Evidence map›Paper›PMID 40114281›Full record

ArticlePsycho-oncology2025

Psychological Safety in the Medical Care of Black Breast and Ovarian Cancer Patients and Families.

Jane Q Yap, Kirsten A Riggan, Ewan K Cobran, Michele Y Halyard, Sarah E James, Marion K Kelly, Daphne T Phillips, Megan A Allyse

Abstract read
In one paragraph

Article in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

8 authors.

Jane Q YapDepartment of Quantitative Health Sciences, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0009-0004-8189-0208
Kirsten A RigganBiomedical Ethics Research Program, Mayo Clinic, Rochester, Minnesota, USA.
Ewan K CobranDepartment of Quantitative Health Science, Mayo Clinic, Scottsdale, Arizona, USA.
Michele Y HalyardCoalition of Blacks Against Breast Cancer, Phoenix, Arizona, USA.
Sarah E JamesCoalition of Blacks Against Breast Cancer, Phoenix, Arizona, USA.
Marion K KellyCoalition of Blacks Against Breast Cancer, Phoenix, Arizona, USA.
Daphne T PhillipsADVANCE Community Advisory Board, Phoenix, Arizona, USA.
Megan A AllyseBiomedical Ethics Research Program, Mayo Clinic, Rochester, Minnesota, USA.

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Lila J. Rutten · 1985 to 2026
$151.3M
Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI PETER C LUCAS · 2005 to 2026
$49.9M
Use of microfluidic tumor cultures to enable clinical trials of therapies for ovarian cancerP50CA136393 · NCI · MAYO CLINIC ROCHESTER · PI SCOTT H KAUFMANN · 2009 to 2026
$37.0M
NCATS NIH HHS UL1 TR002377NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA116201NCI NIH HHS P50 CA136393
6 · The paper itself

Abstract

backgroundPsychological safety is critical to early and continued engagement with healthcare providers, yet no studies have explored this concept in relationship to cancer care. Black/African American ("Black") individuals experience disparities in breast and ovarian cancer beyond what can be explained biologically.

aimsWe explored factors influencing psychological safety among Black breast and ovarian cancer patients and their family members.

methodsSocioeconomically diverse patients with a personal diagnosis or family history of breast and/or ovarian cancer were invited to complete a semi-structured qualitative interview on their cancer and healthcare experiences between September 2020 and April 2021. Informed by principles of grounded theory, interview transcripts were qualitatively analyzed for thematic content related to psychological safety.

resultsBlack breast and ovarian cancer patients and their family members described personal and community experiences and structural components of the healthcare system that suggested they may receive differential cancer care due to their race, placing them on guard. This posture was mediated by several self-identified factors that added to or detracted from their comfort, including provider racial and gender concordance in healthcare, personalized care, and effective communication. The priorities and perceptions of care in participants receiving care in safety net clinics were more focused on what was feasible given resource limitations rather than what was ideally desired.

conclusionsImplementation of strategies to promote psychological safety with Black cancer patients may foster improved patient experiences, as well as encourage early screening, patient engagement, and treatment continuation.

Indexed as

Black or African AmericanBreast NeoplasmsFamilyHealthcare DisparitiesOvarian NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedPsychological SafetyQualitative ResearchBlack or African Americanbreast neoplasmscancerdelivery of health careoncologyovarian neoplasmspsychological safety

Identifiers

PMID40114281
PMCPMC12173220

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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.