Evidence map›Paper›PMID 39928172›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

A stepped-care approach to self-management: a qualitative study among individuals with cancer and their caregivers using the Coping-Together program.

Samantha Wiesenfeld, Sylvie Lambert, Andréa Maria Laizner

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04255030 (An Adaptive Dyadic Self-directed Coping and Self-management Skills Training Intervention for Caregivers of Individuals With Cancer), which is not on this map. Not yet cited in PubMed.

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

NCT04255030 nacompletednot on this map

An Adaptive Dyadic Self-directed Coping and Self-management Skills Training Intervention for Caregivers of Individuals With Cancer: A Pilot Sequential Multiple Assignment Randomized Trial (SMART) Design

TypeinterventionalSponsorSt. Mary's Research Center, CanadaRan2019 to 2022Enrolled87ConditionsCancer, AnxietyArmsCoping Together Booklets and Workbook, Lay telephone coaching, Motivational Interviewing
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Samantha WiesenfeldIngram School of Nursing, McGill University, 680 Sherbrooke West, 18th Floor, Montreal, H3A 2M7, Canada.
Sylvie LambertIngram School of Nursing, McGill University, 680 Sherbrooke West, 18th Floor, Montreal, H3A 2M7, Canada. sylvie.lambert@mcgill.ca.ORCID http://orcid.org/0000-0002-9202-9251
Andréa Maria LaiznerIngram School of Nursing, McGill University, 680 Sherbrooke West, 18th Floor, Montreal, H3A 2M7, Canada.ORCID http://orcid.org/0000-0002-7482-4542

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients and their caregivers (dyads) face 24/7 responsibility for managing cancer-related challenges. We explored the experience of patient-caregiver dyads using Coping-Together, a self-directed intervention designed to enhance access to the self-management information dyads needs, whereby types of guidance (lay vs clinician guidance) to use the materials varied over time.

methodsThis descriptive qualitative study analyzed 19 semi-structured telephone interviews with patients and/or caregivers completing a pilot sequential multiple assignment randomized trial (SMART) of Coping-Together, where level of guidance varied according to a stepped care approach. The interviews explored participants' satisfaction with Coping-Together, including of the different types of guidance offered, and the self-management skills acquired. Audio-recorded and transcribed interviews were analyzed using thematic analysis.

resultsFour themes were identified: (1) knowing what you need and when you need it; (2) dyadic approach: not always together (dyadic interventions best seen on a continuum instead of a dichotomy); (3) putting theory into practice: learning new self-management strategies (dyads focused on 3/6 booklets); and (4) lay versus healthcare professional guidance: benefits and challenges on use of Coping-Together. Participants generally found added guidance helpful, with those receiving both lay and clinician-led guidance expressing no clear preference between them.

conclusionAs healthcare transitions to community-based care, programs like Coping-Together play a critical role in supporting self-management for patients and their caregivers. Findings support the acceptance of lay guidance among participants, which can potentially be a cost-effective option to enhance intervention engagement; this will be examined in future studies. RELATED CLINICAL TRIALS REGISTRATION: NCT04255030.

Indexed as

Adaptation, PsychologicalCaregiversNeoplasmsSelf-ManagementAdultAgedFemaleHumansInterviews as TopicMaleMiddle AgedPilot ProjectsQualitative ResearchCancerCaregiversSelf-directed interventions dyadic interventionSelf-managementSequential multiple assignment randomized trialStepped care

Identifiers

PMID39928172

What OpenQuestion holds

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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.