Evidence map›Paper›PMID 26804708›Full record

ArticlePsycho-oncology2016

A chronic care ostomy self-management program for cancer survivors.

Robert S Krouse, Marcia Grant, Ruth McCorkle, Christopher S Wendel, Martha D Cobb, Nancy J Tallman, Elizabeth Ercolano, Virginia Sun, Judith H Hibbard, Mark C Hornbrook

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Psycho-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04855552 (Pilot Telehealth Weight Loss Program for Breast Cancer Survivors), which is not on this map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
5.6field-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.

NCT04855552 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Pilot Telehealth Weight Loss Program for Breast Cancer Survivors

TypeinterventionalSponsorAbramson Cancer Center at Penn MedicineRan2021 to 2027Enrolled22ConditionsCancer Survivors, Cancer of Breast, Body Weight, Overweight and ObesityArmsBehavioral Weight-loss Program Via Telehealth, Behavioral Weight-Loss Program Via Telehealth - Weight Measures, Validated Surveys of Patient-Reported Outcomes
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 128 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Impact of Ostomy Self-Management Telehealth training for rural cancer survivors on health care utilization and economic outcomes in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Trial
  6. Trial
  7. Trial
  8. Cancer survivors' greatest challenges of living with an ostomy: findings from the Ostomy Self-Management Telehealth (OSMT) randomized trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Trial
  9. Trial
  10. The Effects of Continuous Care Model of Information-Based Hospital-Family Integration on Colostomy Patients: a Randomized Controlled Trial.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Trial
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

10 authors at 7 institutions in 1 country.

Robert S KrouseSouthern Arizona Veterans Affairs Health Care System, Tucson, AZ, USA.
Marcia GrantCity of Hope National Medical Center/Beckman Research Institute, Duarte, CA, USA.
Ruth McCorkleYale School of Nursing, New Haven, CT, USA.
Christopher S WendelSouthern Arizona Veterans Affairs Health Care System, Tucson, AZ, USA.
Martha D CobbCollege of Nursing, University of Arizona, Tucson, AZ, USA.
Nancy J TallmanWound Ostomy Continence Nurse, Unaffiliated, Tucson, AZ, USA.
Elizabeth ErcolanoYale School of Nursing, New Haven, CT, USA.
Virginia SunCity of Hope National Medical Center/Beckman Research Institute, Duarte, CA, USA.
Judith H HibbardUniversity of Oregon, Eugene, OR, USA.
Mark C HornbrookKaiser Permanente Center for Health Research, Portland, OR, USA.
City Of Hope National Medical Center · USSouthern Arizona VA Health Care System · USYale University · USKaiser Permanente Center for Health Research · USPhoenix Contact (United States) · USUniversity of Arizona · USUniversity of Oregon · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
HRQOL-enhancing ostomy self-management intervention for CRC survivorsR21CA133337 · NCI · UNIVERSITY OF ARIZONA · PI KROUSE, ROBERT SCOTT · 2009 to 2010
$294k
NCI NIH HHS CA023074NCI NIH HHS P30 CA023074NCI NIH HHS R21 CA133337
6 · The paper itself

Abstract

backgroundIndividuals with ostomies experience extensive changes in health-related quality of life (HRQOL) and daily routine. Patients and families are typically forced to use trial and error to improve self-management.

methodsThis is a longitudinal one-group design pilot study of a five-session ostomy self-care curriculum based on the Chronic Care Model to improve HRQOL and self-management for cancer survivors with ostomies. Participants were surveyed to evaluate each session. Multiple instruments were administered to examine outcomes at baseline, post-intervention, and at 6-month follow-up (Patient Activation Measure, self-efficacy, Hospital Anxiety and Depression Scale, Ways of Coping, Group Health Association of America Satisfaction with ostomy care survey, and the City of Hope Quality of Life Ostomy). Changes from pre-intervention to post-intervention and pre-intervention to follow-up were evaluated with paired t-tests. Text responses were coded and evaluated for important themes and recommendations.

resultsThirty-eight subjects participated in the study. Most had a history of rectal cancer (60.5%) or bladder cancer (28.9%). Participants rated the overall program high (4.4-4.8 on 5-point scale). Text feedback indicated that participants enjoyed the group forums, wanted more participants, and more hands-on training. Scores on multiple surveys were shown to be improved and sustained, including patient activation (p = 0.0004), self-efficacy (p = 0.006), total HRQOL (p = 0.01), physical well-being (p = 0.005), and social well-being (p = 0.002). Survivor anxiety was significantly reduced by follow-up (p = 0.047).

conclusionsThis self-management ostomy program can help cancer survivors with ostomies adapt to their stoma. Initiating this program in the community setting would be beneficial to many cancer survivors.

Indexed as

Self CareAdaptation, PsychologicalAgedAged, 80 and overFemaleFollow-Up StudiesHealth Care SurveysHealth StatusHumansLongitudinal StudiesMaleMiddle AgedOstomyPatient Outcome AssessmentPatient SatisfactionPilot Projects

Identifiers

PMID26804708
PMCPMC4833624
OpenAlexW2276716334

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.