ArticlePsycho-oncology2018
Determinants of patient activation in a community sample of breast and prostate cancer survivors.
Article in Psycho-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- A Tailored Electronic Survivorship Care Plan for Prostate Cancer Survivors: A Multicenter Randomized Controlled Trial.The Journal of urology · 2025Trial
- Trial
- Factors influencing patient activation among patients with cancer: A scoping review.Asia-Pacific journal of oncology nursing · 2026Review
- Survivorship preparedness and activation among survivors of lymphoma.Journal of cancer survivorship : research and practice · 2026Article
- Barriers and facilitators of patient activation among older adults with cancer in China: a descriptive qualitative study based on ecological systems theory.Frontiers in public health · 2026Article
- Activation and Preparedness for Survivorship Care Among Survivors of Oral and Oropharyngeal Cancers.Head & neck · 2025Article
- At-home Breast Oncology care Delivered with EHealth solutions (ABODE) study protocol: a randomised controlled trial.BMJ open · 2025Article
- The role of patient activation in mediating the effects of health literacy level on quality of life among patients with gastrointestinal cancers.Scientific reports · 2025Article
- A Systematic Review of the Reliability and Validity of the Patient Activation Measure Tool.Healthcare (Basel, Switzerland) · 2024Review
- Disparities in Patient Portal Use Among Adults With Chronic Conditions.JAMA network open · 2024Article
- Confusion and anxiety in between abnormal cervical cancer screening results and colposcopy: "The land of the unknown".Patient education and counseling · 2023Article
- Self-advocacy Behaviors and Needs in Women with Advanced Cancer: Assessment and Differences by Patient Characteristics.International journal of behavioral medicine · 2023Article
- Evaluating the relationship between patient activation and health-related quality of life (HRQOL) in patients with pancreatic cancer (PwPC).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- A rural-urban comparison of self-management in people living with cancer following primary treatment: A mixed methods study.Psycho-oncology · 2022Article
- Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers' involvement.Journal of cancer survivorship : research and practice · 2022Article
- User-Centered Development and Patient Acceptability Testing of a Health-Coaching Intervention to Enhance Cancer Survivorship Follow-up in Primary Care.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022Article
- The Brave Patient after 80-Satisfaction with Visit and Individual Determinants of Proactive Patient Attitude among the Oldest General Practice Users.International journal of environmental research and public health · 2022Article
- "I pretty much followed the law, and there weren't any decisions to make": A qualitative study of self-advocacy experiences of men with cancer.Nursing & health sciences · 2022Article
- Patients-centered SurvivorShIp care plan after Cancer treatments based on Big Data and Artificial Intelligence technologies (PERSIST): a multicenter study protocol to evaluate efficacy of digital tools supporting cancer survivors.BMC medical informatics and decision making · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundPatient activation-the knowledge, skills, and confidence to manage one's health-is associated with improved self-management behaviors for several chronic conditions. This study assesses rates of patient activation in breast and prostate cancer survivors and explores the characteristics associated with patient activation.
methodsA cross-sectional study of survivors with localized (Stage I or II) breast and prostate cancers who were post-treatment (between 1-10+ years) were recruited from 4 community hospital sites in New Jersey. Survey data on patient characteristics (demographic and psychosocial) and clinical factors were assessed to explore the relationships with patient activation using the Patient Activation Measure-13.
resultsAmong 325 survivors (112 prostate; 213 breast), overall patient activation was high (M = 3.25). Activation was significantly lower among prostate survivors when compared with breast cancer survivors (M = 3.25 [SD, 0.38] vs M = 3.34 [SD, 0.37], P<.05). For prostate survivors, race (P < .05), marital status (P < .001), employment status (P < .01), household income (P < .05), and fear of recurrence (P < .01) were significantly associated with patient activation. For both groups, ease of access to oncology team and primary care physicians (PCPs) (all P values < .001) and perceptions of time spent with oncologists' team and PCPs (all P values < .01) were positive predictors of activation.
conclusionsIn both breast and prostate survivors, access to providers (both PCPs and oncologists) and perception that adequate time spent with providers were associated with activation. Therefore, clinical interventions maybe a promising avenue to improve patient activation. Research is needed to develop and test tailored patient activation interventions to improve self-management among cancer survivors.
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