Journal Article


Barriers and facilitators to accessing and utilising post-treatment psychosocial support by Black men treated for prostate cancer - a systematic review and qualitative synthesis

Abstract

Purpose: To synthesise findings from published studies on barriers and facilitators to Black men accessing and utilising post-treatment psychosocial support after prostate cancer (CaP) treatment. Methods: Searches of Medline, Embase, PsycInfo, Cochrane Database of Systematic Reviews and Central, CINAHL plus and Scopus were undertaken from inception to May 2021. English language studies involving Black men aged ³18 and reporting experiences of, or suggestions for, psychosocial support after CaP treatment were included. Low or moderate quality studies were excluded. Searches identified 4,453 articles and following deduplication, 2,325 were screened for eligibility. Two independent reviewers carried out screening, quality appraisal and data extraction. Data were analysed using thematic synthesis. Results: Ten qualitative studies involving 139 Black men were included. Data analysis identified four analytical constructs. Experience of psychosocial support for dealing with treatment side-effects (including impact on self-esteem, fear of recurrence); barriers to use of psychosocial support (such as perceptions of masculinity, stigma around sexual dysfunction); facilitators to use of psychosocial support (including the influence of others and self-motivation); and practical solutions for designing and delivering post-treatment psychosocial support (the need for trusted healthcare and cultural channels). Conclusions: Few intervention studies have focused on behaviours among Black CaP survivors, with existing research predominantly involving Caucasian men. There is a need for a collaborative approach to CaP care that recognises not only medical expertise, but also the autonomy of Black men as experts of their illness experience, and the influence of cultural and social networks.

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Authors

Bamidele, Olufikayo O.
Alexis, Obrey
Ogunsanya, Motolani
Greenley, Sarah
Worsley, Aaron James
Mitchell, Elizabeth D.

Oxford Brookes departments

Oxford School of Nursing and Midwifery
Directorate of Learning Resources

Dates

Year of publication: 2022
Date of RADAR deposit: 2021-11-23


Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License


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