Background/Rationale:
Malay Muslim cancer patients in Singapore face unique psychosocial challenges shaped by cultural and religious norms such as emotional restraint, trauma avoidance, and the concept of “saving face.” These factors limit participation in conventional support groups, even among those sharing demographics or cancer diagnoses, as many prefer not to disclose private information or emotions in front of others. This highlights the need for culturally sensitive interventions to bridge this engagement gap.
Methods:
A phased support group model was developed based on informal needs assessments and grounded in culturally responsive care principles emphasizing trust, cultural relevance, and patient-centered adaptation.
The first phase involved informal “tea sessions” leveraging food—a culturally significant and emotionally safe medium—as a non-threatening entry point for social interaction. These sessions helped participants acclimate to group settings and build rapport.
In phase two, participants transitioned into closed, small-group sessions designed to provide a safer space for emotional expression and peer support. Participants were same-gender Malay Muslim adults with similar cancer diagnoses and treatment timelines to enhance comfort and relatability.
Data will be collected over two years through participant observation, facilitator reflections, and informal interviews. Thematic analysis will identify key patterns related to engagement, emotional disclosure, and cultural responsiveness.
Impact on Practice:
The phased approach effectively increased emotional engagement among a population traditionally hesitant to participate in support groups. Large-group formats offered familiarity but limited meaningful sharing.
Discussion:
This study underscores the importance of cultural attunement in psycho-oncology. Using a socially familiar, non-clinical entry point paired with gradual transition to smaller groups can overcome barriers to support. Key lessons include prioritizing relationship-building over immediate disclosure and designing flexible and adaptive group structures.