Evidence map›Paper›PMID 18201859›Full record

Trial reportPatient education and counseling2008

Effects of using online narrative and didactic information on healthcare participation for breast cancer patients.

Meg Wise, Jeong Yeob Han, Bret Shaw, Fiona McTavish, David H Gustafson

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 5 pooled it
77.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 5 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Effectiveness of virtual delivery of cancer education for patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
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  6. Using Narratives to Correct Forecasting Errors in Pediatric Tracheostomy Decision Making.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Trial
  7. Trial
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  9. Engagement with a social networking intervention for cancer-related distress.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015
    Trial
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  12. Culturally appropriate patient-provider communication methods for Black women with breast cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  13. Article
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  17. Testing the Effects of Modality and Narration Style on Patients' Information Use in a Lung Cancer Treatment Decision Aid.Medical decision making : an international journal of the Society for Medical Decision Making · 2020
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  19. Reasons Behind Preferences for Community-Based Continence Promotion.Female pelvic medicine & reconstructive surgery · 2020
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Meg WiseCenter for Health Enhancement Systems Studies, University of Wisconsin, Madison, WI 53726, United States. mewise@wisc.edu
Jeong Yeob Han
Bret Shaw
Fiona McTavish
David H Gustafson
Quality Enhancement Research Initiative · USUniversity of Wisconsin Health · USUniversity of Wisconsin–Madison · US

Funding

Using Technology to Enhance Cancer Communication and Improve Clinical OutcomesP50CA095817 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BURNSIDE, ELIZABETH S · 2003 to 2012
$19.3M
COMPUTER INFO, SUPPORT &PLATFORM IMPACT--BREAST CANCERR01LM006533 · NLM · UNIVERSITY OF WISCONSIN MADISON · PI GUSTAFSON, DAVID H · 1998 to 2001
$440k
NCI NIH HHS P50 CA095817NLM NIH HHS R01 LM006533
6 · The paper itself

Abstract

objectivesTo determine the effects of online narrative and didactic information on breast cancer patients' healthcare participation and the interaction effects of race.

methodsSAMPLE: 353 breast cancer patients (111 African Americans) using an eHealth program with narratives (audiovisual and text) and didactic information (text only). MEASURES: healthcare participation scale (0, 4 months), online information use. ANALYSES: hierarchical regression.

resultsNarrative (beta=0.123, p<0.01) and didactic (beta=0.104, p<0.05) information use had independent and positive effects on healthcare participation. Effects of both were significantly greater for African Americans.

conclusionsFindings are consistent with and advance prior research on online learning processes and outcomes for breast cancer patients: (1) benefits accrue with using a variety of online learning tools; (2) African Americans use and benefit more from online narrative and didactic information than do Caucasians. PRACTICE IMPLICATIONS: eHealth programs should provide both didactic and narrative information-especially for African Americans and might consider making greater use of interactive and audiovisual formats. As patients increasingly use of the web for cancer information, clinicians should provide lists of web high quality resources that provide both narrative and didactic information.

Indexed as

Black or African AmericanWhite PeopleAdaptation, PsychologicalBreast NeoplasmsFemaleHumansInternetMiddle AgedNarrationPatient Education as TopicPatient ParticipationProgram EvaluationRegression AnalysisSocial SupportSurveys and Questionnaires

Identifiers

PMID18201859
PMCPMC2367096
OpenAlexW2039507709

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.