Evidence map›Paper›PMID 33579966›Full record

ArticleNPJ breast cancer2021

A randomized intervention involving family to improve communication in breast cancer care.

Jennifer L Wolff, Jennifer Aufill, Diane Echavarria, Amanda L Blackford, Roisin M Connolly, John H Fetting, Danijela Jelovac, Katie Papathakis, Carol Riley, Vered Stearns and 6 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in NPJ breast cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03283553 (Involving Family to Improve Communication in Breast Cancer Care), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 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.

NCT03283553 nacompletednot on this map

Involving Family to Improve Communication in Breast Cancer Care

TypeinterventionalSponsorSidney Kimmel Comprehensive Cancer Center at Johns HopkinsRan2017 to 2019Enrolled132ConditionsActive Breast Cancer TreatmentArmsChecklist, MyChart, OpenNotes, Usual Care
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. "The communication I had with him back then is still stuck in my mind." Bereaved families of cancer patients' experiences for end-of-life communication.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

16 authors.

Jennifer L WolffRoger C. Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. jwolff2@jhu.edu.
Jennifer AufillRoger C. Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Diane EchavarriaRoger C. Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Amanda L BlackfordThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Roisin M ConnollyThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
John H FettingThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Danijela JelovacThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Katie PapathakisThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Carol RileyThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Vered StearnsThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Nelli ZafmanThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Elissa ThornerThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Howard P LevyThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0001-7962-1122
Amy GuoRoger C. Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Sydney M DyRoger C. Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Antonio C WolffThe Johns Hopkins University School of Medicine, Baltimore, MD, USA. awolff@jhmi.edu.ORCID http://orcid.org/0000-0003-3734-1063

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI ALAN KEITH MEEKER · 1985 to 2026
$208.6M
Involving Family to Improve Primary Care Visits for Cognitively Impaired PatientsR21AG049967 · NIA · JOHNS HOPKINS UNIVERSITY · PI WOLFF, JENNIFER L. · 2015 to 2016
$446k
NCI NIH HHS P30 CA006973NIA NIH HHS R21 AG049967Susan G. Komen (Susan G. Komen Breast Cancer Foundation) SAC170001U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30CA006973U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) 5R21AG049967
6 · The paper itself

Abstract

We examined the effects of a communication intervention to engage family care partners on patient portal (MyChart) use, illness understanding, satisfaction with cancer care, and symptoms of anxiety in a single-blind randomized trial of patients in treatment for breast cancer. Patient-family dyads were recruited and randomly assigned a self-administered checklist to clarify the care partner role, establish a shared visit agenda, and facilitate MyChart access (n = 63) or usual care (n = 55). Interviews administered at baseline, 3, 9 (primary endpoint), and 12 months assessed anxiety (GAD-2), mean FAMCARE satisfaction, and complete illness understanding (4 of 4 items correct). Time-stamped electronic interactions measured MyChart use. By 9 months, more intervention than control care partners registered for MyChart (77.8 % vs 1.8%; p < 0.001) and logged into the patient's account (61.2% vs 0% of those registered; p < 0.001), but few sent messages to clinicians (6.1% vs 0%; p = 0.247). More intervention than control patients viewed clinical notes (60.3% vs 32.7%; p = 0.003). No pre-post group differences in patient or care partner symptoms of anxiety, satisfaction, or complete illness understanding were found. Intervention patients whose care partners logged into MyChart were more likely to have complete illness understanding at 9 months (changed 70.0% to 80.0% vs 69.7% to 54.6%; p = 0.03); symptoms of anxiety were numerically lower (16.7% to 6.7% vs 15.2% to 15.2%; p = 0.24) and satisfaction numerically higher (15.8-16.2 vs 18.0-17.4; p = 0.25). A brief, scalable communication intervention led to greater care partner MyChart use and increased illness understanding among patients with more engaged care partners (NCT03283553).

Identifiers

PMID33579966
PMCPMC7881185

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Registered trials

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.