Evidence map›Paper›PMID 40366463›Full record

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

Quality of life and appraisal factors of patients with advanced cancer and their family caregivers.

Jia Liu, Yuexia Zhang, Ting Guan, Xiaomeng Wang, Chunxuan Ma, Laurel Northouse, Lixin Song

Abstract readRandomized Controlled Trial
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. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Individualized Physiotherapy Improves Quality of Life and Symptom Burden in Advanced Cancer: A Quasi-Experimental Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Article
  2. [The Impact of Parents' Autonomous Support on the Self-Identity of Adolescent Patients With Depression].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
  3. Article
  4. Factors associated with anticipatory grief in family caregivers of patients with esophageal cancer: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jia LiuThe University of Texas Health Science Center at San Antonio School of Nursing, 7703 Floyd Curl Drive, San Antonio, TX, USA. liuj14@uthscsa.edu.ORCID http://orcid.org/0000-0003-0990-9299
Yuexia ZhangThe University of Texas at San Antonio Alvarez College of Business, San Antonio, TX, USA.
Ting GuanSyracuse University Falk College of Sport & Human Dynamics, Syracuse, NY, USA.
Xiaomeng WangThe University of Texas Health Science Center at San Antonio School of Nursing, 7703 Floyd Curl Drive, San Antonio, TX, USA.
Chunxuan MaThe University of Texas Health Science Center at San Antonio School of Nursing, 7703 Floyd Curl Drive, San Antonio, TX, USA.
Laurel NorthouseUniversity of Michigan School of Nursing, Ann Arbor, MI, USA.
Lixin SongThe University of Texas Health Science Center at San Antonio School of Nursing, 7703 Floyd Curl Drive, San Antonio, TX, USA.

Funding

Outcomes of Triaged Family Care in Advanced CancerR01CA107383 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NORTHOUSE, LAUREL L. · 2004 to 2008
$2.6M
NCI NIH HHS R01 CA107383
6 · The paper itself

Abstract

purposeFew existing interventions have effectively improved the quality of life (QOL) for patients with advanced cancer and their caregivers, partly due to limited research on the factors associated with QOL. Guided by an adapted stress-coping model, this study aimed to examine the associations between the QOL of cancer patients and their caregivers and their primary and secondary appraisals. Primary appraisals involve perceptions and evaluations of advanced cancer and related caregiving, while secondary appraisals relate to their available resources and coping capabilities.

methodsUsing multi-level modeling, we conducted a secondary analysis of the baseline data collected from a randomized clinical trial that examined the effects of a family-based, psychoeducational support program for patients with advanced cancer and their caregivers (N = 362 dyads).

resultsThe appraisal variables hypothesized in the adapted stress-coping model explained 74.14% of the variance in the QOL of patients with advanced cancer and their caregivers when controlling for demographics and other disease-related variables. Better QOL in patients and caregivers was associated with less negative appraisals of illness/caregiving, less uncertainty and hopelessness, less avoidant coping strategies, more family support, more health behaviors, higher self-efficacy, and more active coping strategies.

conclusionOur study highlights the significant impact that advanced cancer has on patients and their caregivers' perceptions, responses to the illness, and QOL. Future interventions may benefit from addressing illness/caregiving appraisals, uncertainty, hopelessness, family support, health behaviors, self-efficacy, and coping strategies. However, further research is needed to determine the effectiveness of interventions specifically targeting these factors.

Indexed as

CaregiversNeoplasmsQuality of LifeAdaptation, PsychologicalAdultAgedFemaleHumansMaleMiddle AgedSelf EfficacySocial SupportStress, PsychologicalAdvanced cancerAppraisalCaregiverMulti-level modelQuality of life

Identifiers

PMID40366463
PMCPMC12078350

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.