Evidence map›Paper›PMID 28073615›Full record

Trial reportPatient education and counseling2017

Randomized trial of a question prompt list to increase patient active participation during interactions with black patients and their oncologists.

Susan Eggly, Lauren M Hamel, Tanina S Foster, Terrance L Albrecht, Robert Chapman, Felicity W K Harper, Hayley Thompson, Jennifer J Griggs, Richard Gonzalez, Lisa Berry-Bobovski and 8 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

54 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Susan EgglyWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA. Electronic address: egglys@karmanos.org.
Lauren M HamelWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Tanina S FosterWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Terrance L AlbrechtWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Robert ChapmanHenry Ford Hospital/Josephine Ford Cancer Institute, Detroit, MI, USA.
Felicity W K HarperWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Hayley ThompsonWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Jennifer J GriggsUniversity of Michigan, Ann Arbor, MI, USA.
Richard GonzalezUniversity of Michigan, Ann Arbor, MI, USA.
Lisa Berry-BobovskiWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Rifky TkatchWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Michael SimonWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Anthony ShieldsWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Shirish GadgeelWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.
Randa LoutfiHenry Ford Hospital/Josephine Ford Cancer Institute, Detroit, MI, USA.
Haythem AliHenry Ford Hospital/Josephine Ford Cancer Institute, Detroit, MI, USA.
Ira WollnerHenry Ford Hospital/Josephine Ford Cancer Institute, Detroit, MI, USA.
Louis A PennerWayne State University/Karmanos Cancer Institute, 4100 John R, Detroit, MI, USA.

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI Julie Lynn Boerner · 1985 to 2026
$68.4M
Southeast Michigan Community Network ProgramU54CA153606 · NCI · WAYNE STATE UNIVERSITY · PI ALBRECHT, TERRANCE L · 2010 to 2015
$4.2M
NCI NIH HHS P30 CA022453NCI NIH HHS U54 CA153606
6 · The paper itself

Abstract

objectiveCommunication during racially-discordant interactions is often of poor quality and may contribute to racial treatment disparities. We evaluated an intervention designed to increase patient active participation and other communication-related outcomes during interactions between Black patients and non-Black oncologists.

methodsParticipants were 18 non-Black medical oncologists and 114 Black patients at two cancer hospitals in Detroit, Michigan, USA. Before a clinic visit to discuss treatment, patients were randomly assigned to usual care or to one of two question prompt list (QPL) formats: booklet (QPL-Only), or booklet and communication coach (QPL-plus-Coach). Patient-oncologist interactions were video recorded. Patients reported perceptions of the intervention, oncologist communication, role in treatment decisions, and trust in the oncologist. Observers assessed interaction length, patient active participation, and oncologist communication.

resultsThe intervention was viewed positively and did not increase interaction length. The QPL-only format increased patient active participation; the QPL-plus-Coach format decreased patient perceptions of oncologist communication. No other significant effects were found.

conclusionThis QPL booklet is acceptable and increases patient active participation in racially-discordant oncology interactions. Future research should investigate whether adding physician-focused interventions might improve other outcomes. PRACTICE IMPLICATIONS: This QPL booklet is acceptable and can improve patient active participation in racially-discordant oncology interactions.

Indexed as

CommunicationPamphletsPatient ParticipationPhysician-Patient RelationsAdultAgedFemaleHealthcare DisparitiesHumansMaleMichiganMiddle AgedNeoplasmsOncologistsPatient Acceptance of Health CareSurveys and QuestionnairesHealth disparitiesOncologyPatient-physician communication

Identifiers

PMID28073615
PMCPMC5400698

What OpenQuestion holds

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Read underepoch 390

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.