Evidence map›Paper›PMID 39569542›Full record

Trial reportCancer medicine2024

Patients Can Administer Mobile Audio Recordings to Increase Knowledge in Advanced Prostate Cancer.

Daniel H Kwon, Lauren Trihy, Nika Darvish, Eliza Hearst, Saffanat Sumra, Hala T Borno, Rohit Bose, Jonathan Chou, Ivan de Kouchkovsky, Arpita Desai and 9 more

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05127850 (Mhealth ElectroNic COnsultation REcording), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05127850 nacompletednot on this map

Mhealth ElectroNic COnsultation REcording (MENCORE-2): an Implementation Trial to Improve Informed Treatment Decision-making in Men With Advanced Prostate Cancer

TypeinterventionalSponsorUniversity of California, San FranciscoRan2022 to 2024Enrolled51ConditionsProstate Cancer, Metastatic Prostate Cancer, Metastatic Castration-resistant Prostate CancerArmsConsultation audio recording app
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Strategies to promote the dissemination of psychosocial digital health resources for those affected by cancer: scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

19 authors.

Daniel H KwonDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-0830-7918
Lauren TrihyHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California, USA.
Nika DarvishDepartment of Surgery, University of California, San Francisco, California, USA.
Eliza HearstDepartment of Surgery, University of California, San Francisco, California, USA.
Saffanat SumraDepartment of Surgery, University of California, San Francisco, California, USA.
Hala T BornoDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.
Rohit BoseDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-6785-0697
Jonathan ChouDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.
Ivan de KouchkovskyDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.
Arpita DesaiDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.
Brad EkstrandHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California, USA.
Terence FriedlanderDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.
Gurleen KaurDepartment of Surgery, University of California, San Francisco, California, USA.
Vadim S KoshkinDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-2277-8668
Samantha NesheiwatDepartment of Surgery, University of California, San Francisco, California, USA.
Karen SepuchaHarvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-3762-3880
Eric J SmallDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.
Rahul R AggarwalDivision of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California, USA.
Jeffrey BelkoraDepartment of Surgery, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-0719-4325

Funding

Association of Northern California OncologistsConquer Cancer Foundation
6 · The paper itself

Abstract

introductionConsultation audio recordings improve patient decision-making but are underutilized. Patient-administered recording apps on mobile devices may increase access, but implementation has not been evaluated.

methodsWe conducted a single-arm study delivering education, coaching, and reminders for patients to record their appointment using a mobile recording app. Patients had progressive, advanced prostate cancer and an upcoming appointment where the option of docetaxel would be discussed. We used the RE-AIM framework for evaluation. Reach was the proportion of patients who participated. Effectiveness was change in informed decision-making pre- vs. post-appointment. We used a questionnaire evaluating patient knowledge about docetaxel (0%-100% correct) and the decisional conflict scale-informed subscale (0 = feels extremely uninformed to 100 = extremely informed) to compare means using the paired t-test. Adoption was the proportion of providers agreeing to be recorded. Implementation was coordinator adherence to intervention delivery. We conducted semistructured interviews with patients, caregivers, and providers to assess barriers, facilitators, and suggestions for recording implementation.

resultsOf 102 patients approached, 50 (49%) patients participated. Mean age was 75 years, 38 (76%) were Non-Hispanic White, and 43 (86%) had telehealth appointments. Knowledge increased from 44.7% to 49.5% (p = 0.019), particularly about palliative care (42% answering correctly to 60%, p = 0.035). Decisional conflict-informed subscale increased from 48.9 to 70.9 (p < 0.001). Forty-three patients (85%) made a recording, of whom 33 (77%) reported the recording helped treatment decision-making. All 17 providers agreed to be recorded. Coordinator adherence was high. Multi-level barriers, suggestions, and facilitators mostly related to intervention complexity and stakeholder compatibility.

conclusionPatient-administered audio recordings had a positive effect on decision-making, particularly for palliative care awareness. For broader implementation, efforts should focus on revising institutional policies; teaching patients or caregivers to use existing recording functions on their devices; leveraging artificial intelligence for transcription and summarization; and integrating recording into telehealth technology and electronic patient portals.

trial registrationhttps://clinicaltrials.gov/study/NCT05127850.

Indexed as

Health Knowledge, Attitudes, PracticeMobile ApplicationsProstatic NeoplasmsAgedAged, 80 and overAppointments and SchedulesDecision MakingDocetaxelHumansMalePatient Education as TopicSurveys and QuestionnairesTape RecordingDocetaxelimplementation sciencepalliative carepatient educationpatient knowledgeprostate cancerrecordingsshared decision‐making

Identifiers

PMID39569542
PMCPMC11579662

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.