Evidence map›Paper›PMID 26573809›Full record

Trial reportBMC cancer2015

Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design.

Olive Mbah, Jean G Ford, Miaozhen Qiu, Jennifer Wenzel, Lee Bone, Janice Bowie, Ahmed Elmi, Jimmie L Slade, Michele Towson, Adrian S Dobs

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01613430 (Evaluating Coaches of Older Adults for Cancer Care and Health Behaviors), which is not on this map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
0.7field-weighted citation impact, top 26% 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.

NCT01613430 nacompletednot on this map

Evaluating Coaches of Older Adults for Cancer Care and Health Behaviors (COACH)

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2012 to 2016Enrolled1,106ConditionsColorectal Cancer, Breast Cancer, Cervical CancerArmsCoach Training (COACH), Printed Educational Materials (PEM)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  14. Amplifying Their Voices: Advice, Guidance, and Perceived Value of Cancer Biobanking Research Among an Older, Diverse Cohort.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
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  17. More than a Conversation: the Power of Bringing Scientists and the Community Together to Change Perceptions About Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
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  18. Cancer Health Impact Program (CHIP): Identifying Social and Demographic Associations of mHealth Access and Cancer Screening Behaviors Among Brooklyn, New York, Residents.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019
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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

10 authors at 6 institutions in 2 countries.

Olive MbahDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA. ombah1@jhmi.edu.
Jean G FordDepartment of Medicine, Einstein Healthcare Network, Philadelphia, PA, USA. fordjean@einstein.edu.
Miaozhen QiuMedical Oncology Department, Cancer Center of Sun Yat-sen University, Guangzhou, China. qiumzh@sysucc.org.cn.
Jennifer WenzelDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA. jwenzel@jhu.edu.
Lee BoneDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. lbone1@jhu.edu.
Janice BowieDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. jbowie2@jhu.edu.
Ahmed ElmiDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA. aelmi@jhmi.edu.
Jimmie L SladeCommunity Ministry of Prince George's County, Upper Marlboro, MD, USA. jaslade@verizon.net.
Michele TowsonMaxwell Enterprises, Baltimore, MD, USA. mtowson2k0@yahoo.com.
Adrian S DobsDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA. adobs@jhmi.edu.
Johns Hopkins Medicine · USJohns Hopkins University · USCommunity Ministry of Prince George’s County · USEinstein Healthcare Network · USMaxwell Technologies (United States) · USSun Yat-sen University · CN

Funding

Training ProgramU54CA153710 · NCI · JOHNS HOPKINS UNIVERSITY · PI DOBS, ADRIAN S. · 2010 to 2015
$4.8M
NCI NIH HHS U54 CA153710NCI NIH HHS U54CA153710
6 · The paper itself

Abstract

backgroundDisadvantaged populations face many barriers to cancer care, including limited support in navigating through the complexities of the healthcare system. Family members play an integral role in caring for patients and provide valuable care coordination; however, the effect of family navigators on adherence to cancer screening has not previously been evaluated. Training and evaluating trusted family members and other support persons may improve cancer outcomes for vulnerable patients.

methodsGuided by principles of community based participatory research (CBPR), "Evaluating Coaches of Older Adults for Cancer Care and Healthy Behaviors (COACH)" is a community-based randomized controlled trial to assess the effectiveness of a trained participant-designated coach (support person or care giver) in navigating cancer-screening for older African American adults, 50-74 years old. Participants are randomly assigned as dyads (participant+coach pair) to receiving either printed educational materials only (PEM--control group) or educational materials plus coach training (COACH--intervention group). We defined a coach as family member, friend, or other lay support person designated by the older adult. The coach training is designed as a one-time, 35- to 40-minute training consisting of: 1) a didactic session that covers the role of the coach, basic facts about colorectal, breast and cervical cancers (including risk factors, signs and symptoms and screening modalities), engaging the healthcare provider in cancer screening, insurance coverage for screening, and related healthcare issues, 2) three video skits addressing misconceptions about and planning for cancer screening, and 3) an interactive role-play session with the trainer to reinforce and practice strategies for encouraging the participant to get screened. The primary study outcome is the difference in the proportion of participants completing at least one of the recommended screenings (for breast, cervix or colorectal cancer) between the control and intervention groups. DISCUSSION: Building on trusted patient contacts to encourage cancer screening, COACH is a highly sustainable intervention in a high-risk population. It has the potential to minimize the effect of mistrust of the medical establishment on screening behaviors by mobilizing participants' existing support networks. If effective, the intervention could have a high impact on health care disparities research across multiple diseases.

trial registrationClinicalTrials.gov ( NCT01613430 ). Registered June 5, 2012.

Indexed as

Social SupportAgedCommunity Health ServicesConsumer Health InformationEarly Detection of CancerFemaleHumansMaleMarylandMass ScreeningMiddle AgedNeoplasmsResearch Design

Identifiers

PMID26573809
PMCPMC4647280
OpenAlexW2177497492

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.