Evidence map›Paper›PMID 20060255›Full record

ArticlePatient education and counseling2010

Using the word 'cancer' in communication about an abnormal Pap test: finding common ground with patient-provider communication.

Melissa A Simon, Ludmila Cofta-Woerpel, Veenu Randhawa, Priya John, Gregory Makoul, Bonnie Spring

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Patient education and counseling, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00873288 (Activating Collaborative CIS Support Via Targeted Provider Mailing), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 11% 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.

NCT00873288 nacompletednot on this map

Activating Collaborative CIS Support Via Targeted Provider Mailing

TypeinterventionalSponsorNorthwestern UniversityRan2006 to 2008Enrolled254ConditionsPrecancerous ConditionArmsUsual care mailing intervention, CIS support mailing intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

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  10. Factors Associated With Adherence to Follow-up Colposcopy.American journal of health education · 2013
    Article
  11. What women want: patient recommendations for improving access to breast and cervical cancer screening and follow-up.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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

6 authors at 4 institutions in 1 country.

Melissa A SimonDepartment of Obstetrics & Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. m-simon2@northwestern.edu
Ludmila Cofta-Woerpel
Veenu Randhawa
Priya John
Gregory Makoul
Bonnie Spring
Northwestern University · USSaint Francis University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Chicago · US

Funding

MULTIDISCIPLINARY CLINICAL AND TRANSLATIONAL SCIENCE (MCTS) PROGRAM (UL1)UL1RR025741 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GREENLAND, PHILIP · 2008 to 2011
$24.7M
Research Career Development in Obstetrics and GynecologyK12HD050121 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Serdar E. Bulun · 2005 to 2026
$7.2M
Extending Cancer Navigation to Underserved Suburban WomenR24MD001650 · NIMHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIMON, MELISSA A. · 2005 to 2012
$3.1M
ACCISS: Activating Collaborative CIS Support ServicesR21CA126450 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SPRING, BONNIE · 2006 to 2007
$369k
NCI NIH HHS R21 CA126450NCRR NIH HHS UL1 RR025741NICHD NIH HHS K-12 HD050121NICHD NIH HHS K12 HD050121NIMHD NIH HHS R24 MD001650
6 · The paper itself

Abstract

objectiveTo investigate provider and patient views about communication regarding cervical cancer screening follow-up.

methodsUsing qualitative analysis, we interviewed 20 providers and 10 patients from two urban clinics that serve low-income African American and Hispanic women. Semi-structured interviews and focus groups assessed familiarity with National Cancer Institute's Cancer Information Service (CIS) and reactions to a letter asking women with abnormal Pap test to telephone CIS. The letter suggested questions to ask prior to receiving follow-up.

resultsNo patient or provider was familiar with CIS. Providers but not patients expressed discomfort with use of the word 'cancer' in the letter and in CIS's name. Providers feared that reference to cancer would provoke fatalism and impede timely follow-up, whereas patients felt information about cancer risk was needed to prompt timely follow-up. Information providers found necessary to convey in order to accurately explain abnormal Pap tests surpassed patients' literacy levels.

conclusionQualitative data suggest important gaps in perspective between providers and patients. There is a need to bridge the gap and overcome communication challenges to promote timely medical follow-up and have better health outcomes. PRACTICE IMPLICATIONS: Implications and strategies for improving patient-provider education and communication about abnormal Pap test are discussed.

Indexed as

HotlinesPatient Acceptance of Health CareProfessional-Patient RelationsVaginal SmearsChicagoCorrespondence as TopicFemaleFocus GroupsHealth Status DisparitiesHumansNational Cancer Institute (U.S.)Qualitative ResearchUnited StatesUterine Cervical Neoplasms

Identifiers

PMID20060255
PMCPMC2891944
OpenAlexW2048639064

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.