ArticleJournal of pain and symptom management2020
Development and Validation of the Palliative Care Attitudes Scale (PCAS-9): A Measure of Patient Attitudes Toward Palliative Care.
Article in Journal of pain and symptom management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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.
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
20 citing papers in PubMed.
- Impact of a psychoeducational intervention to improve caregiver knowledge and attitudes toward palliative cancer care.Patient education and counseling · 2025Trial
- Increasing Readiness for Early Integrated Palliative Oncology Care: Development and Initial Evaluation of the EMPOWER 2 Intervention.Journal of pain and symptom management · 2021Trial
- Factors influencing palliative care decision-making participation among elderly patients in the terminal stage: a cross-sectional study.BMC palliative care · 2026Article
- Predictors of knowledge and attitudes toward palliative care among patients with cancer: a cross-sectional study.Scientific reports · 2026Article
- Gender Differences in Palliative Care Experience and Quality Perceptions Among Cancer Patients in Saudi Arabia: Implications for Nursing Practice.Current oncology (Toronto, Ont.) · 2026Article
- Economic Disparities in Palliative Care Utilization Among Cancer Patients in Saudi Arabia: A Socioeconomic Stratification Analysis.Current oncology (Toronto, Ont.) · 2026Article
- Article
- Palliative Care in Shanghai Communities: Needs, Influencing Factors and Preferences Among Older Adults with Chronic Diseases.Healthcare (Basel, Switzerland) · 2025Article
- Exploring nurses' knowledge, attitudes, and competence in holistic palliative care management in Papua New Guinea: a mixed-methods study.BMC health services research · 2025Article
- Attitudes toward palliative care among cancer patients: a multi-method study.Frontiers in public health · 2025Article
- Application of Terror Management Theory to End-Of-Life Care Decision-Making: A Narrative Literature Review.Omega · 2024Review
- Clinician perspectives on delivering primary and specialty palliative care in community oncology practices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Financial burden and physical and emotional quality of life in COPD, heart failure, and kidney failure.PloS one · 2024Article
- Palliative and Supportive Care for Patients with End-Stage Hepatocellular Carcinoma: Perspectives of Egyptian Domestic Caregivers.Asian Pacific journal of cancer prevention : APJCP · 2023Article
- Translation and psychometric validation of the Persian version of palliative care attitudes scale in cancer patients.BMC palliative care · 2023Article
- "It doesn't really apply to what I'm going through": a mixed-methods study of barriers to palliative care among patients with advanced ovarian cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Emotional distress predicts palliative cancer care attitudes: The unique role of anger.Psycho-oncology · 2023Article
- Palliative care use and utilization determinants among patients treated for advanced stage lung cancer care in the community and academic medical setting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Fear of Palliative Care: Roles of Age and Depression Severity.Journal of palliative medicine · 2022Article
- Supportive and Palliative Care Indicators Tool prognostic value in older hospitalised patients: a prospective multicentre study.BMJ supportive & palliative care · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
contextPalliative Care is underutilized, and research has neglected patient-level factors including attitudes that could contribute to avoidance or acceptance of Palliative Care referrals. This may be due in part to a lack of existing measures for this purpose.
objectivesThe objective of this study was to develop and validate a nine-item scale measuring patient attitudes toward Palliative Care, comprised of three subscales spanning emotional, cognitive, and behavioral factors.
methodsData were collected online in three separate waves, targeting individuals with cancer (Sample 1: N = 633; Sample 2: N = 462) or noncancer serious illnesses (Sample 3: N = 225). Participants were recruited using ResearchMatch.org and postings on the web sites, social media pages, and listservs of international health organizations.
resultsInternal consistency was acceptable for the total scale (α = 0.84) and subscales: emotional (α = 0.84), cognitive (αs = 0.70), and behavioral (α = 0.90). The PCAS-9 was significantly associated with a separate measure of Palliative Care attitudes (ps < 0.001) and a measure of Palliative Care knowledge (ps < 0.004), supporting its construct validity in samples of cancer and noncancer serious illnesses. The scale's psychometric properties, including internal consistency and factor structure, generalized across patient subgroups based on diagnosis, other health characteristics, and demographics.
conclusionFindings support the overall reliability, validity, and generalizability of the PCAS-9 in serious illness samples and have implications for increasing Palliative Care utilization via clinical care and future research efforts.
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