Evidence map›Paper›PMID 40896753›Full record

ReviewAsia-Pacific journal of oncology nursing2025

Effectiveness of question prompt list interventions for patients with cancer: A systematic review and meta-analysis of randomized controlled trials.

Ruichen Han, Jiayi Liu, Jiarui Chen, Jinfeng Ding, Can Gu, Ni Gong, Jinnan Xiao

Abstract readReview
In one paragraph

Review in Asia-Pacific journal of oncology nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

7 authors.

Ruichen HanXiangya School of Nursing, Central South University, Changsha, China.
Jiayi LiuXiangya School of Nursing, Central South University, Changsha, China.
Jiarui ChenXiangya School of Nursing, Central South University, Changsha, China.
Jinfeng DingXiangya School of Nursing, Central South University, Changsha, China.
Can GuXiangya School of Nursing, Central South University, Changsha, China.
Ni GongThe Third Xiangya Hospital of Central South University, Changsha, China.
Jinnan XiaoXiangya School of Nursing, Central South University, Changsha, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the effectiveness of question prompt list (QPL) interventions in patients with cancer and to synthesize the delivery characteristics of such interventions. Methods: A systematic search of five electronic databases was conducted for English-language randomized controlled trials published up to January 2025. Two independent reviewers performed study selection and data extraction. Eligible studies included cancer patients aged 16 years or older, with QPLs used in the intervention group to facilitate patient-physician communication. The Cochrane Risk of Bias 2.0 tool was used to assess study quality, and meta-analysis was conducted using RevMan 5.4 software. Results: A total of 302 records were identified, of which 14 studies (reported in 16 articles) met the inclusion criteria. Interventions were categorized into two groups: QPLs with instructions and QPLs without instructions. Pooled meta-analysis demonstrated that QPL interventions significantly enhanced patient engagement in shared decision-making, increased the number of questions asked, and improved the perceived helpfulness of the material. Compared to QPL alone, QPL with instructions further increased the number of patient-initiated questions and improved decision self-efficacy. Conclusions: QPL interventions with accompanying instructions showed superior effectiveness in promoting patient question-asking behavior and enhancing decision self-efficacy. This review underscores the potential of QPLs-particularly those with instructions-to improve patient-physician communication. Further research is warranted to refine these interventions and explore their role in reducing patient anxiety. Systematic review registration: PROSPERO: CRD42024594145.

Indexed as

CancerMeta-analysisPatient–physician communicationQuestion prompt listShared decision-makingSystematic review

Identifiers

PMID40896753
PMCPMC12391282

What OpenQuestion holds

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Registered trials

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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.