Evidence map›Paper›PMID 36168108›Full record

ArticleEuropean journal of cancer care2022

How can advance care planning support hope in patients with advanced cancer and their families: A qualitative study as part of the international ACTION trial.

Hana Kodba-Čeh, Urška Lunder, Francesco Bulli, Glenys Caswell, Johannes J M van Delden, Marijke C Kars, Ida J Korfage, Guido Miccinesi, Judith A C Rietjens, Jane Seymour and 4 more

Open access · greenAbstract read
In one paragraph

Article in European journal of cancer care, 2022. 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
1.6field-weighted citation impact, top 17% 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. Effects of advance care planning on hope, anxiety, attitudes, and behavioral intentions in older adults with cancer: A randomized controlled study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  2. Article
  3. 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

14 authors at 6 institutions in 3 countries.

Hana Kodba-ČehUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.ORCID https://orcid.org/0000-0002-8868-4157
Urška LunderUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Francesco BulliClinical Epidemiology Unit, Oncological network research and prevention Institute-ISPRO, Siena, Italy.
Glenys CaswellSchool of Health Sciences, University of Nottingham, Nottingham, UK.
Johannes J M van DeldenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Marijke C KarsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Ida J KorfageDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Guido MiccinesiClinical Epidemiology Unit, Oncological network research and prevention Institute-ISPRO, Siena, Italy.
Judith A C RietjensDepartment of Public Health, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-0538-5603
Jane SeymourDivision of Nursing and Midwifery, Health Sciences School, University of Sheffield, Sheffield, UK.
Alessandro ToccafondiClinical Epidemiology Unit, Oncological network research and prevention Institute-ISPRO, Siena, Italy.
Marieke ZwakmanJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Kristian PollockSchool of Health Sciences, University of Nottingham, Nottingham, UK.
ACTION Consortium
University Medical Center Utrecht · NLErasmus MC · NLUniversity of Nottingham · GBUniversity Clinic of Pulmonary and Allergic Diseases Golnik · SIUniversity of Ljubljana · SIUniversity of Sheffield · GB

Funding

European Union's Seventh Framework Programme 602541
6 · The paper itself

Abstract

objectiveClinicians' fears of taking away patients' hope is one of the barriers to advance care planning (ACP). Research on how ACP supports hope is scarce. We have taken up the challenge to specify ways in which ACP conversations may potentially support hope.

methodsIn an international qualitative study, we explored ACP experiences of patients with advanced cancer and their personal representatives (PRs) within the cluster-randomised control ACTION trial. Using deductive analysis of data obtained in interviews following the ACP conversations, this substudy reports on a theme of hope. A latent thematic analysis was performed on segments of text relevant to answer the research question.

resultsTwenty patients with advanced cancer and 17 PRs from Italy, the Netherlands, Slovenia, and the United Kingdom were participating in post-ACP interviews. Three themes reflecting elements that provide grounds for hope were constructed. ACP potentially supports hope by being (I) a meaningful activity that embraces uncertainties and difficulties; (II) an action towards an aware and empowered position; (III) an act of mutual care anchored in commitments.

conclusionOur findings on various potentially hope supporting elements of ACP conversations provide a constructive way of thinking about hope in relation to ACP that could inform practice.

Indexed as

Advance Care PlanningNeoplasmsCommunicationHumansQualitative ResearchUnited Kingdomadvance care planningcancerend of lifehopeinternationalqualitative research

Identifiers

PMID36168108
PMCPMC9787960
OpenAlexW4297348176

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.