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Improving Cancer Communication: Coping-Related Communication Needs and Preferences Among Spanish-Speaking Patients
Lianel Rosario-Ramos1,2, María Elena Navedo3, Rosael Burgos4
1School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, 00716, Puerto Rico. lrosario21@stu.psm.edu.
Journal of Racial and Ethnic Health Disparities
|August 7, 2026
Summary
Cancer patients and caregivers in Puerto Rico need culturally tailored communication support. Group therapy is preferred, with a focus on problem-solving and future planning.
Area of Science:
- Oncology
- Health Communication
- Community Health
Background:
- Cancer diagnosis presents significant communication challenges for patients and informal caregivers.
- Effective communication interventions for the Spanish-speaking population are notably scarce.
- This study addresses the need to document communication requirements for a culturally adapted intervention.
Purpose of the Study:
- To identify and document the specific communication needs of cancer patients and caregivers.
- To understand preferences regarding the format and delivery of a community-based intervention.
- To inform the development of culturally tailored support resources for Spanish-speaking individuals affected by cancer.
Main Methods:
- A cross-sectional survey was conducted with 92 cancer patients and caregivers in Puerto Rico.
- Participants indicated communication areas where they desired additional support.
- Statistical analyses, including Fisher's exact tests, compared patient and caregiver responses.
Main Results:
- Key communication needs identified include problem-solving skills, companionship, future plans, and treatment planning.
- Patients and caregivers reported similar needs, with caregivers showing more interest in end-of-life discussions.
- Group therapy was the preferred format, with caregivers favoring family-inclusive options.
Conclusions:
- Culturally tailored, community-based communication interventions are essential for Spanish-speaking cancer patients and caregivers in Puerto Rico.
- Interventions should focus on conflict resolution and companionship skills.
- A flexible group-based format with an optional family component can meet diverse needs effectively.
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