Evidence map›Paper›PMID 39357623›Full record

ArticleJournal of cancer policy2024

Barriers to identifying and addressing health-related social needs in cancer care: Patient and patient navigator perspectives.

Tilicea Henry, Michael Hayes, Caroline D Eisele, Susan Veldheer, Sophia I Allen, Brianna Hoglen, Kenneth R Houser, Eugene J Lengerich, Sol M Rodriguez-Colon, Amy C Jenkins and 1 more

Abstract read
In one paragraph

Article in Journal of cancer policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Survivorship therapy needs after radiotherapy for head and neck cancer: surveying opportunities for growth (STRONG).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    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

11 authors.

Tilicea HenryDepartment of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
Michael HayesDepartment of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA; Penn State Cancer Institute, 500 University Drive, Hershey, PA 17033, USA; Department of Medicine, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
Caroline D EiseleDepartment of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
Susan VeldheerDepartment of Family and Community Medicine, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA; Department of Public Health Sciences, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
Sophia I AllenPenn State Center for Research on Tobacco and Health, Department of Public Health Sciences, Pennsylvania State University College of Medicine, MC CH69, 500 University Drive, P.O. Box 850, Hershey, PA 17033, USA; Department of Public Health Sciences, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA; Penn State Cancer Institute, 500 University Drive, Hershey, PA 17033, USA.
Brianna HoglenDepartment of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
Kenneth R HouserDepartment of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA; Penn State Center for Research on Tobacco and Health, Department of Public Health Sciences, Pennsylvania State University College of Medicine, MC CH69, 500 University Drive, P.O. Box 850, Hershey, PA 17033, USA.
Eugene J LengerichDepartment of Family and Community Medicine, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA; Department of Public Health Sciences, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA; Penn State Cancer Institute, 500 University Drive, Hershey, PA 17033, USA.
Sol M Rodriguez-ColonPenn State Cancer Institute, 500 University Drive, Hershey, PA 17033, USA.
Amy C JenkinsMedical College of Georgia, 1120 15th Street, Augusta, GA 30912, USA; Augusta University/University of Georgia Medical Partnership, 108 Spear Road, Athens, GA 30602, USA.
Andrea L HobkirkDepartment of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA; Penn State Center for Research on Tobacco and Health, Department of Public Health Sciences, Pennsylvania State University College of Medicine, MC CH69, 500 University Drive, P.O. Box 850, Hershey, PA 17033, USA; Department of Public Health Sciences, Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA; Penn State Cancer Institute, 500 University Drive, Hershey, PA 17033, USA. Electronic address: ahobkirk@psu.edu.

Funding

Penn State Research training in Oncology and Medicine to Inspire Student Engagement (PROMISE)R25CA272184 · NCI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI Gail L. Matters · 2022 to 2026
$1.4M
Mixed methods research to increase engagement and smoking abstinence among African Americans enrolled in Quitline text messaging servicesK01DA053410 · NIDA · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI Sophia I. Allen · 2022 to 2026
$924k
NCI NIH HHS R25 CA272184NIDA NIH HHS K01 DA053410
6 · The paper itself

Abstract

backgroundThe study aimed to gain insight into the experiences of patients with cancer and survivors regarding the integration of social needs assessment into their care, while also gathering perspectives from patient navigators on the barriers to obtaining and utilizing social needs information during cancer care, which taken together may influence cancer care policies. By comparing the perspectives of patients and navigators, the study sought to inform best practices for integrating, identifying, and addressing social needs to improve patient experiences and outcomes.

methodsWe conducted qualitative interviews and self-report surveys involving patients with cancer, providers, and patient navigators or care coordinators, seeking their insights and firsthand experiences related to health-related social needs in cancer care. Interviews were transcribed, separated into memos of main themes based on deductive coding, and further analyzed for new emergent themes using inductive coding.

resultsThe present analysis focuses solely on the perspectives of 20 patient navigators and 21 patients. Qualitative analyses revealed two overarching themes: Theme 1: Personal and health system-related factors may create barriers for patients to disclose health-related social needs information during cancer care; and Theme 2: When social needs are identified, it is best practice to acknowledge and address social needs through referrals, resources, timely follow-up, and continued care coordination. Key barriers include individual beliefs and attitudes, concerns regarding privacy and sensitivity of questions, uncertainties about the outcomes of disclosing information, and patient-provider relationships and trust.

conclusionDrawing upon the perspectives of patients and patient navigators provided valuable insight into the challenges associated with acquiring information on social needs. Their viewpoints presented feasible solutions to overcome barriers through early acknowledgment of patient needs, timely resource provision, and maintaining consistent follow-up actions. Additionally, it enhanced understanding of the pivotal role patient navigators play in oncology, serving as crucial links between screening for health-related social needs and addressing individual patient requirements. POLICY SUMMARY: The policies and policy improvements our paper seeks to impact include: inequalities in cancer care and health-related social needs of cancer.

Indexed as

NeoplasmsPatient NavigationQualitative ResearchAdultAgedFemaleHealth Services Needs and DemandHumansMaleMiddle AgedNeeds AssessmentSocial SupportBarriersCancerHealth disparitiesHealth equityPatient navigationSocial determinants of healthSocial needs

Identifiers

PMID39357623
PMCPMC12554093

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.