Factors influencing cancer treatment decision-making by indigenous peoples: A systematic review

Journal article


Tranberg, Rona, Alexander, Susan, Hatcher, Deborah, Mackey, Sandra, Shahid, Shaouli, Holden, Lynda and Kwok, Cannas. (2016). Factors influencing cancer treatment decision-making by indigenous peoples: A systematic review. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 25(2), pp. 131 - 141. https://doi.org/10.1002/pon.3900
AuthorsTranberg, Rona, Alexander, Susan, Hatcher, Deborah, Mackey, Sandra, Shahid, Shaouli, Holden, Lynda and Kwok, Cannas
Abstract

Objective
We aim to systematically review studies that identify factors influencing cancer treatment decision‐making among indigenous peoples.
Methods
Following the outline suggested by the Preferred Reporting Items for Systematic Review and Meta‐analysis, a rigorous systematic review and meta‐synthesis were conducted of factors that influence cancer treatment decision‐making by indigenous peoples. A total of 733 articles were retrieved from eight databases and a manual search. After screening the titles and abstracts, the full text of 26 articles were critically appraised, resulting in five articles that met inclusion criteria for the review. Because the five articles to be reviewed were qualitative studies, the Critical Appraisal Skills Program toolkit was used to evaluate the methodological quality. A thematic synthesis was employed to identify common themes across the studies.
Results
Multiple socio‐economic and cultural factors were identified that all had the potential to influence cancer treatment decision‐making by indigenous people. These factors were distilled into four themes: spiritual beliefs, cultural influences, communication and existing healthcare systems and structures.
Conclusion
Although existing research identified multiple factors influencing decision‐making, this review identified that quality studies in this domain are scarce. There is scope for further investigation, both into decision‐making factors and into the subsequent design of culturally appropriate programmes and services that meet the needs of indigenous peoples.

Keywordscancer treatment; decision‐making; indigenous peoples
Year2016
JournalPsycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer
Journal citation25 (2), pp. 131 - 141
PublisherNSEAD/John Wiley and Sons LTD
ISSN1099-1611
Digital Object Identifier (DOI)https://doi.org/10.1002/pon.3900
Scopus EID2-s2.0-84957430706
Page range131 - 141
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
File Access Level
Controlled
Place of publicationUnited States of America
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