Evidence map›Paper›PMID 28935442›Full record

ArticlePatient education and counseling2018

What are patient navigators doing, for whom, and where? A national survey evaluating the types of services provided by patient navigators.

Kristen J Wells, Patricia Valverde, Amy E Ustjanauskas, Elizabeth A Calhoun, Betsy C Risendal

Open access · bronzeAbstract read
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Effects of patient navigation on satisfaction with cancer care: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Pooled it
  3. Addressing a critical need for caregiver support in neuro-oncology: development of a caregiver navigation intervention using eSNAP social resource visualization.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Trial
  4. Trial
  5. Trial
  6. Faith, Culture, and Cancer: A Qualitative Study Exploring Muslim Women's Perspectives on Clinical Trials in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  7. Article
  8. Article
  9. Self-advocacy training within a peer navigation model in advanced cancer: a pilot study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. "Float[ing] in the Middle" Nurse Navigators and the Interface of Access to Care.International journal of environmental research and public health · 2025
    Article
  14. Article
  15. Exploring the Role of Peer Health Navigators in the Australian Health System: A Qualitative Interview Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

5 authors at 3 institutions in 1 country.

Kristen J WellsDepartment of Psychology, San Diego State University, San Diego, USA; University of California, San Diego Moores Cancer Center, La Jolla, USA. Electronic address: kwells@mail.sdsu.edu.
Patricia ValverdeDepartment of Community and Behavioral Health, Colorado School of Public Health, Aurora, USA.
Amy E UstjanauskasSan Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, USA.
Elizabeth A CalhounDepartment of Public Health Policy and Management, University of Arizona Health Sciences, Tucson, USA.
Betsy C RisendalDepartment of Community and Behavioral Health, Colorado School of Public Health, Aurora, USA.
Colorado School of Public Health · USUniversity of California, San Diego · USUniversity of Arizona · US

Funding

Improving Patient Outcomes Through System NavigationU01CA116903 · NCI · DENVER HEALTH AND HOSPITAL AUTHORITY · PI RAICH, PETER CHRISTIAN · 2005 to 2011
$3.8M
NCI NIH HHS U01 CA116903
6 · The paper itself

Abstract

objectiveA nationwide cross-sectional study was conducted to assess patient navigator, patient population, and work setting characteristics associated with performance of various patient navigation (PN) tasks.

methodsUsing respondent-driven sampling, 819 navigators completed a survey assessing frequency of providing 83 PN services, along with information about themselves, populations they serve, and setting in which they worked. Analyses of variance and Pearson correlations were conducted to determine differences and associations in frequency of PN services provided by various patient, navigator, and work setting characteristics.

resultsNurse navigators and navigators with lower education provide basic navigation; social workers typically made arrangements and referrals; and individuals with higher education, social workers, and nurses provide treatment support and clinical trials/peer support. Treatment support and clinical trials/peer support are provided to individuals with private insurance. Basic navigation, arrangements and referrals, and care coordination are provided to individuals with Medicaid or no insurance.

conclusionProviding basic navigation is a core competency for patient navigators. There may be two different specialties of PN, one which seeks to reduce health disparities and a second which focuses on treatment and emotional support. PRACTICE IMPLICATIONS: The selection and training of patient navigators should reflect the specialization required for a position.

Indexed as

Patient NavigationCross-Sectional StudiesFemaleHealthcare DisparitiesHumansPatient AdvocacySurveys and QuestionnairesCore competenciesPatient navigationPatient navigatorSpecialty competenciesTraining

Identifiers

PMID28935442
PMCPMC5808907
OpenAlexW2753275557

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.