Evidence map›Paper›PMID 35353749›Full record

Trial reportCancer nursing

Integrating Palliative Care Into Self-management of Breast Cancer: A Pilot Randomized Controlled Trial.

Dena Schulman-Green, Sarah Linsky, Sangchoon Jeon, Margaret L Holland, Jennifer Kapo, Leslie Blatt, Catherine Adams, Anees B Chagpar

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Timing, setting, and content of patient education prior to goal setting for cancer survivors: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  2. Article
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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

8 authors at 3 institutions in 1 country.

Dena Schulman-GreenAuthor Affiliations: New York University Rory Meyers College of Nursing (Dr Schulman-Green); Yale School of Nursing (Ms Linsky and Dr Jeon), Yale School of Medicine (Drs Holland and Chagpar), and Smilow Cancer Hospital (Drs Kapo and Chagpar and Ms Blatt), West Haven, Connecticut; and St Peters Hospital, Albany, New York (Dr Adams).
Sarah Linsky
Sangchoon Jeon
Margaret L Holland
Jennifer Kapo
Leslie Blatt
Catherine Adams
Anees B Chagpar
Smilow Cancer Hospital · USAdams State University · USNew York University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Integrating Palliative Care into Self-Management of Breast CancerR21NR014318 · NINR · YALE UNIVERSITY · PI SCHULMAN-GREEN, DENA J · 2014 to 2015
$427k
NCATS NIH HHS UL1 TR001863NINR NIH HHS R21 NR014318
6 · The paper itself

Abstract

backgroundBreast cancer patients may not be well-informed about palliative care, hindering its integration into cancer self-management.

objectiveThe aim of this study was to test Managing Cancer Care: A Personal Guide (MCC-PT), an intervention to improve palliative care literacy and cancer self-management.

methodsThis was a single-blind pilot randomized controlled trial to evaluate the feasibility/acceptability and intervention effects of MCC-PT on palliative care literacy, self-management behaviors/emotions, and moderation by demographic/clinical characteristics. We enrolled 71 stages I to IV breast cancer patients aged at least 21 years, with >6-month prognosis at an academic cancer center. Patients were randomized to MCC-PT (n = 32) versus symptom management education as attention-control (n = 39). At baseline, 1 month, and 3 months, participants completed the Knowledge of Care Options Test (primary outcome), Control Preferences Scale, Goals of Care Form, Medical Communication Competence Scale, Measurement of Transitions in Cancer Scale, Chronic Disease Self-efficacy Scale, Hospital Anxiety and Depression Scale, and the Mishel Uncertainty in Illness Scale.

resultsMean participant age was 51.5 years (range, 28-74 years); 53.5% were racial/ethnic minority patients, and 40.8% had stage III/IV cancer. After adjusting for race/ethnicity, MCC-PT users improved their palliative care literacy with a large effect size (partial η2 = 0.13). Patients at late stage of disease showed increased self-management (partial η2 = 0.05) and reduced anxiety (partial η2 = 0.05) and depression (partial η2 = 0.07) with medium effect sizes.

conclusionsManaging Cancer Care: A Personal Guide is feasible and appears most effective in late-stage cancer. Research is needed to elucidate relationships among cancer stage, race/ethnicity, and self-management outcomes. IMPLICATIONS FOR PRACTICE: Integration of palliative care into cancer care can assist in creation of appropriate self-management plans and improve emotional outcomes.

Indexed as

Breast NeoplasmsHospice and Palliative Care NursingSelf-ManagementAdultAgedFeasibility StudiesFemaleHealth LiteracyHumansMiddle AgedNeoplasm StagingPilot ProjectsSingle-Blind MethodTreatment Outcome

Identifiers

PMID35353749
PMCPMC9519806
OpenAlexW4220837578

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.