| Sumario: | Significance & Background: Asian American breast cancer survivors face persistent disparities in recurrence risk and survival. Despite the significance of breast cancer in this population, their survivorship experiences remain insufficiently characterized. Purpose: To assess psychosocial factors associated with survivorship in Asian American breast cancer survivors, with specific attention to Chinese, Korean, and Japanese groups. Interventions: We conducted a secondary analysis of 172 participants enrolled in a randomized clinical trial. The intervention group used a culturally tailored virtual information coaching/ support program (TICAA) alongside the American Cancer Society (ACS) website; the control group used the ACS website only. Assessments were conducted at baseline, 4 weeks, and 12 weeks. Psychosocial factors were measured using the Questions on Attitudes, Self-Efficacy, Perceived Barriers, and Social Influences (QASPS), the Cancer Behavior Inventory, the Personal Resource Questionnaire, and the Perceived Isolation Scale. Survivorship outcomes were captured with the Supportive Care Needs Survey--Short Form 34 (SCNS), the Memorial Symptom Assessment Scale--Short Form, and the Functional Assessment of Cancer Therapy--Breast (FACT-B). Baseline ethnic differences were evaluated with ANOVA and posthoc comparisons. Longitudinal associations were examined using linear mixed-effects models. Results: Psychosocial factors and cancer survivorship differed by ethnicity. At baseline, Chinese Americans reported less positive attitudes toward survivorship, whereas Japanese participants showed lower levels of social influence. In longitudinal models, associations between cancer survivorship and social support and perceived barriers were stronger for Chinese participants than for Japanese participants. Among Korean participants, loneliness and social influence were associated with unmet supportive care needs on the SCNS. Discussion: Survivorship among Asian American breast cancer survivors varies meaningfully across ethnic groups. Culturally tailored strategies targeting specific psychosocial factors may be needed to address unmet needs and improve cancer survivorship.
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