Evidence map›Paper›PMID 27567026›Full record

ArticlePediatric blood & cancer2017

Supporting long-term follow-up of young adult survivors of childhood cancer: Correlates of healthcare self-efficacy.

Kimberly A Miller, Katherine Y Wojcik, Cynthia N Ramirez, Anamara Ritt-Olson, David R Freyer, Ann S Hamilton, Joel E Milam

Abstract read
In one paragraph

Article in Pediatric blood & cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
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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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The Impact of Social Determinants on Healthcare Transition Readiness Among Adolescent and Young Adult Childhood Cancer Survivors: A Mixed Methods Systematic Review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  20. A Narrative Literature Review and Environmental Scan of Self-management Education Programs for Adolescent and Young Adult Survivors of Childhood Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Kimberly A MillerDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Katherine Y WojcikDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Cynthia N RamirezDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Anamara Ritt-OlsonDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California.
David R FreyerDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Ann S HamiltonDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Joel E MilamDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California.

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
Training grant for Cancer Control and EpidemiologyT32CA009492 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PENTZ, MARY ANN · 1985 to 2019
$7.4M
Reducing racial/ethnic inequities in childhood cancer survivorshipR01MD007801 · NIMHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MILAM, JOEL E · 2014 to 2018
$2.1M
NCI NIH HHS P30 CA014089NCI NIH HHS T32 CA009492NIMHD NIH HHS R01 MD007801
6 · The paper itself

Abstract

backgroundHealthcare self-efficacy (HCSE), the perceived confidence to manage one's health care, has been identified as a critical component in the transition process from pediatric to adult-oriented care for childhood cancer survivors (CCSs). HCSE is amenable to intervention and associated with long-term follow-up care among CCSs. However, factors associated with HCSE have not been fully explored among CCSs. PROCEDURE: We identified correlates of HCSE among a sample of CCSs (n = 193). Descriptive statistics and linear regression methods were used in this cross-sectional analysis.

resultsIn univariate analyses, higher physical and psychosocial quality of life, posttraumatic growth, and religious/spiritual importance were associated with higher HCSE. Attendance at a survivorship clinic, having a regular source of care (both noncancer and oncologist), and any type of health insurance were also associated with HCSE. Hispanic ethnicity was negatively associated with HCSE relative to non-Hispanics. In a multivariable model, psychosocial quality of life, religious/spiritual importance, survivorship clinic attendance, having a regular oncologist, and Hispanic ethnicity remained significantly associated with HCSE.

conclusionsCCSs who reported greater well-being, who rated religion and spirituality of high importance, and who accessed specialized cancer services expressed greater HCSE. Hispanic CCSs, however, reported less HCSE than non-Hispanics. Interventions that attend to the quality of life and spiritual needs of CCSs have potential to build HCSE to support the healthcare transition process. Because Hispanic CCSs may be at risk of lower perceived confidence to navigate their health care, culturally competent, efficacy-enhancing interventions are needed for this population.

Indexed as

Quality of LifeSelf EfficacyAdolescentAdultCross-Sectional StudiesEthnicityFemaleFollow-Up StudiesHumansInsurance, HealthMaleNeoplasmsPrognosisSurvivorsTransition to Adult CareYoung Adultadolescentcancerchildself-efficacysurvivorshipyoung adult

Identifiers

PMID27567026
PMCPMC5371425

What OpenQuestion holds

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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.