Trial reportJournal of geriatric oncology2025
What's on your mind? A qualitative analysis of concerns and self-management strategies among older adults with advanced cancer.
Trial report in Journal of geriatric oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02712229 (A Cluster Randomized Trial of a Primary Palliative Care Intervention), which is not on this map. Not yet cited in PubMed.
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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.
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.
A Cluster Randomized Trial of a Primary Palliative Care Intervention (CONNECT) for Patients With Advanced Cancer
Who cites it
0 citing papers in PubMed.
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Authors and funding
5 authors.
Funding
Abstract
introductionOlder adults with cancer are living longer, but their unique concerns and approaches to self-management are not well understood. Self-management strategies (SMS), historically studied in other chronic diseases, are a promising approach for empowering older patients with cancer and reducing their symptom burden. Self-management strategies are behaviors aimed at coping with the physical sequelae of and psychosocial adjustment to life-limiting disease. We sought to characterize the concerns and self-management strategies of older patients with advanced cancer. MATERIALS AND
methodsThis was a secondary analysis of N = 179 initial visits conducted by oncology nurses with older adults (age ≥ 60) with advanced solid tumors as part of a primary palliative care trial. All visits were audio-recorded and transcribed. The team conducted a mixed inductive and deductive content analysis informed by the qualitative description framework. All transcripts were dual coded, with disagreements resolved by consensus.
resultsPatients were a mean age of 72±8 years and 51% (92/179) were female. Almost all (99%) patients expressed at least one concern and patients expressed a median of five concerns (range: 1-12), most commonly in the domains of physical (97%), emotional (60%), and functional (59%) well-being. Nearly all patients, 99% (177/179), were using or planning to use a self-management strategy and patients endorsed a median of five self-management strategies (range: 1-13), most commonly related to the domains of physical (82%), emotional (75%), and social (67%) well-being. DISCUSSION: Older adults express multiple concerns during primary palliative care visits and they are using a variety of self-management strategies to cope with their advanced cancer. Self-management strategies could be a useful tool for future supportive oncology interventions.
trial registrationOriginally registered with ClinicalTrials.gov on March 7th, 2016, ID# NCT02712229.
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