Evidence map›Paper›PMID 29982747›Full record

Trial reportTranslational behavioral medicine2018

Examining the impact of a multimedia intervention on treatment decision-making among newly diagnosed prostate cancer patients: results from a nationwide RCT.

Michael A Diefenbach, Catherine Benedict, Suzanne M Miller, Annette L Stanton, Mary E Ropka, Kuang-Yi Wen, Linda G Fleisher, Nihal E Mohamed, Simon J Hall

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational behavioral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
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  4. Addressing Health Literacy in Patient Decision Aids: An Update from the International Patient Decision Aid Standards.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Pooled it
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  7. Predictors of initial engagement with an asynchronous cognitive behavioral stress management website among older women with nonmetastatic breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

9 authors.

Michael A DiefenbachDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY.
Catherine BenedictDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY.
Suzanne M MillerCancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA.
Annette L StantonDepartments of Psychology and Psychiatry/Biobehavioral Sciences, University of California, Los Angeles (UCLA), Los Angeles, CA.
Mary E RopkaPublic Health Sciences, University of Virginia School of Medicine, Charlottesville, VA.
Kuang-Yi WenCancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA.
Linda G FleisherDepartment of Biomedical and Health Informatics, The Center for Injury Research and Prevention, Office of Digital Health, Philadelphia, PA.
Nihal E MohamedDepartment of Urology, Mount Sinai School of Medicine, New York, NY.
Simon J HallThe Arthur Smith Institute for Urology, Northwell Health, New York, NY.

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Dietmar J Kappes · 1985 to 2026
$138.8M
USING TAILORED MESSAGE TO INCREASE COLORECTAL SCREENINGP01CA057586 · NCI · UNIVERSITY OF COLORADO DENVER · PI MARCUS, ALFRED C · 1993 to 2010
$10.5M
RCT of an Online Multimedia Program to Boost Coping & Function for Pca SurvivorsR01CA158019 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI MILLER, SUZANNE M · 2011 to 2015
$3.5M
Novel Approach to Facilitate Decisions in Patients w/ Muscle Invasive Bladder CAR21CA176551 · NCI · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI DIEFENBACH, MICHAEL A, GALSKY, MATTHEW · 2015 to 2016
$450k
NCI NIH HHS P01 CA057586NCI NIH HHS P30 CA006927NCI NIH HHS R01 CA158019NCI NIH HHS R21 CA176551
6 · The paper itself

Abstract

Men diagnosed with early stage prostate cancer face multiple treatment options, each with distinctive side effects that have significant implications for post-treatment quality of life. Healing Choices for Men with Prostate Cancer is a multimedia educational and decision aid program. This nation-wide randomized controlled trial evaluated the impact of Healing Choices on reducing decisional conflict and distress. Eligible prostate cancer patients who called the National Cancer Institute's Cancer Information Service (CIS) were invited to participate. After a baseline interview, participants were randomized to usual personalized consultation with a CIS specialist (comparison condition) or CIS personalized consultation plus the Healing Choices program (intervention condition). The Decision Conflict Scale and Impact of Event Scale assessed decisional conflict about prostate cancer treatment and cancer-related distress, respectively. Analyses evaluated group differences at 2 months postenrollment. Hypothesized moderation of intervention effects by demographic and clinical characteristics were evaluated. The final sample consisted of N = 349 participants (intervention: n = 181; comparison n = 168). Men were on average 64 years old, primarily White, and well educated. The difference in total decisional conflict was not significant (DCS total score; F[1,311] = .99, p = .32). The difference in cancer-related distress at 2 months between the intervention and the comparison groups was not significant (F[1,337] = .01, p = .93). Evaluation of specific decision processes indicated a significant effect on levels of perceived decisional support (intervention, M = 34.8, SD = 15.7; comparison, M = 38.3, SD = 16.1; F[1,337] = 3.74, p = .05). The intervention effect was greatest for nonwhite minority participants (b = -9.65, SE = 4.67) and those with lower educational attainment (b = 3.87, SE = 2.21). This interactive, comprehensive education and decision aid program may be most effective for a subset of prostate cancer patients in need of educational and decisional support.

Indexed as

Decision MakingDecision Support TechniquesMultimediaOutcome Assessment, Health CarePatient PreferenceAgedHumansMaleMiddle AgedPatient Education as TopicProstatic Neoplasms

Identifiers

PMID29982747
PMCPMC6248862

What OpenQuestion holds

Textmetadata
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.