Evidence map›Paper›PMID 28359659›Full record

ArticlePatient education and counseling2017

A stakeholder-driven approach to improve the informed consent process for palliative chemotherapy.

Andrea C Enzinger, Jennifer K Wind, Elizabeth Frank, Nadine J McCleary, Laura Porter, Heather Cushing, Caroline Abbott, Christine Cronin, Peter C Enzinger, Neal J Meropol and 1 more

Open access · greenAbstract read
In one paragraph

Article 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 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Adaptation of a Multimedia Chemotherapy Educational Intervention for Latinos: Letting Patient Narratives Speak for Themselves.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. The Importance of Patient Engagement to Improve Healthcare Research and Safety.Global journal on quality and safety in healthcare · 2022
    Article
  10. Article
  11. Article
  12. 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

11 authors at 4 institutions in 1 country.

Andrea C EnzingerMcGraw Patterson Center for Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA; Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA. Electronic address: andrea_enzinger@dfci.harvard.edu.
Jennifer K WindMcGraw Patterson Center for Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.
Elizabeth FrankSusan F. Smith Center for Women's Cancers, Dana-Farber Cancer Institute, Boston, MA, USA.
Nadine J McClearyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Laura PorterColon Cancer Alliance, Washington, DC, USA.
Heather CushingDepartment of Nursing, Dana-Farber Cancer Institute, Boston, MA, USA.
Caroline AbbottDepartment of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA.
Christine CroninMcGraw Patterson Center for Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.
Peter C EnzingerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Neal J MeropolDivision of Hematology and Oncology, University Hospitals Case Medical Center, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA.
Deborah SchragMcGraw Patterson Center for Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA; Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Dana-Farber Cancer Institute · USBreast Cancer Alliance · USUniversity Hospitals Cleveland Medical Center · USUniversity of Delaware · US

Funding

Collaborations and NCORP Collective ManagementUG1CA189823 · NCI · MAYO CLINIC ROCHESTER · PI Evanthia Galanis, Olwen Hahn · 2014 to 2026
$120.6M
Video Informed Consent Tools to Improve Care for Patients With Advanced Pancreatic CancerK07CA204201 · NCI · DANA-FARBER CANCER INST · PI ENZINGER, ANDREA C · 2016 to 2020
$878k
NCI NIH HHS K07 CA204201NCI NIH HHS UG1 CA189823
6 · The paper itself

Abstract

objectivePatients often anticipate cure from palliative chemotherapy. Better resources are needed to convey its risks and benefits. We describe the stakeholder-driven development and acceptability testing of a prototype video and companion booklet supporting informed consent (IC) for a common palliative chemotherapy regimen.

methodsOur multidisciplinary team (researchers, advocates, clinicians) employed a multistep process of content development, production, critical evaluation, and iterative revisions. Patient/clinician stakeholders were engaged throughout using stakeholder advisory panels, featuring their voices within the intervention, conducting surveys and qualitative interviews. A national panel of 57 patient advocates, and 25 oncologists from nine US practices critiqued the intervention and rated its clarity, accuracy, balance, tone, and utility. Participants also reported satisfaction with existing chemotherapy IC materials.

resultsFew oncologists (5/25, 20%) or advocates (10/22, 45%) were satisfied with existing IC materials. In contrast, most rated our intervention highly, with 89-96% agreeing it would be useful and promote informed decisions. Patient voices were considered a key strength. Every oncologist indicated they would use the intervention regularly.

conclusionOur intervention was acceptable to advocates and oncologists. A randomized trial is evaluating its impact on the chemotherapy IC process. PRACTICE IMPLICATIONS: Stakeholder-driven methods can be valuable for developing patient educational interventions.

Indexed as

Informed ConsentPalliative CarePatient Education as TopicPatient ParticipationQuality ImprovementAdultAgedFemaleHumansMaleMiddle AgedNeoplasmsPamphletsPrognosisVideo RecordingCancer chemotherapyInformed consentPalliative carePatient-centered communicationPrognosis communicationVideo intervention

Identifiers

PMID28359659
PMCPMC5492511
OpenAlexW2598753262

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.