Evidence map›Paper›PMID 35794411›Full record

ArticleInternational journal of behavioral medicine2023

Self-advocacy Behaviors and Needs in Women with Advanced Cancer: Assessment and Differences by Patient Characteristics.

Teresa Hagan Thomas, Sarah Taylor, Margaret Rosenzweig, Yael Schenker, Catherine Bender

Abstract read
In one paragraph

Article in International journal of behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Trial
  2. The relationship between self-efficacy and self-advocacy among young and middle-aged Chinese breast cancer patients: the mediating effect of health literacy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Listening to patients: A qualitative study on diagnostic delay, coping strategies and stigma in early-onset colorectal cancer.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
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.

Teresa Hagan ThomasSchool of Nursing, University of Pittsburgh, 3500 Victoria Street Suite 440, Pittsburgh, PA, 15261, USA. t.thomas@pitt.edu.ORCID http://orcid.org/0000-0001-7403-7314
Sarah TaylorUniversity of Pittsburgh Medical Center Magee-Womens Hospital, Pittsburgh, PA, USA.
Margaret RosenzweigPalliative Research Center (PaRC), University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0003-2276-9673
Yael SchenkerPalliative Research Center (PaRC), University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0003-1307-9988
Catherine BenderSchool of Nursing, University of Pittsburgh, 3500 Victoria Street Suite 440, Pittsburgh, PA, 15261, USA.ORCID http://orcid.org/0000-0003-1205-9950

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
Midcareer Investigator Award in Patient-Oriented Research: Yael Schenker, MD, MASK24AG070285 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHENKER, YAEL · 2021 to 2025
$841k
American Cancer Society MSRG-18-051-51National Palliative Care Research Center Career Development AwardNCI NIH HHS P30 CA047904NIA NIH HHS K24 AG070285University of Pittsburgh School of Nursing Center for ResearchUniversity of Pittsburgh School of Nursing Education Pilot/Feasibility Study Program
6 · The paper itself

Abstract

backgroundSelf-advocacy skills allow individuals with cancer to overcome challenges related to their health, care, and well-being. Understanding the self-advocacy behaviors and needs of individuals with cancer is critical to addressing the lack of evidence-based self-advocacy interventions. The aims of this study are to describe (1) self-advocacy behaviors and needs of women with advanced cancer and (2) associations between self-advocacy and sociodemographic, cancer, and patient-reported outcomes.

methodsWe analyzed cross-sectional data from a clinical trial among women within 3 months of a metastatic breast or stage III or IV gynecologic cancer diagnosis. Descriptive and correlational statistics and tests of group difference were calculated for measures of self-advocacy (Female Self-Advocacy in Cancer Survivorship Scale), sociodemographic characteristics, quality of life (FACT-G), symptom burden (M.D. Anderson Symptom Inventory), and mood (Hospital Anxiety and Depression Scale).

resultsParticipants (N = 78) reported self-advocacy behaviors including making decisions based on their priorities, asking questions to their healthcare providers, and comparing their experiences to others' experiences. Self-advocacy needs focused on finding health information and talking with healthcare providers. Self-advocacy behaviors and needs did not differ by participants' sociodemographic characteristics or mood. Higher self-advocacy behaviors were associated with higher quality of life (p ≤ .01) and lower symptom severity (p < .05) with a trend for cancer recurrence (p = .05).

conclusionsWomen with advanced cancer report engaging in self-advocacy behaviors and these are associated with higher quality of life and lower symptom burden. Future research should determine if self-advocacy behaviors and needs change over time and how patient characteristics impact self-advocacy behaviors and needs.

Indexed as

Cancer SurvivorsNeoplasmsCross-Sectional StudiesDecision MakingFemaleHumansQuality of LifePatient-centered careQuality of lifeSelf-advocacySelf-management

Identifiers

PMID35794411
PMCPMC11186589

What OpenQuestion holds

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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.