purpose/Objectives: To examine the impact of support groups among African American breast cancer survivors (BCSs).
Research Approach: A qualitative research study.
Setting: Community health and cancer centers and churches.
Participants: 62 African American BCSs.
Methodologic Approach: Focus groups were conducted with African American BCSs to share their experiences with peer-based support groups. A brief questionnaire was administered and assessed demographics, medical history, and support group impact.
Findings: Survivors emphasized that a culturally embedded focus was essential for their participation in a cancer support group. The survivors underscored that cultural-based groups are rooted in the spiritual, linguistic, experiential, and historical contexts of the intended constituents. The peer-based support groups provided multilevel functions, including emotional, social, spiritual, informational, and financial support, as well as patient navigation. The groups' activities fostered personal development and a call to community advocacy that included prevention education and research engagement.
Conclusions: The unique strengths of grassroots community-based support groups are that they are culturally consonant, peer-based, and responsive to cancer-related and personal needs. The contribution and value of those multifaceted peer-based groups expand the paradigm of supportive care, extending the net of psychosocial care to underserved and underrepresented cancer survivors.
Interpretation: Research provides the critical foundation to lead and articulate the studies necessary to bridge peer- and professional-based care to ensure the psychosocial needs of increasingly diverse survivors are met.
Ahlberg, K., & Nordner, A. (2006). The importance of participation in support groups for women with ovarian cancer [Online exclusive]. Oncology Nursing Forum, 33, E53-E61. doi:10.1188/06.ONF.E53-E61
American Cancer Society. (2011). Cancer facts and figures for African Americans, 2011-2012. Atlanta, GA: Author.
Ashida, S., & Heaney, C. A. (2008). Differential associations of social support and social connectedness with structural features of social networks and the health status of older adults. Journal of Aging and Health, 20, 872-893. doi:10.1177/0898264308324626
Ashing-Giwa, K., & Ganz, P. A. (1997). Understanding the breast cancer experience of African American women. Journal of Psychosocial Oncology, 15(2), 19-35. doi:10.1300/J077v15n02_02
Ashing-Giwa, K. T. (2005). Can a culturally responsive model for research design bring us closer to addressing participation disparities? Ethnicity and Disease, 15, 130-137.
Ashing-Giwa, K. T., Padilla, G. V., Tejero, J. S., & Kim, J. (2004). Breast cancer survivorship in a multiethnic sample: Challenges in recruitment and measurement. Cancer, 101, 450-465.
Barg, F. K., & Gullatte, M. M. (2001). Cancer support groups: Meeting the needs of African Americans with cancer. Seminars in Oncology Nursing, 17, 171-178. doi:10.1053/sonu.2001.25946
Bourjolly, J. N., & Hirschman, K. B. (2001). Similarities in coping strategies but differences in sources of support among African American and White women coping with breast cancer. Journal of Psychosocial Oncology, 19(2), 17-38. doi:10.1300/J077v19n02_02
Boyatzis, R. E. (1998). Transforming qualitative information: Thematic analysis and code development. Thousand Oaks, CA: Sage.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101.
Carlton-LaNey, I., Hamilton, J., Ruiz, D., & Alexander, S. C. (2001). "Sitting with the sick": African American Women's Philanthropy. Affilia: Journal of Women and Social Work, 16, 447-466.
Coreil, J., Wilke, J., & Pintado, I. (2004). Cultural models of illness and recovery in breast cancer support groups. Qualitative Health Research, 14, 905-923. doi:10.1177/1049732304266656
Coward, D. D. (2005). Lessons learned in developing a support intervention for African American women with breast cancer. Oncology Nursing Forum, 32, 261-266. doi:10.1188/05.ONF.261-266
Creswell, J. W., & Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory Into Practice, 39(3), 124-130.
Dirksen, S. R. (2000). Predicting well-being among breast cancer survivors. Journal of Advanced Nursing, 32, 937-943.
Hamilton, J. B., Powe, B. D., Pollard, A. B., Lee, K. J., & Felton, A. M. (2007). Spirituality among African American cancer survivors: Having a personal relationship with God. Cancer Nursing, 30, 309-316.
Henderson, P. D., & Fogel, J. (2003). Support networks used by African American breast cancer support group participants. ABNF Journal, 14(5), 95-98.
Henderson, P. D., Fogel, J., & Edwards, Q. T. (2003). Coping strategies among African American women with breast cancer. Southern Online Journal of Nursing Research, 3(4), 1-19.
Henderson, P. D., Gore, S. V., Davis, B. L., & Condon, E. H. (2003). African American women coping with breast cancer: A qualitative analysis. Oncology Nursing Forum, 30, 641-647. doi:10.1188/03.ONF.641-647
Institute of Medicine. (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, DC: National Academies Press.
Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173-202.
Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (2001). Community-based participatory research: Policy recommendations for promoting a partnership approach in health research. Education for Health, 14, 182-197. doi:10.1080/13576280110051055
Keyes, C. L. M., Shmotkin, D., & Ryff, C. D. (2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, 82, 1007-1022.
Michalec, B., Van Willigen, M., Wilson, K., Schreier, A., & Williams, S. (2004). The race gap in support group participation by breast cancer survivors: Real or artifact? Evaluation Review, 28, 123-143.
Moore, R. J. (2001). African American women and breast cancer: Notes from a study of narrative. Cancer Nursing, 24, 35-42.
Morrow, S. L. (2005). Quality and trustworthiness in qualitative research in counseling psychology. Journal of Counseling Psychology, 52, 250-260. doi:10.1037/0022-0184.108.40.206
Roff, L. L., Simon, C. E., Gardell-Nelson, D., & Pleasants, H. M. (2009). Spiritual support and African American breast cancer survivors. Affilia: Journal of Women and Social Work, 24, 285-299.
Shelby, R. A., Crespin, T. R., Wells-Di Gregorio, S. M., Lamdan, R. M., Siegel, J. E., & Taylor, K. L. (2008). Optimism, social support, and adjustment in African American women with breast cancer. Journal of Behavioral Medicine, 31, 433-444.
Taylor, K. L., Lambdan, R. M., Siegel, J. E., Shelby, R., Moran-Klimi, K., & Hrywna, M. (2003). Psychological adjustment among African American breast cancer patients: One-year follow-up results. Health Psychology, 22, 316-323. doi:10.1037/0278-6220.127.116.116
Wilmoth, M. C., & Sanders, L. D. (2001). Accept me for myself: African American women's issues after breast cancer. Oncology Nursing Forum, 28, 875-879.
Yaskowich, K. M., & Stam, H. J. (2003). Cancer narratives and the cancer support group. Journal of Health Psychology, 8, 720-737.