title: Lessons learned in developing a support intervention for African American women with breast cancer.
abstract: OBJECTIVE
  To describe the process of planning a theory-based support group project for African American women with breast cancer.
  
  
  METHODS
  A needs assessment and recruitment strategies consistent with the Oncology Nursing Society's Multicultural Outcomes: Guidelines for Cultural Competence were used to adapt a support group intervention for newly diagnosed African American women in urban central Texas.
  
  
  RESULTS
  The reviewed literature and local cancer survivor leaders indicated the need for education and support of newly diagnosed women. Although researchers worked for several years with lay leaders to gain legitimacy and trust, not enough participants were recruited to test an intervention specifically for African American women.
  
  
  CONCLUSIONS
  Recruiting support group research participants from a relatively small minority population is problematic even when collaborating with population leaders.
  
  
  CONCLUSIONS
  Nurses may encounter barriers to conducting research in minority populations. Starting early to build credibility with that population, being flexible with eligibility criteria, beginning with pre-experimental studies, and paying participants may be required.
authors.affiliation: School of Nursing, University of Texas, Austin, TX, USA. dcoward@mail.utexas.edu
authors.forename: Doris D
authors.initials: DD
authors.lastname: Coward
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001943:Breast Neoplasms / Q000208:ethnology* / Q000451:nursing*; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D020380:Needs Assessment; D024802:Nurse's Role; D010344:Patient Advocacy; D016730:Program Development; D012657:Self-Help Groups