patrizia Steca & Roberto Capelli & Francesco Zanatta & Francesco Fattirolli & Cristina Franzelli & Cristina Giannattasio & Andrea Greco, 2022. "Associations between Lifestyle Changes and Adherence to COVID-19 Restrictions in Older Adults with Hypertension," IJERPH, MDPI, vol. 19(13), pages 1-15, June.
    3. Marcus Vinicius Nascimento-Ferreira & Ana Clara Arrais Rosa & Jacyara Cristina Azevedo & Armando Rodrigues de Alencar Santos & Keisyanne De Araujo-Moura & Kelber Abrão Ferreira, 2022. "Psychometric Properties of the Online International Physical Activity Questionnaire in College Students," IJERPH, MDPI, vol. 19(22), pages 1-9, November.
    4. Tanja Eberhardt & Klaus Bös & Claudia Niessner, 2022. "Changes in Physical Fitness during the COVID-19 Pandemic in German Children," IJERPH, MDPI, vol. 19(15), pages 1-13, August.
    5. Daniel Lindberg & Maria Elvén & Kent W. Nilsson & Petra Von Heideken Wågert & Jonas Stier & Micael Dahlen & Birgitta Kerstis, 2023. "How Have Physical Activity and Sedentary Behavior, Changed during the COVID-19 Pandemic? A Swedish Repeated Cross-Sectional Design Study," IJERPH, MDPI, vol. 20(4), pages 1-12, February.
    6. Hyo Lee & Damien Vitiello, 2022. "Five-Year Trend in Adherence Rate to Aerobic Physical Activity Guidelines among Korean Adults in Metropolitan Cities: 2016–2020 Korea Community Health Survey," IJERPH, MDPI, vol. 19(15), pages 1-14, July.
    7. Alessia Tescione & Francesco Misiti & Simone Digennaro, 2022. "Practicing Outdoor Physical Activity: Is It Really a Good Choice? Short- and Long-Term Health Effects of Exercising in a Polluted Environment," Sustainability, MDPI, vol. 14(23), pages 1-13, November.
    8. Melanie Crane & Alec Cobbold & Matthew Beck & Tracy Nau & Christopher Standen & Chris Rissel & Ben J. Smith & Stephen Greaves & William Bellew & Adrian Bauman, 2022. "Interventions Designed to Support Physical Activity and Disease Prevention for Working from Home: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    9. Whitney N. Neal & Erica A. Schleicher & Kerri Baron & Robert A. Oster & Nashira I. Brown & Wendy Demark-Wahnefried & Maria Pisu & Monica L. Baskin & Kelsey B. Parrish & William Walker Cole & Mohanraj , 2023. "Impact of the COVID-19 Pandemic on Physical Activity among Mostly Older, Overweight Black Women Living in the Rural Alabama Black Belt," IJERPH, MDPI, vol. 20(24), pages 1-14, December.
    10. Dejan Reljic & Annalena Eichhorn & Hans J. Herrmann & Markus F. Neurath & Yurdagül Zopf, 2022. "Very Low-Volume, High-Intensity Interval Training Mitigates Negative Health Impacts of COVID-19 Pandemic-Induced Physical Inactivity," IJERPH, MDPI, vol. 19(19), pages 1-19, September.
    11. Birgitta Kerstis & Maria Elvén & Kent W. Nilsson & Petra von Heideken Wågert & Jonas Stier & Micael Dahlen & Daniel Lindberg, 2024. "Prevalence and Determinants of Changes in Physical Activity and Sedentary Behavior during and after the COVID-19 Pandemic: A Swedish Repeated Cross-Sectional Study," IJERPH, MDPI, vol. 21(8), pages 1-12, July.
    12. Roberta Adorni & Andrea Greco & Marco D’Addario & Francesco Zanatta & Francesco Fattirolli & Cristina Franzelli & Alessandro Maloberti & Cristina Giannattasio & Patrizia Steca, 2022. "Sense of Coherence Predicts Physical Activity Maintenance and Health-Related Quality of Life: A 3-Year Longitudinal Study on Cardiovascular Patients," IJERPH, MDPI, vol. 19(8), pages 1-14, April.
    13. Julia Hansen & Artur Galimov & Jennifer B. Unger & Steve Y. Sussman & Reiner Hanewinkel, 2023. "Mental Health and Physical Complaints of German Children and Adolescents before and during the COVID-19 Pandemic: A Repeated Cross-Sectional Study," IJERPH, MDPI, vol. 20(5), pages 1-13, March.
    14. Małgorzata Stefańska & Reninka De Koker & Jeroen Vos & Eveline De Wachter & Agnieszka Dębiec-Bąk & Agnieszka Ptak, 2023. "Assessment of the Level of Physical Activity and Mood in Students after a Year of Study in a Mixed Mode in the Conditions of Restrictions Resulting from the Pandemic," IJERPH, MDPI, vol. 20(5), pages 1-13, February.
    15. Elena Ioana Iconaru & Emilian Tarcau & Manuela Mihaela Ciucurel & Liviu Draghici & Constantin Ciucurel, 2023. "The Relationship between Physical Activity Level and Sociodemographic Factors in Romanian Adults in the Post-COVID-19 Pandemic Period," Sustainability, MDPI, vol. 15(18), pages 1-17, September.
    16. Dimitris Skalkos & Zoi C. Kalyva, 2023. "Exploring the Impact of COVID-19 Pandemic on Food Choice Motives: A Systematic Review," Sustainability, MDPI, vol. 15(2), pages 1-16, January.
    17. Stefanie Wessely & Nina Ferrari & David Friesen & Martin Grauduszus & Marlen Klaudius & Christine Joisten, 2022. "Changes in Motor Performance and BMI of Primary School Children over Time–Influence of the COVID-19 Confinement and Social Burden," IJERPH, MDPI, vol. 19(8), pages 1-17, April.
    18. Dimitris Skalkos & Zoi C. Kalyva & Ioanna S. Kosma, 2023. "The Impact of the COVID-19 Pandemic on College Students’ Food Choice Motives in Greece," Sustainability, MDPI, vol. 15(13), pages 1-11, June.
    19. Hélène Charreire & Charlotte Verdot & Fabien Szabo de Edelenyi & Mélanie Deschasaux-Tanguy & Bernard Srour & Nathalie Druesne-Pecollo & Younes Esseddik & Benjamin Allès & Julia Baudry & Valérie Descha, 2022. "Correlates of Changes in Physical Activity and Sedentary Behaviors during the COVID-19 Lockdown in France: The NutriNet-Santé Cohort Study," IJERPH, MDPI, vol. 19(19), pages 1-17, September.
    20. Pnina Marom & Beth G. Zalcman & Rachel Dankner, 2022. "Association between Self-Classification of COVID-19 Risk Levels and Adverse Lifestyle Changes among Physically Active Older Adults Following the Coronavirus Outbreak," IJERPH, MDPI, vol. 19(12), pages 1-14, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:12:p:6075-:d:1165867. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.