Evidence map›Paper›PMID 38446540›Full record

Trial reportPsycho-oncology2024

"Pathways": A hope-enhancing intervention for patients undergoing treatment for advanced lung cancer.

Laurie E McLouth, Brent J Shelton, Vilma Bursac, Jessica L Burris, Jennifer S Cheavens, Kaitlyn Weyman, Amy H Peterman, Lauren Corum, Jamie L Studts, Susanne M Arnold

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Psycho-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Beyond tumor response: hope and decision regret during immunotherapy for hepatocellular carcinoma.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. 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

10 authors at 5 institutions in 1 country.

Laurie E McLouthDepartment of Behavioral Science, Center for Health Equity Transformation, University of Kentucky College of Medicine, Lexington, Kentucky, USA.ORCID 0000-0002-4888-6520
Brent J SheltonMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.
Vilma BursacDepartment of Behavioral Science, Center for Health Equity Transformation, University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Jessica L BurrisMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0003-2263-2757
Jennifer S CheavensDepartment of Psychology, The Ohio State University, Columbus, Ohio, USA.
Kaitlyn WeymanMedical College of Wisconsin Affiliated Hospitals, Madison, Wisconsin, USA.
Amy H PetermanDepartment of Psychological Science, University of North Carolina-Charlotte, Charlotte, North Carolina, USA.
Lauren CorumMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.
Jamie L StudtsDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Susanne M ArnoldMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.
University of Kentucky · USMedical College of Wisconsin · USThe Ohio State University · USUniversity of Colorado Denver · USUniversity of North Carolina at Charlotte · US

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Jennifer F Rogers · 2013 to 2026
$38.3M
Institutional Career Development CoreKL2TR001996 · NCATS · UNIVERSITY OF KENTUCKY · PI BUSH, MATTHEW LEE, KELLY, THOMAS H. · 2016 to 2025
$7.1M
Pathways, a Hope-Based Intervention to Support Personal Goal Pursuit, Mental Health, and Quality of Life during Advanced Lung Cancer TreatmentR01CA283929 · NCI · UNIVERSITY OF KENTUCKY · PI Laurie McLouth · 2023 to 2026
$2.3M
Piloting Pathways, a Hope-Enhancing Intervention to Address Activity and Role Function in Metastatic Lung Cancer PatientsR03CA235171 · NCI · UNIVERSITY OF KENTUCKY · PI MCLOUTH, LAURIE · 2019 to 2020
$153k
NCATS NIH HHS KL2 TR001996NCATS NIH HHS KL2TR001996NCI NIH HHS L30 CA231709NCI NIH HHS P30 CA177558NCI NIH HHS P30CA177558NCI NIH HHS R01 CA283929NCI NIH HHS R03 CA235171
6 · The paper itself

Abstract

objectiveObservational data suggest hope is associated with the quality of life and survival of people with cancer. This trial examined the feasibility, acceptability, and preliminary outcomes of "Pathways," a hope intervention for people in treatment for advanced lung cancer.

methodsBetween 2020 and 2022, we conducted a single-arm trial of Pathways among participants who were 3-12 weeks into systemic treatment. Pathways consisted of two individual sessions delivered during infusions and three phone calls in which participants discussed their values, goals, and goal strategies with a nurse or occupational therapist. Participants completed standardized measures of hope and goal interference pre- and post-intervention. Feasibility was defined as ≥60% of eligible patients enrolling, ≥70% of participants completing three or more sessions, ≥70% of participants completing post-assessments, and mean acceptability ratings ≥7 out of 10 on intervention relevance, helpfulness, and convenience. Linear regression fixed effects models with covariates modeled pre-post changes in complete case analysis and multiple imputation models.

resultsFifty two participants enrolled: female (59.6%), non-Hispanic White (84.6%), rural (75.0%), and with low educational attainment (51.9% high school degree or less). Except for enrollment (54%), feasibility and acceptability markers were surpassed (77% adherence, 77% retention, acceptability ratings ≥8/10). There was moderate improvement in hope and goal interference from pre-to post-intervention (d = 0.51, p < 0.05 for hope; d = -0.70, p < 0.005 for goal interference).

conclusionsStrong feasibility, acceptability, and patient-reported outcome data suggest Pathways is a promising intervention to increase hope and reduce cancer-related goal interference during advanced lung cancer treatment.

Indexed as

HopeLung NeoplasmsEducational StatusFemaleHumansLinear ModelsMalePatient Reported Outcome MeasuresQuality of Lifecancergoalsgoal settinghopelung neoplasmsoncologypsychosocial intervention

Identifiers

PMID38446540
PMCPMC11157457
OpenAlexW4392520045

What OpenQuestion holds

Textmetadata
LicenceTDM
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.