Evidence map›Paper›PMID 41213245›Full record

Trial reportJournal of the National Comprehensive Cancer Network : JNCCN2025

Team-Based Versus Technology-Based Supportive Cancer Care: A Mixed Methods Study of Multi-Site Implementation.

Sacha Moufarrej, Emily H Wood, Niharika Dixit, Raymond Liu, Lori Sakoda, Finly Zachariah, Gabrielle Rocque, M Zachary Koontz, David J Park, Daniel Kwon and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the National Comprehensive Cancer Network : JNCCN, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

15 authors.

Sacha Moufarrej1University of California San Diego School of Medicine, San Diego, CA.
Emily H Wood2Department of Medicine, Stanford University, Stanford, CA.
Niharika Dixit3University of California San Francisco School of Medicine, San Francisco, CA.
Raymond Liu4Kaiser Permanente Northern California, San Francisco, CA.
Lori Sakoda4Kaiser Permanente Northern California, San Francisco, CA.
Finly Zachariah5Department of Medicine, City of Hope, Duarte, CA.
Gabrielle Rocque6Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
M Zachary Koontz7Pacific Cancer Care, Monterey, CA.
David J Park8Providence St. Jude Medical Center, Fullerton, CA.
Daniel Kwon9Department of Medicine, University of California San Francisco, San Francisco, CA.
Jennifer Y Pierce10University of South Alabama Mitchell Cancer Institute, Mobile, AL.
Sangeeta Aggarwal11Santa Clara Valley Medical Center, San Jose, CA.
Rebbeca Sudore9Department of Medicine, University of California San Francisco, San Francisco, CA.
Tumaini Coker12Division of General Pediatrics, University of Washington, Seattle, WA.
Manali I Patel2Department of Medicine, Stanford University, Stanford, CA.

Funding

Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
NIA NIH HHS K24 AG054415
6 · The paper itself

Abstract

backgroundSupportive cancer care (SCC), defined as advance care planning and symptom management, is nationally recommended for people with cancer. However, barriers persist in its delivery. To address these barriers, we launched a cluster-randomized, multisite clinical trial to evaluate team-based SCC approaches led by lay health educators versus technology-based delivery of SCC education. This mixed methods study aimed to identify implementation barriers and facilitators impacting comparative effectiveness, implementation, adoption, and sustainability of these approaches.

methodsStudy staff at 26 cancer clinics participated in a 45-minute semistructured interview and a 71-question survey developed using the Consolidated Framework for Implementation Research (CFIR) and Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. We employed a convergent parallel mixed methods analysis approach: interviews were qualitatively coded and analyzed using content analysis methods, and surveys were analyzed using descriptive statistics. Synthesized interview findings were merged with survey findings for final interpretation.

resultsParticipants unanimously agreed that SCC is essential for patients with cancer. All highlighted infrastructural and cultural barriers to implementation, including funding constraints, limited organizational prioritization, stigma related to advance care planning, and varying needs of diverse patient populations. There was broad support for team-based approaches and shared concern that technology-based approaches implemented alone could worsen cancer disparities. The impact of these approaches on total costs of care was emphasized as an important outcome, given that such data could potentially convince payer organizations to reimburse for these supportive care services.

conclusionsFindings from this study reveal significant infrastructural, organizational, and policy factors influencing adaptability and sustainability of SCC in practice. Such findings may influence the comparative effectiveness of the SCC approaches in the ongoing, multisite cluster randomized trial.

Indexed as

NeoplasmsPatient Care TeamAdvance Care PlanningFemaleHumansMaleSurveys and Questionnaires

Identifiers

PMID41213245
PMCPMC12772429

What OpenQuestion holds

Textmetadata
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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.