Health-related quality of life in ethnically diverse Black prostate cancer survivors: a convergent parallel mixed-methods approach.

Autor: Ogunsanya ME; Department of Pharmacy, Clinical & Administrative Sciences, College of Pharmacy, University of Oklahoma Health Sciences, Oklahoma City, OK, USA. motolani-ogunsanya@ouhsc.edu.; TSET Health Promotion Research Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA. motolani-ogunsanya@ouhsc.edu.; Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA. motolani-ogunsanya@ouhsc.edu.; iCCaRE for Black Men Consortium, Jacksonville, FL, USA. motolani-ogunsanya@ouhsc.edu.; Prostate Cancer Transatlantic Consortium (CaPTC), Jacksonville, FL, USA. motolani-ogunsanya@ouhsc.edu., Kaninjing E; School of Health and Human Performance, Georgia College & State University, Milledgeville, GA, USA.; iCCaRE for Black Men Consortium, Jacksonville, FL, USA.; Prostate Cancer Transatlantic Consortium (CaPTC), Jacksonville, FL, USA., Ellis TN; Department of Pharmacy, Clinical & Administrative Sciences, College of Pharmacy, University of Oklahoma Health Sciences, Oklahoma City, OK, USA., Morton DJ; Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.; Department of Pediatrics, University of Oklahoma Health Sciences, Oklahoma City, OK, USA., McIntosh AG; Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.; Department of Urology, University of Oklahoma Health Sciences, Oklahoma City, OK, USA., Zhao J; TSET Health Promotion Research Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA., Dickey SL; College of Nursing, Florida State University, Tallahassee, FL, USA., Kendzor DE; TSET Health Promotion Research Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.; Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.; Department of Family and Preventive Medicine, University of Oklahoma Health Sciences, Oklahoma City, OK, USA., Dwyer K; Stephenson Cancer Center, University of Oklahoma Health Sciences, Oklahoma City, OK, USA.; Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences, Oklahoma City, OK, USA., Young ME; Community Health Collaborative and Minority Health & Health Equity Research Support Services, Mayo Foundation for Medical Education and Research, Jacksonville, FL, USA.; iCCaRE for Black Men Consortium, Jacksonville, FL, USA., Odedina FT; iCCaRE for Black Men Consortium, Jacksonville, FL, USA.; Prostate Cancer Transatlantic Consortium (CaPTC), Jacksonville, FL, USA.; Prevention, Symptom Control and Survivorship, and Care Delivery Transformation (CPSD) Program, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic, Jacksonville, USA.
Jazyk: angličtina
Zdroj: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2024 Oct; Vol. 33 (10), pp. 2705-2719. Date of Electronic Publication: 2024 Jul 15.
DOI: 10.1007/s11136-024-03718-9
Abstrakt: Purpose: This study examined the health-related quality of life (HRQoL) among ethnically diverse Black men (BM) with prostate cancer (CaP) in the United States.
Methods: A convergent parallel mixed-methods design, employing both qualitative and quantitative research, involved recruiting Black CaP survivors through multiple channels. The target population was native-born BM (NBBM), African-born BM (ABBM), and Caribbean-born BM (CBBM). QoL for all men was assessed using The Functional Assessment Cancer Therapy-Prostate (FACT-P) measure, which includes five domains: physical- (PWB), emotional- (EWB), social-(SWB), and functional-wellbeing (FWB), and a CaP subscale (PCS). A subset of men completed qualitative interviews. Demographic and clinical characteristics were also collected.
Results: Black CaP survivors aged 49-85 participated in the study (n = 108), with a subset (n = 31) completing a qualitative interview. Participants were mainly NBBM (72.2%) and treated with radiotherapy (51.9%). The FACT-P scale total mean score (± SD) was 114 ± 24.1 (theoretical range 0-156), with lower scores reported on the SWB, FWB, and EWB domains. The mixed-methods findings approach included meta-inferences derived from integrating the corresponding quantitative and qualitative data, covering all the domains within the FACT-P.
Conclusion: Black CaP survivors experienced significant burdens that impacted their overall HRQoL. The analysis revealed impacts on physical, social, and emotional well-being, with variations among ethnic groups suggesting the need for culturally tailored interventions. EWB was also profoundly impacted by CaP treatment, with universal emotional burdens emphasized across all groups. Healthcare providers must recognize and address these multifaceted needs to promote better outcomes and HRQoL for Black CaP survivors.
(© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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