Evidence map›Paper›PMID 28078502›Full record

ArticleJournal of behavioral medicine2017

Engagement in health-promoting behaviors and patient-caregiver interdependence in dyads facing advanced cancer: an exploratory study.

Katrina R Ellis, Mary R Janevic, Trace Kershaw, Cleopatra H Caldwell, Nancy K Janz, Laurel Northouse

Open access · greenAbstract read
In one paragraph

Article in Journal of behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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.

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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Emotional distress in neuro-ICU survivor-caregiver dyads: The recovering together randomized clinical trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Trial
  3. Article
  4. Article
  5. Perspectives on exercise among individuals with metastatic bone disease and multiple myeloma: a qualitative interview study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Association between stigma and quality of life among chronic refractory wounds patients and informal caregivers: an actor-partner interdependence model analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Positive Psychology Approaches to Interventions for Cancer Dyads: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

6 authors at 3 institutions in 2 countries.

Katrina R EllisGillings School of Global Public Health, University of North Carolina, 302C Rosenau Hall, CB 7440, Chapel Hill, NC, 27559, USA. katrina.ellis@unc.edu.ORCID http://orcid.org/0000-0003-1709-3912
Mary R JanevicSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Trace KershawYale School of Public Health, New Haven, CT, USA.
Cleopatra H CaldwellSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Nancy K JanzSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Laurel NorthouseSchool of Nursing, University of Michigan, Ann Arbor, MI, USA.
University of Michigan · USUniversity of North Carolina at Chapel Hill · USYale University · US

Funding

Cancer Health Disparities Training ProgramT32CA128582 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SMITH, JENNIFER SUSAN, TATE, DEBORAH F. · 2009 to 2023
$3.4M
Outcomes of Triaged Family Care in Advanced CancerR01CA107383 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NORTHOUSE, LAUREL L. · 2004 to 2008
$2.6M
NCI NIH HHS R01 CA107383NCI NIH HHS T32 CA128582NIMHD NIH HHS L60 MD011052
6 · The paper itself

Abstract

Diet and exercise are important for the wellbeing of people with cancer and their family caregivers. Unfortunately, little is known about their behaviors over time or factors that may influence their engagement in these behaviors. This exploratory study examined the influence of chronic conditions, symptom distress, and perceived social support on exercise and diet behaviors of patients with advanced cancer and their caregivers using the actor-partner interdependence mediation model (APIMeM) and interdependence theory as guiding frameworks. This secondary analysis uses self-report data from a large RCT (N = 484 patient-caregiver dyads) at three time points: baseline data was collected within three months of the diagnosis, at 3 months post-baseline, and 6 months post-baseline. A number of actor effects were observed: patient and caregiver prior exercise and diet were significant predictors of their own future exercise and diet behaviors; more patient-reported social support was associated with less patient exercise; more patient symptom distress was associated with poorer patient diet; and, more caregiver-reported social support was associated with more caregiver exercise and better caregiver diet. Partner effects were also observed: more patient exercise was positively associated with more caregiver exercise; more patient comorbidities were associated with better caregiver diet; more caregiver-reported social support was associated with better patient diet; and, more patient-reported social support was associated with better caregiver diet. Despite the challenges of advanced cancer and caregiving, past exercise and diet behavior remained a significant predictor of future behavior. Other health problems and perceptions of social support within the dyad may exert a positive or negative influence on patient/caregiver diet and exercise.

Indexed as

Interpersonal RelationsAdolescentAdultAgedAged, 80 and overCaregiversDietExerciseFemaleHealth BehaviorHumansMaleMiddle AgedNeoplasmsSelf ReportSocial SupportAdvanced cancerAPIMCaregivingDietDyadExerciseHealth behavior

Identifiers

PMID28078502
PMCPMC7286313
OpenAlexW2574394740

What OpenQuestion holds

Textmetadata
LicenceTDM
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.