Harleah G Buck1, Salimah H Meghani. 1. The Pennsylvania State University, University Park, 201 Health and Human Development East, University Park, PA 16802, USA. hgb2@psu.edu
Abstract
BACKGROUND: Spiritual practices are one way that individuals cope with cancer pain. PURPOSE: Describe and contrast expressions and values about the use of spirituality for pain in African American (AA) and White (WH) oncology patients. METHODS: Six groups (3 AA; 3 WH; n=42; mean age 58) were conducted. Focus group and qualitative methodology with a cultural interpretive lens was utilized. The Model of Integrated Spirituality provided the conceptual framework for understanding the narratives. FINDINGS: AAs and WHs did not differ on demographics, pain status, or integrative therapies. Three spirituality themes emerged: 1) pain and distress as antecedents to the use of spirituality; 2) active and existential attributes of the use of spirituality; and 3) mobilization of internal and external resources as outcomes. There were commonalities between AAs and WHs but greater frequency of certain subthemes and keywords in AAs. CONCLUSIONS: Future studies should examine whether differences in overt expressions translate into different types and levels of spiritual usage. IMPLICATIONS FOR PRACTICE: Clinicians should recognizing similar as well as different uses and descriptions of spirituality between African Americans and Whites.
BACKGROUND: Spiritual practices are one way that individuals cope with cancer pain. PURPOSE: Describe and contrast expressions and values about the use of spirituality for pain in African American (AA) and White (WH) oncology patients. METHODS: Six groups (3 AA; 3 WH; n=42; mean age 58) were conducted. Focus group and qualitative methodology with a cultural interpretive lens was utilized. The Model of Integrated Spirituality provided the conceptual framework for understanding the narratives. FINDINGS: AAs and WHs did not differ on demographics, pain status, or integrative therapies. Three spirituality themes emerged: 1) pain and distress as antecedents to the use of spirituality; 2) active and existential attributes of the use of spirituality; and 3) mobilization of internal and external resources as outcomes. There were commonalities between AAs and WHs but greater frequency of certain subthemes and keywords in AAs. CONCLUSIONS: Future studies should examine whether differences in overt expressions translate into different types and levels of spiritual usage. IMPLICATIONS FOR PRACTICE: Clinicians should recognizing similar as well as different uses and descriptions of spirituality between African Americans and Whites.
Authors: Carmen R Green; Karen O Anderson; Tamara A Baker; Lisa C Campbell; Sheila Decker; Roger B Fillingim; Donna A Kalauokalani; Donna A Kaloukalani; Kathyrn E Lasch; Cynthia Myers; Raymond C Tait; Knox H Todd; April H Vallerand Journal: Pain Med Date: 2003-09 Impact factor: 3.750
Authors: Katherine M Piderman; Simon Kung; Sarah M Jenkins; Terin T Euerle; Timothy J Yoder; Gracia M Kwete; Maria I Lapid Journal: Curr Oncol Rep Date: 2015-02 Impact factor: 5.075
Authors: Joseph G Winger; Katherine Ramos; Karen E Steinhauser; Tamara J Somers; Laura S Porter; Arif H Kamal; William S Breitbart; Francis J Keefe Journal: Palliat Support Care Date: 2020-06