Evidence map›Paper›PMID 34510365›Full record

ArticleJournal of cancer survivorship : research and practice2022

Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers' involvement.

Chiara Acquati, Judith H Hibbard, Ellen Miller-Sonet, Anao Zhang, Elena Ionescu

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Article in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Review
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  5. Coping with primary brain tumors together: a scoping review of dyadic psychosocial interventions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Survivorship preparedness and activation among survivors of lymphoma.Journal of cancer survivorship : research and practice · 2026
    Article
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  8. A latent profile analysis of patient activation in postoperative breast cancer patients: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  9. The caregiver clinical communication process model: advancing the model to support spousal cancer caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

5 authors.

Chiara AcquatiGraduate College of Social Work, University of Houston, 3511 Cullen Blvd Room 110HA, Houston, TX, 77204-4013, USA. cacquati@central.uh.edu.ORCID 0000-0002-6232-5834
Judith H HibbardHealth Policy Research Group, University of Oregon, Eugene, OR, 97403-1209, USA.ORCID 0000-0002-8376-8343
Ellen Miller-SonetCancerCare, 275 Seventh Ave, NY, 10001, New York, USA.
Anao ZhangSchool of Social Work, University of Michigan, 1080 S. University Ave, Ann Arbor, MI, 48109, USA.ORCID 0000-0002-3199-1113
Elena IonescuGraduate College of Social Work, University of Houston, 3511 Cullen Blvd, Room 333, Houston, TX, 77204-4013, USA.ORCID 0000-0003-4595-2171

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe present work investigated the relationship between patient activation, treatment decision-making, and adherence to the prescribed treatment regimen. Given the role of informal caregivers in patient-reported outcomes, it was additionally assessed whether caregiver involvement acted as a moderator of this relationship.

methodsSurvey data collected from 504 cancer survivors were utilized. Structural equation modeling (SEM) controlling for covariates was used to examine the relationship between patient activation measure (PAM), caregiver involvement, and the identified outcomes. Moderator analysis was conducted using multiple group SEM.

resultsPatient activation was significantly associated with treatment planning being reflective of survivors' goals and values (p < 0.001); adherence to treatment (p = 0.011); and satisfaction (p < 0.001). Caregiver's involvement significantly moderated the association between activation and adherence to treatment.

conclusionsPatient activation was positively associated with all three selected outcomes. However, for cancer survivors reporting low rates of caregiver's involvement, patient activation was not associated with treatment adherence. Research is needed to test and deliver self-management interventions inclusive of informal caregivers. IMPLICATIONS FOR CANCER SURVIVORS: Findings supported the need not only to monitor and sustain patient activation across the cancer continuum, but also to assume a dyadic perspective when designing self-management interventions in cancer survivorship.

Indexed as

CaregiversNeoplasmsHumansPatient ParticipationQuality of LifeSurveys and QuestionnairesCancer careCaregivingPatient activationSatisfaction with careTreatment adherenceTreatment planning

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Registered trials

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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.