Evidence map›Paper›PMID 32474862›Full record

ArticleJournal of cancer survivorship : research and practice2020

A structural equation modeling approach to understanding pathways linking survivorship care plans to survivor-level outcomes.

Jessica D Austin, Marlyn Allicock, Folefac Atem, Simon Craddock Lee, Maria E Fernandez, Bijal A Balasubramanian

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Jessica D AustinDepartment of Health Promotion and Behavioral Science, The University of Texas Health Science Center (UTHealth) School of Public Health, Dallas, TX, USA. ja3468@cumc.columbia.edu.ORCID 0000-0001-8286-7801
Marlyn AllicockDepartment of Health Promotion and Behavioral Science, The University of Texas Health Science Center (UTHealth) School of Public Health, Dallas, TX, USA.
Folefac AtemDepartment of Biostatistics and Data Science, UTHealth School of Public Health, Dallas, TX, USA.
Simon Craddock LeeHarold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Maria E FernandezDepartment of Health Promotion and Behavioral Science, The University of Texas Health Science Center (UTHealth) School of Public Health, Dallas, TX, USA.
Bijal A BalasubramanianHarold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
University of Texas Health Science Center at Dallas · USThe University of Texas Southwestern Medical Center · US

Funding

Cancer Prevention and Control Research Training and Career Development ProgramT32CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Bijal A. Balasubramanian, Maria Eulalia Fernandez · 2018 to 2026
$3.2M
NCI NIH HHS T32 CA057712
6 · The paper itself

Abstract

purposeSeveral high-profile organizations have mandated the delivery of survivorship care plans (SCPs) despite mixed evidence regarding the effectiveness of SCPs on key survivor-level outcomes. There is a need to understand the types of survivor-level outcomes the SCPs are likely to change. Informed by existing frameworks and the literature, the objective of this study was to understand the pathways linking the receipt of a SCP to key survivor-level outcomes including patient-centered communication (PCC), health self-efficacy, changes in health behaviors, and improvements in overall health.

methodsWe used structural equation modeling to test the direct and indirect pathways linking the receipt of an SCP to patient-centered communication (PCC), health self-efficacy, and latent measures of health behaviors and physical health in a nationally representative sample of breast and colorectal cancer survivors from the Health Information National Trends Survey.

resultsThe receipt of an SCP did not have a significant effect on key survivor-level outcomes and was removed from the final structural model. The final structural model fit the data adequately well (Chi-square p value = 0.03, RMSEA = 0.07, CFI = .88, and WRMR = 0.73). PCC had a significant direct effect on physical health but not on health behaviors. Health self-efficacy had a significant direct effect on physical health and health behaviors.

conclusionThe receipt of an SCP alone is unlikely to facilitate changes in PCC, health self-efficacy, health behaviors, or physical health. IMPLICATION FOR CANCER SURVIVORS: A SCP is a single component of a larger model of survivorship care and should be accompanied by ongoing efforts that promote PCC, health self-efficacy, and changes in health behaviors resulting in improvements to physical health.

Indexed as

CommunicationModels, StatisticalSurvivorshipAdolescentAdultAgedCancer SurvivorsContinuity of Patient CareCross-Sectional StudiesFemaleHealth BehaviorHumansLatent Class AnalysisMiddle AgedNeoplasmsPatient Care PlanningCancer survivorsPatient care planningPatient-provider communicationPatient relevant outcomeStructural equation modeling

Identifiers

PMID32474862
PMCPMC7577951
OpenAlexW3029966530

What OpenQuestion holds

Textmetadata
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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.