Evidence map›Paper›PMID 29704618›Full record

Trial reportJournal of pain and symptom management2018

Themes Addressed by Couples With Advanced Cancer During a Communication Skills Training Intervention.

Laura S Porter, Laura Fish, Karen Steinhauser

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  4. Review
  5. 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

3 authors at 2 institutions in 1 country.

Laura S PorterDuke University Medical Center. Electronic address: laura.porter@duke.edu.
Laura FishDuke University Medical Center.
Karen SteinhauserDuke University Medical Center; Durham VA Medical Center, Durham, North Carolina, USA.
Duke Medical Center · USDuke University · US

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI Laura Fish · 1985 to 2026
$174.8M
Couple Communication in Cancer: A Multi-Method Examination - Renewal - 1R01CA201179 · NCI · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI Shelby Langer, LAURA S PORTER · 2016 to 2026
$7.2M
Caregiver-Guided Pain Management Training in Palliative CareR01NR015348 · NINR · DUKE UNIVERSITY · PI KEEFE, FRANCIS J., PORTER, LAURA S · 2014 to 2017
$2.0M
NCI NIH HHS P30 CA014236NCI NIH HHS R01 CA201179NINR NIH HHS R01 NR015348
6 · The paper itself

Abstract

contextCouple-based communication interventions have beneficial effects for patients with cancer and their partners. However, few studies have targeted patients with advanced stages of disease, and little is known about how best to assist couples in discussing issues related to life-limiting illness.

objectivesThe purpose of the present study was to identify themes addressed by couples during a Couples Communication Skills Training intervention and the frequency with which they discussed issues related to end of life.

methodsContent analyses were conducted on recordings of 72 sessions from 12 couples facing advanced gastrointestinal cancer. Coding was based on six themes identified a priori from the framework for understanding what patients and family value at end of life. The percent of couples addressing each theme was calculated to gauge level of importance and acceptability of these topics.

resultsThe majority of couples addressed topics previously identified as salient at end of life, including clear decision making, affirmation of the whole person, pain and symptom management, contributing to others, and preparation for death. In addition, novel aspects to these themes emerged in the context of couples' conversations, illustrating the importance of the couple relationship in adjusting to life with a life-limiting illness and anticipating the transition to end of life.

conclusionFindings suggest that couples likely would be receptive to an intervention that combines training in communication skills with guidance in focusing on issues related to life completion to assist with transitions at end of life. Such interventions might enhance both individuals' abilities to cope with illness-related symptoms and demands, enjoy the time they have together, and derive meaning from the experience.

Indexed as

CommunicationEmotionsInterpersonal RelationsAdaptation, PsychologicalAdultAgedFemaleGastrointestinal NeoplasmsHumansMaleMiddle AgedSocial SupportSpousesStress, PsychologicalcancercommunicationCouplesend of life

Identifiers

PMID29704618
PMCPMC6082423
OpenAlexW2802691565

What OpenQuestion holds

Textmetadata
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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.