Abstract
This qualitative study explored strategies family members of African-American cancer patients used to overcome their fears and fatalistic attitudes toward cancer. Twenty-four family members were recruited through criterion purposeful sampling. Data were collected and analyzed using open-ended interviews and thematic analysis. Fears and fatalistic attitudes could be traced to personal experiences with cancer and information being communicated within their networks. Strategies used to overcome fears and fatalistic attitudes toward cancer included an awareness of advances in cancer treatments, information obtained from their health-care providers, and faith in God. Family members supported the patient through efforts of encouraging them to talk about what they were going through, to be strong, to maintain a positive environment and normalcy, and to use spirituality as a source of strength. Family members also suggested that health-care providers and researchers tailor intervention studies to consider that the patient is a part of a larger family system and that the entire family needs support to overcome long-held fears and fatalistic attitudes toward cancer. These findings suggest that despite advances in cancer care and widespread media coverage to change perceptions about cancer, fears and fatalistic attitudes toward cancer persist and likely influence the family members’ ability to optimally support the cancer patient. At the time of diagnosis, both patient and the entire family unit should be educated of advances in cancer care, that cancer is no longer a death sentence, and supported to overcome fears and fatalistic attitudes.
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Lin JJ et al (2014) Cultural factors associated with racial disparities in lung cancer care. Ann Am Thorac Soc 11(4):489–495
Rivers BM et al (2012) Understanding the psychosocial issues of African American couples surviving prostate cancer. J Cancer Educ 27(3):546–558
Somayaji D, Cloyes KG (2015) Cancer fear and fatalism: how African American participants construct the role of research subject in relation to clinical cancer research. Cancer Nurs 38(2):133–144
Hamilton JB, Moore AD, Best NC, Alston L, Pierre-Louis BJ (2014) Do sociocultural factors predict quality of life among older African-American cancer survivors? J National Black Nurses Assoc 25(1):7–14
Hamilton JB et al (2014) Strategies African-American cancer survivors use to overcome fears and fatalistic attitudes. J Cancer Educ. doi:10.1007/s13187-014-0738-3
Simon CE (2006) Breast cancer screening: cultural beliefs and diverse populations. Health Soc Work 31(1):36–43
Yoo GJ et al (2010) Emotion work: disclosing cancer. Support Care Cancer 18(2):205–215
Mishra SI, Aoelua PL, Hubbell FA (2000) Knowledge of and attitudes about cancer among American Samoans. Cancer Detect Prev 24(2):186–195
Hamilton JB et al (2010) Perceptions of support among older African American cancer survivors. Oncol Nurs Forum 37(4):484–493
Im EO et al (2008) An online forum exploring needs for help of patients with cancer: gender and ethnic differences. Oncol Nurs Forum 35(4):653–660
LoConte NK et al (2008) Assessment of guilt and shame in patients with non-small-cell lung cancer compared with patients with breast and prostate cancer. Clin Lung Cancer 9(3):171–178
Sarwal A, Roth AJ (2003) Psychological issues in geriatric oncology. J Natl Compr Canc Netw 1(3):381–392
Matthews AK et al (2002) Factors influencing medical information seeking among African American cancer patients. J Health Commun 7(3):205–219
Coughlan R (2004) Stigma, shame, and blame experienced by patients with lung cancer: health promotion and support groups have a role. BMJ 329(7462):402–403
Baker N et al (2015) PA14 The legacy of cancer: why a health promoting approach is so important in palliative care. BMJ Support Palliat Care 5(Suppl 1):A23–A24
Niederdeppe J, Levy AG (2007) Fatalistic beliefs about cancer prevention and three prevention behaviors. Cancer Epidemiol Biomarkers Prev 16(5):998–1003
Miles A et al (2008) Psychologic predictors of cancer information avoidance among older adults: the role of cancer fear and fatalism. Cancer Epidemiol Biomarkers Prev 17(8):1872–1879
Kannan VD, Veazie PJ (2014) Predictors of avoiding medical care and reasons for avoidance behavior. Med Care 52(4):336–345
Sandelowski M (2010) What’s in a name? Qualitative description revisited. Res Nurs Health 33(1):77–84
Patton MQ (2002) Qualitative Research & Evaluation Methods Third ed. Sage Publications. Inc., Thousand Oaks, CA
Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–107
Hamilton JB et al (2013) Psychosocial predictors of depression among older African American patients with cancer. Oncol Nurs Forum 40(4):394–402
Maxwell JA (2013) Qualitative research design: an interactive approach. Sage Publications, Inc., Thousand Oaks, CA
Siegel RL, Miller KD, Jemal A (2015) Cancer statistics. CA Cancer J Clin 65:5–29
Murphy ST et al (2013) Narrative versus non-narrative: the role of identification, transportation and emotion in reducing health disparities. J Commun 63(1):116–137
Lincoln CE, Mamiya LH (1995) The black church in the African American experience. Duke University Press, Durham, NC
McAdoo HP, Crawford V (1991) The Black Church and family support programs. Prev Hum Serv 9(1):193–203
van Olphen J et al (2003) Religious involvement, social support, and health among African-American women on the east side of Detroit. J Gen Intern Med 18(7):549–557
Boles JB (1984) Black Southerners, 1619–1869. The University Press of Kentucky, Lexington, KY
Costen MW (2007) African American Christian worship, 2nd edn. Abingdon, Nashville
Hamilton JB et al (2013) “You need a song to bring you through”: the use of religious songs to manage stressful life events. Gerontologist 53(1):26–38
Chatters LM et al (2015) Social support from church and family members and depressive symptoms among older African Americans. Am J Geriatr Psychiatry 23(6):559–567
Poussaint AF, Alexander A (2000) Lay my burden down: unraveling suicide and the mental health crisis among African Americans. Beacon Press Books, Boston, MA
Latalova K, Kamaradova D, Prasko J (2014) Perspectives on perceived stigma and self-stigma in adult male patients with depression. Neuropsychiatr Dis Treat 10:1399–1405
Hamilton JB, Agarwal M, Carter JK, Crandell JL (2011) Coping profiles common to older African American cancer survivors: relationships with quality of life. J Pain Symptom Manage 41:79–92
Gullatte MM, Phillips JM, Gibson LM (2006) Factors associated with delays in screening of self-detected breast changes in African-American women. J Natl Black Nurses Assoc 17:45–50
Jones J (1995) Labor of love, labor of sorrow. Vintage Books, New York
White DG (1985) Ar’n’t I a woman? W. W. Norton & Company, New York
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Hamilton, J.B., Worthy, V.C., Moore, A.D. et al. Messages of Hope: Helping Family Members to Overcome Fears and Fatalistic Attitudes Toward Cancer. J Canc Educ 32, 190–197 (2017). https://doi.org/10.1007/s13187-015-0895-z
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DOI: https://doi.org/10.1007/s13187-015-0895-z