Evidence map›Paper›PMID 19267384›Full record

Trial reportPsycho-oncology2010

Development of decision-support intervention for Black women with breast cancer.

Vanessa B Sheppard, Karen Patricia Williams, Toni Michelle Harrison, Yvonne Jennings, Wanda Lucas, Juleen Stephen, Dana Robinson, Jeanne S Mandelblatt, Kathryn L Taylor

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 6 pooled it
6.2field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 6 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Pooled it
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  4. Breast cancer and coping among women of color: a systematic review of the literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
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  13. 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
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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

9 authors at 3 institutions in 1 country.

Vanessa B SheppardCancer Control Program, Georgetown University, Washington, DC 20007, USA. vls3@georgetown.edu
Karen Patricia Williams
Toni Michelle Harrison
Yvonne Jennings
Wanda Lucas
Juleen Stephen
Dana Robinson
Jeanne S Mandelblatt
Kathryn L Taylor
Georgetown University · USMichigan State University · USVirginia Tech · US

Funding

NIA CALGB - Foreign AccrualU10CA084131 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2001 to 2005
$3.2M
Who Cares For Older Breast Cancer Surivors And How Does It Affect Quality?R01CA127617 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2008 to 2012
$3.2M
Cancer Control at the Intersection of Aging ResearchK05CA096940 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2002 to 2011
$1.5M
NCI NIH HHS K05 CA096940NCI NIH HHS KO5 CA96940NCI NIH HHS R01 CA127617NCI NIH HHS U10 CA084131
6 · The paper itself

Abstract

backgroundAdjuvant therapy improves breast cancer survival but is underutilized by Black women. Few interventions have addressed this problem. This preliminary report describes the process we used to develop a decision-support intervention for Black women eligible for adjuvant therapy. Aims were to use qualitative methods to describe factors that influence Black women's adjuvant therapy decisions, use these formative data to develop messages for a treatment decision-support intervention, and pilot test the acceptability and utility of the intervention with community members and newly diagnosed women.

methodsThirty-four in-depth interviews were conducted with breast cancer patients in active treatment, survivors and cancer providers to gather qualitative data. Participant ages ranged from 38 to 69 years. A cultural framework was used to analyze the data and to inform intervention messages. Most women relied on their providers for treatment recommendations. Several women reported problems communicating with providers and felt unprepared to ask questions and discuss adjuvant treatment options. Other factors related to treatment experiences were: spiritual coping, collectivism and sharing breast cancer experiences with other Black survivors.

resultsUsing these formative data, we developed an intervention that is survivor-based and includes an in-person session which incorporates sharing personal stories, communication skills training and decision support. Intervention materials were reviewed by community members, researchers/clinicians and patients newly diagnosed with breast cancer.

conclusionPatients reported satisfaction with the intervention and felt better prepared to talk with providers. The intervention will be tested in a randomized trial to enhance decision support and increase use of indicated adjuvant treatment.

Indexed as

Decision MakingAdultAgedAttitude to HealthBlack PeopleBreast NeoplasmsChemotherapy, AdjuvantCommunicationFemaleHumansMastectomyMastectomy, SegmentalMiddle AgedMotivationNeoplasm StagingPatient Acceptance of Health Care

Identifiers

PMID19267384
PMCPMC3136087
OpenAlexW2146975506

What OpenQuestion holds

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LicenceTDM
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.