Evidence map›Paper›PMID 33933618›Full record

SynthesisJournal of pain and symptom management2021

The Challenges of Enrollment and Retention: A Systematic Review of Psychosocial Behavioral Interventions for Patients With Cancer and Their Family Caregivers.

Lixin Song, Yousef Qan'ir, Ting Guan, Peiran Guo, Shenmeng Xu, Ahrang Jung, Eno Idiagbonya, Fengyu Song, Erin Elizabeth Kent

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
10.0field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Evaluating the Process of Patient Engagement: Insights from a Mixed-Methods Evaluation of a Cancer Center Patient Advisory Group.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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 at 2 institutions in 1 country.

Lixin SongUniversity of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina, USA; University of North Carolina at Chapel Hill, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA. Electronic address: lsong@unc.edu.
Yousef Qan'irUniversity of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina, USA.
Ting GuanUniversity of North Carolina at Chapel Hill, School of Social Work, Chapel Hill, North Carolina, USA.
Peiran GuoUniversity of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina, USA.
Shenmeng XuUniversity of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina, USA.
Ahrang JungUniversity of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina, USA.
Eno IdiagbonyaUniversity of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina, USA.
Fengyu SongWest Coast University, General Education, Anaheim, California, USA.
Erin Elizabeth KentUniversity of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · USWest Coast University · US

Funding

INTERVENTIONS FOR PREVENTING &MANAGING CHRONIC ILLNESST32NR007091 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Cheryl L Giscombe, Cathi Barbra Propper · 1996 to 2026
$11.8M
Efficacy of a Couple-focused, Tailored, Symptom Self-Management mHealth Intervention for Prostate Cancer Patients and PartnersR01NR016990 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SONG, LIXIN · 2017 to 2021
$2.6M
SCH: INT: AURA - Connecting Audio and Radio Sensing Systems to lmprove Care at HomeR01LM013329 · NLM · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NIRJON, SHAHRIAR, SONG, LIXIN · 2019 to 2022
$1.3M
NINR NIH HHS R01 NR016990NINR NIH HHS T32 NR007091NLM NIH HHS R01 LM013329
6 · The paper itself

Abstract

contextPsychosocial behavioral interventions (PBIs) that target patients with cancer and their caregivers face challenges in participant enrollment and retention.

objectives1) Describe characteristics of the patient-caregiver PBI studies; 2) examine participant enrollment and retention rates; 3) identify factors influencing participant enrollment and retention rates; and 4) explore the strategies to promote enrollment and retention rates.

methodsWe identified randomized controlled trials that tested PBIs among adult patients with cancer and caregivers in five electronic databases. We conducted narrative and quantitative analyses to synthesize our findings.

resultsAmong 55 qualified studies reviewed, most tested the efficacy of PBIs (n = 42) and used two study arms (n = 48). In-person meeting was the most common PBI delivery mode. The primary outcomes included quality of life, physical health, and symptoms. The average of enrollment rates of patient-caregiver dyads was 33% across studies (range 8%-100%; median = 23%). The average retention rate at the end of follow-ups was 69% (range 16%-100%; median = 70%). The number of study arms, recruitment method, type of patient-caregiver relationship, and intervention duration influenced enrollment rates. Study design (efficacy vs. pilot), follow-up duration, mode of delivery, type of relationship, and intervention duration influenced retention rates. Sixteen studies reported retention strategies, including providing money/gift cards upon study completion and/or after follow-up survey, and excluding patients with advanced cancer.

conclusionResearchers need to incorporate effective strategies to optimize enrollment and retention in patient-caregiver PBI trials. Researchers need to report detailed study processes and PBI information to improve research transparency and increase consistency.

Indexed as

CaregiversNeoplasmsAdultBehavior TherapyHumansQuality of LifeRandomized Controlled Trials as TopicSurveys and QuestionnairesClinical trialsEnrollmentFamily caregiverPsychosocial behavioral interventionRetentionSystematic review

Identifiers

PMID33933618
PMCPMC8419067
OpenAlexW3159679063

What OpenQuestion holds

Textmetadata
LicenceTDM
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.