Five Dimensions of Needs for Help: The Efficacy of a Technology-Based Intervention Among Asian American Breast Cancer Survivors

J Cancer Educ. 2024 Jun;39(3):335-348. doi: 10.1007/s13187-024-02415-y. Epub 2024 Apr 9.


Cancer survivors including Asian American breast cancer survivors have reported their high needs for help during their survivorship process. With the COVID-19 pandemic, the necessity of technology-based programs to address their needs for help without face-to-face interactions has been highlighted. The purpose of this randomized intervention study was to determine the efficacy of a technology-based program in reducing various types of needs for help among this specific population. This was a randomized clinical trial with repeated measures. A total of 199 participants were included in the data analysis. The recruitment settings included both online and offline communities/groups for Asian Americans. The needs for help were assessed using the Support Care Needs Survey-34 Short Form (SCNS) subscales measuring psychological, information, physical, support, and communication needs. Data analysis was conducted through an intent-to-treat approach. In the mixed effect models, psychological needs, information needs, physical needs, and communication needs decreased over time (P < .001). However, there were no significant group * time effects. Social support significantly mediated the effects of a technology-based intervention on psychological, information, and support needs at the pre-test and the post-1 month. This study supported significant decreases in the needs for help of Asian American breast cancer survivors by a technology-based intervention. Further studies are needed with other racial/ethnic groups of cancer survivors to confirm the efficacy of a technology-based intervention in reducing cancer survivors' needs for help during their survivorship process.

Keywords: Asian Americans; Breast cancer; Cancer survivors; Intervention; Needs assessment; Technology.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Asian* / psychology
  • Breast Neoplasms* / ethnology
  • Breast Neoplasms* / psychology
  • Breast Neoplasms* / therapy
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Cancer Survivors* / psychology
  • Female
  • Health Services Needs and Demand
  • Humans
  • Middle Aged
  • Needs Assessment
  • SARS-CoV-2
  • Social Support*
  • Surveys and Questionnaires