Evidence map›Paper›PMID 27986738›Full record

Trial reportBMJ open2016

African-American patients with cancer Talking About Clinical Trials (TACT) with oncologists during consultations: evaluating the efficacy of tailored health messages in a randomised controlled trial-the TACT study protocol.

R F Brown, R Davis, M Wilson Genderson, S Grant, D Cadet, M Lessard, J Alpert, J Ward, G Ginder

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

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02356549 (African American Cancer Clinical Trial Decisions), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 18% 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.

NCT02356549 nacompletednot on this map

African American Cancer Clinical Trial Decisions: Testing Tailored Messages

TypeinterventionalSponsorVirginia Commonwealth UniversityRan2015 to 2020Enrolled90ConditionsMyeloma, Lymphoma, LeukemiaArmsEMR Tailoring, Survey Tailoring, Physician Involvement
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

9 authors at 3 institutions in 1 country.

R F BrownDepartment of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
R DavisDepartment of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
M Wilson GendersonSiminoff Research Group, College of Public Health, Temple University, Philadelphia, Pennsylvania, USA.
S GrantMassey Cancer Center, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
D CadetMassey Cancer Center, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
M LessardDepartment of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
J AlpertDepartment of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
J WardDepartment of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
G GinderMassey Cancer Center, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
Virginia Commonwealth University · USTemple University · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLow rates of accrual of African-American (AA) patients with cancer to therapeutic clinical trials (CTs) represent a serious and modifiable racial disparity in healthcare that impedes the development of promising cancer therapies. Suboptimal physician-patient consultation communication is a barrier to the accrual of patients with cancer of any race, but communication difficulties are compounded with AA patients. Providing tailored health messages (THM) to AA patients and their physician about CTs has the potential to improve communication, lower barriers to accrual and ameliorate health disparities.

objective(1) Demonstrate the efficacy of THM to increase patient activation as measured by direct observation. (2) Demonstrate the efficacy of THM to improve patient outcomes associated with barriers to AA participation. (3) Explore associations among preconsultation levels of: (A) trust in medical researchers, (B) knowledge and attitudes towards CTs, (C) patient-family member congruence in decision-making, and (D) involvement/information preferences, and group assignment. METHODS AND ANALYSIS: First, using established methods, we will develop THM materials. Second, the efficacy of the intervention is determined in a 2 by 2 factorial randomised controlled trial to test the effectiveness of (1) providing 357 AA patients with cancer with THM with 2 different 'depths' of tailoring and (2) either providing feedback to oncologists about the patients' trial THM or not. The primary analysis compares patient engaged communication in 4 groups preconsultation and postconsultation. ETHICS AND DISSEMINATION: This study was approved by the Virginia Commonwealth University Institutional Review Board. To facilitate use of the THM intervention in diverse settings, we will convene 'user groups' at 3 major US cancer centres. To facilitate dissemination, we will post all materials and the implementation guide in publicly available locations. TRIAL REGISTRATION NUMBER: NCT02356549.

Indexed as

CommunicationPhysician-Patient RelationsBlack or African AmericanFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansMaleNeoplasmsPatient Education as TopicReferral and ConsultationResearch DesignUnited StatesHealth DisparitiesPhysician - Patient CommunicationRandomized Controlled TrialTailored Health Messages

Identifiers

PMID27986738
PMCPMC5168644
OpenAlexW2566119115

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.