Evidence map›Paper›PMID 38367963›Full record

SynthesisBMJ open2024

Triadic communication with teenagers and young adults with cancer: a systematic literature review - 'make me feel like I'm not the third person'.

Deborah J Critoph, Rachel M Taylor, Anna Spathis, Robbie Duschinsky, Helen Hatcher, Ella Clyne, Isla Kuhn, Luke A M Smith

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
12.2field-weighted citation impact, top 2% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
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  6. Review
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.

Deborah J CritophDepartment of Public Health & Primary Care, University of Cambridge, Cambridge, UK dc625@cam.ac.uk.ORCID 0000-0003-3434-1762
Rachel M TaylorCNMAR, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0002-0853-0925
Anna SpathisDepartment of Public Health & Primary Care, University of Cambridge, Cambridge, UK.
Robbie DuschinskyDepartment of Public Health & Primary Care, University of Cambridge, Cambridge, UK.
Helen HatcherCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Ella ClyneUniversity of Cambridge, Cambridge, UK.
Isla KuhnMedical Library, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Luke A M SmithCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0002-7577-2764
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectivesClinical communication needs of teenagers and young adults with cancer (TYACs) are increasingly recognised to differ significantly from younger children and older adults. We sought to understand who is present with TYACs, TYACs' experiences of triadic communication and its impact. We generated three research questions to focus this review: (1) Who is present with TYACs in healthcare consultations/communication?, (2) What are TYACs' experiences of communication with the supporter present? and (3) What is the impact of a TYAC's supporter being present in the communication?

designSystematic review with narrative synthesis. DATA SOURCES: The search was conducted across six databases: Medline, CINAHL, Embase, PsycINFO, Web of Science and AMED for all publications up to December 2023. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Included papers were empirical research published after 2005; participants had malignant disease, diagnosed aged 13-24 years (for over 50% of participants); the research addressed any area of clinical communication. DATA EXTRACTION AND SYNTHESIS: Three independent reviewers undertook full-text screening. A review-specific data extraction form was used to record participant characteristics and methods from each included paper and results relevant to the three review questions.

resultsA total of 8480 studies were identified in the search, of which 36 fulfilled the inclusion criteria. We found that mothers were the most common supporter present in clinical communication encounters. TYACs' experiences of triadic communication are paradoxical in nature-the supporter can help or hinder the involvement of the young person in care-related communication. Overall, young people are not included in clinical communication and decisions at their preferred level.

conclusionTriadic communication in TYACs' care is common, complex and dynamic. Due to the degree of challenge and nuances raised, healthcare professionals need further training on effective triadic communication. PROSPERO REGISTRATION NUMBER: CRD42022374528.

Indexed as

CommunicationNeoplasmsAdolescentHumansPhysician-Patient RelationsYoung AdultAdolescentsDecision MakingEDUCATION & TRAINING (see Medical Education & Training)ONCOLOGY

Identifiers

PMID38367963
PMCPMC10875529
OpenAlexW4391914487

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.