Culturally Adapting a Video-Based Self-acupressure Intervention to Manage Symptoms for Black and Latina Breast Cancer Survivors

Authors

Katarina E. AuBuchon, Department of Oncology, Georgetown University, Washington, DC, USA. kea87@georgetown.edu.
Amrita Bonthu, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Lourdes Inbar-Albo, Department of Oncology, Georgetown University, Washington, DC, USA.
Thelma D. Jones, Thelma D. Jones Breast Cancer Fund, Washington, DC, USA.
Jacqueline Beale, C2JB Consulting, Glenn Dale, MD, USA.
Claudia Campos-Galván, The George Washington University Cancer Center, Washington, DC, USA.
Laura A. Logie, Nueva Vida, Inc, Alexandria, VA, USA.
Carla Arieta, Inspire Integrative Medicine, Arnold, MD, USA.
Geng-Hao Liu, School of Traditional Chinese Medicine, Graduate Institute of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Alejandra Hurtado-de-Mendoza, Department of Oncology, Georgetown University, Washington, DC, USA.
Suzanne C. Danhauer, Department of Social Sciences & Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Kristi D. Graves, Department of Oncology, Georgetown University, Washington, DC, USA.
Judy Huei-Yu Wang, Department of Oncology, Georgetown University, Washington, DC, USA.

Document Type

Journal Article

Publication Date

7-12-2025

Journal

Journal of cancer education : the official journal of the American Association for Cancer Education

DOI

10.1007/s13187-025-02684-1

Keywords

Acupressure; Breast cancer; Cultural adaptation; Survivorship

Abstract

Black and Latina breast cancer survivors (BCS) experience greater physical functioning decline and symptom burden than non-Hispanic White BCS, partially due to systemic racism and socioeconomic barriers. Self-administered acupressure has shown promising effects for reducing cancer-related symptoms and is a low-cost, integrative approach to managing symptoms. However, self-acupressure has not been tested in Black and Latina BCS. This study aimed to culturally adapt an existing self-acupressure video intervention and assess Black and Latina BCS's feedback on the acceptability of the adapted video. Following learner verification and revision methods, we collaborated with community organizations and partners for cultural and linguistic adaptation of the existing video. We conducted semi-structured interviews with four community partners, two oncology providers, and six Black and Latina BCS to gather feedback on content comprehension, engagement, cultural acceptability, and satisfaction with the intervention. We made iterative revisions to the video and then conducted usability testing with the six BCS. We produced an 11-min self-acupressure video following participant feedback, including a need for clear differentiation between acupressure and acupuncture, simplified explanations of physiological effects of self-acupressure, increased culturally relevant presentation by including Black and Latina BCS performing acupressure demonstrations, testimonial segments, and lay language explanations. In usability testing, the six BCS rated the intervention highly. Black and Latina BCS were highly satisfied with the culturally adapted self-acupressure video and expressed strong interest in performing self-acupressure. Future studies will evaluate the intervention's effects on symptom management and quality of life in these underrepresented populations.

APA Citation

AuBuchon, Katarina E.; Bonthu, Amrita; Inbar-Albo, Lourdes; Jones, Thelma D.; Beale, Jacqueline; Campos-Galván, Claudia; Logie, Laura A.; Arieta, Carla; Liu, Geng-Hao; Hurtado-de-Mendoza, Alejandra; Danhauer, Suzanne C.; Graves, Kristi D.; and Wang, Judy Huei-Yu, "Culturally Adapting a Video-Based Self-acupressure Intervention to Manage Symptoms for Black and Latina Breast Cancer Survivors" (2025). GW Authored Works. Paper 7603.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/7603

Department

Medicine