Evidence map›Paper›PMID 36223970›Full record

ArticleBMJ open2022

Protocol for a feasibility study of a cancer symptom awareness campaign to support the rapid diagnostic centre referral pathway in a socioeconomically deprived area: Targeted Intensive Community-based campaign To Optimise Cancer awareness (TIC-TOC).

Pamela Smith, Gwenllian Moody, Eleanor Clarke, Julia Hiscock, Rebecca Cannings-John, Julia Townson, Adrian Edwards, Harriet D Quinn-Scoggins, Bernadette Sewell, Daniel Jones and 12 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Early cancer diagnosis and community pharmacies: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Pooled it
  2. Impact of COVID-19 pandemic on incidence of long-term conditions in Wales: a population data linkage study using primary and secondary care health records.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Observational
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

22 authors at 7 institutions in 1 country.

Pamela SmithDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK smithp18@cardiff.ac.uk.ORCID 0000-0002-0336-215X
Gwenllian MoodyCentre for Trials Research, Cardiff University, Cardiff, UK.
Eleanor ClarkeDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Julia HiscockNorth Wales Centre for Primary Care Research, Bangor Institute for Health and Medical Research, Bangor University, Bangor University, Wrexham, UK.ORCID 0000-0002-8963-2981
Rebecca Cannings-JohnCentre for Trials Research, Cardiff University, Cardiff, UK.ORCID 0000-0001-5235-6517
Julia TownsonCentre for Trials Research, Cardiff University, Cardiff, UK.
Adrian EdwardsDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.ORCID 0000-0002-6228-4446
Harriet D Quinn-ScogginsDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Bernadette SewellSwansea Centre for Health Economics, Swansea University, Swansea, Wales, UK.
Daniel JonesLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Christina LloydwinCwm Taf Morgannwg University Health Board, Cwm Taf, UK.
Sara ThomasCwm Taf Public Health Team, Public Health Wales, Public Health Wales, Merthyr Tydfil, UK.
Dawn CaseyCwm Taf Morgannwg University Health Board, Cwm Taf, UK.
Catherine Lloyd-BennettSwansea Bay University Health Board, Swansea, UK.
Helen StantonCentre for Trials Research, Cardiff University, Cardiff, UK.
Fiona V Lugg-WidgerCentre for Trials Research, Cardiff University, Cardiff, UK.ORCID 0000-0003-0029-9703
Dyfed HuwsPublic Health Wales, Welsh Cancer Intelligence & Surveillance Unit, Cardiff, Wales, UK.
Angela WatkinsDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Gareth NewtonCentre for Trials Research, Cardiff University, Cardiff, UK.
Ann Maria ThomasPatient and Public Involvement, Cardiff University, Cardiff, UK.
Grace M McCutchanDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.ORCID 0000-0002-8079-2540
Kate BrainDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.ORCID 0000-0001-9296-9748
Cardiff University · GBCwm Taf University Health Board · GBSwansea University · GBBangor University · GBPublic Health Wales · GBSwansea Bay University Health Board · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRapid diagnostic centres (RDCs) are being implemented across the UK to accelerate the assessment of vague suspected cancer symptoms. Targeted behavioural interventions are needed to augment RDCs that serve socioeconomically deprived populations who are disproportionately affected by cancer, have lower cancer symptom awareness and are less likely to seek help for cancer symptoms. The aim of this study is to assess the feasibility and acceptability of delivering and evaluating a community-based vague cancer symptom awareness intervention in an area of high socioeconomic deprivation. METHODS AND ANALYSIS: Intervention materials and messages were coproduced with local stakeholders in Cwm Taf Morgannwg, Wales. Cancer champions will be trained to deliver intervention messages and distribute intervention materials using broadcast media (eg, local radio), printed media (eg, branded pharmacy bags, posters, leaflets), social media (eg, Facebook) and attending local community events. A cross-sectional questionnaire will include self-reported patient interval (time between noticing symptoms to contacting the general practitioner), cancer symptom recognition, cancer beliefs and barriers to presentation, awareness of campaign messages, healthcare resource use, generic quality of life and individual and area-level deprivation indicators. Consent rates and proportion of missing data for patient questionnaires (n=189) attending RDCs will be measured. Qualitative interviews and focus groups will assess intervention acceptability and barriers/facilitators to delivery. ETHICS AND DISSEMINATION: Ethical approval for this study was given by the London-West London & GTAC Research Ethics (21/LO/0402). This project will inform a potential future controlled study to assess intervention effectiveness in reducing the patient interval for vague cancer symptoms. The results will be critical to informing national policy and practice regarding behavioural interventions to support RDCs in highly deprived populations.

Indexed as

NeoplasmsQuality of LifeCross-Sectional StudiesFeasibility StudiesHumansReferral and ConsultationPRIMARY CAREPUBLIC HEALTHQUALITATIVE RESEARCHSOCIAL MEDICINE

Identifiers

PMID36223970
PMCPMC9562715
OpenAlexW4304695532

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.