A Qualitative Cultural Sensitivity Assessment of the Breathe Easier Mobile Application for Lung Cancer Survivors and Their Families

Otis L. Owens

Kasey N. Smith

Jenay M. Beer

David G. Gallerani

Karen K. McDonnell
cancer survivors, African Americans, mobile applications, culture, health communications
ONF 2020, 47(3), 331-341. DOI: 10.1188/20.ONF.331-341

Purpose: To evaluate the cultural sensitivity of the Breathe Easier mobile health application for African American lung cancer survivors and their families. Breathe Easier is an intervention designed to teach strategies to combat symptoms related to lung cancer.

Participants & Setting: 12 African American lung cancer survivors and their family members were recruited from an American College of Surgeons–approved cancer program in South Carolina.

Methodologic Approach: Participants completed in-depth interviews, which were guided by the Cultural Sensitivity Assessment Tool and the Cultural Sensitivity Checklist. Two researchers performed open and axial coding to conceptually organize the data.

Findings: Multiple culturally relevant themes emerged, including benefits, concerns, and suggestions related to content literacy and inclusiveness, as well as acceptability of and motivations for using the mobile application. However, lung cancer survivors and their family members reported being more concerned about accessing accurate survivorship information.

Implications for Nursing: Attention to health literacy, eHealth literacy, and cultural sensitivity may enhance patient outcomes, and nurses can advocate for patients regarding these communication issues.

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