乳腺癌是闺蜜岛和夏威夷癌症死亡的第二大原因，并且不成比例地影响夏威夷土著人、查莫鲁人和菲律宾女性。尽管有一些针对乳腺癌幸存者的文化教育干预措施，但没有为夏威夷土著人、查莫鲁人和菲律宾妇女开发或测试。为了解决这个问题，TANICA 研究于2021年开始进行关键人物采访。采用定性取样和扎根理论方法对在闺蜜岛和夏威夷照顾健康或进行社区计划与/或研究的种族群体有经验的个人进行半结构化访谈。一次文献综述和专家咨询确定了干预组成、参与策略和设置。访谈问题旨在了解循证干预的相关性并探讨社会文化因素。参与者完成了人口统计和文化归属调查。访谈由经过培训的研究人员独立分析。根据频率确定了共同同意的主题，识别了关键主题。 在夏威夷（n=9）和关岛（n=10）进行了19次访谈。访谈确认了大部分先前确定的适用于夏威夷土著人、查莫鲁人和菲律宾乳腺癌幸存者的循证干预组成的相关性。出现了围绕文化敏感干预组成和策略的想法，这些想法在每个民族群体和地点中都是共通的和独特的。循证干预组成似乎是相关的，但夏威夷土著人、查莫鲁人和菲律宾妇女需要基于文化和地方的策略。未来的研究应该通过夏威夷土著人、查莫鲁人和菲律宾乳腺癌幸存者的生活经验来三角测量这些发现，以开发具有文化教养性的干预措施。© 2023。这是美国政府的作品，不受版权保护；可能适用于国外版权保护。

Breast cancer is the second cause of death from cancer in Guam and Hawai'i and disproportionately impacts Native Hawaiian, CHamoru, and Filipino women. Although a few culturally informed interventions addressing breast cancer survivorship exist, none have been developed or tested for Native Hawaiian, CHamoru, and Filipino women. To address this, the TANICA study began with key informant interviews in 2021.Purposive sampling and grounded theory approaches were used to conduct semi-structured interviews with individuals experienced in providing healthcare or implementing community programs and/or research with ethnic groups of interest in Guam and Hawai'i. A literature review and expert consultation identified intervention components, engagement strategies, and settings. Interview questions aimed to understand the relevance of evidence-based interventions and explored socio-cultural factors. Participants completed demographics and cultural affiliation surveys. Interviews were independently analyzed by trained researchers. Themes were mutually agreed upon by reviewers and key themes were identified based on frequencies.Nineteen interviews were conducted in Hawai'i (n=9) and Guam (n=10). Interviews confirmed the relevance of most of the previously identified evidence-based intervention components for Native Hawaiian, CHamoru, and Filipino breast cancer survivors. Ideas around culturally responsive intervention components and strategies emerged that were shared across and unique to each ethnic group and site.Evidence-based intervention components appear relevant, yet cultural and place-based strategies are needed for Native Hawaiian, CHamoru, and Filipino women in Guam and Hawai'i. Future research should triangulate these findings with the lived experiences of Native Hawaiian, CHamoru, and Filipino breast cancer survivors to develop culturally informed interventions.© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.