Evidence map›Paper›PMID 42747098›Full record

ArticlePsycho-oncology2026

Clinical Trial Perceptions Among Patients Enrolled in a Precision Oncology Protocol at an Appalachian-Serving Cancer Center.

Jerod L Stapleton, Allison Leip, Aurora Occa, Jill Kolesar, Elizabeth Belcher, Caitlin Deffendall, Taylor J Webb, Michael J Cavnar

Abstract read
In one paragraph

Article in Psycho-oncology, 2026. 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

8 authors.

Jerod L StapletonMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0002-8501-1483
Allison LeipCollege of Agriculture, Food, and Environment, University of Kentucky, Lexington, Kentucky, USA.
Aurora OccaMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0001-5311-144X
Jill KolesarCollege of Pharmacy, University of Iowa, Iowa City, Iowa, USA.
Elizabeth BelcherMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.
Caitlin DeffendallCollege of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Taylor J WebbMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.ORCID https://orcid.org/0009-0005-9601-227X
Michael J CavnarMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Bernard Mark Evers · 2013 to 2026
$38.3M
Planning grant to support a future trial of an intervention to improve clinical trial education and enrollmentR34CA313778 · NCI · UNIVERSITY OF KENTUCKY · PI Aurora Occa, Jerod L Stapleton · 2026 to 2026
$282k
NCI NIH HHS P30 CA177558NCI NIH HHS P30CA177558NCI NIH HHS R34 CA313778NCI NIH HHS R34CA313778
6 · The paper itself

Abstract

objectiveLow rates of clinical trial participation, with notable disparities among rural populations, slow cancer treatment advances. Precision oncology protocols are designed to alleviate trial access barriers by consenting patients to sequencing with results matched to national databases of available trials. Precision oncology protocols represent a potential avenue for supporting patient informed trial decision-making before they are offered a specific trial but little is known about clinical trial perceptions and intentions of patients who join such protocols.

methodsWe administered surveys to 116 patients with a cancer diagnosis enrolled in a precision oncology protocol at an Appalachia-serving, academic cancer center. Analyses tested associations between clinical trial perceptions (e.g., beliefs, attitudes, knowledge), sociodemographic covariates, and trial intentions.

resultsParticipants (mean age = 64.5; median education = high school; 97.4% white; 51.7% female; 60% Appalachian residence) held overall favorable clinical trial perceptions and overall positive intentions. Trial knowledge was significantly lower among participants with lower education, lower income, and those residing in Appalachian counties. Intentions were significantly associated with attitudes, beliefs around trying new treatments, and perceived family support for trial participation in both bivariate and multivariate regression analyses.

conclusionsThis study contributes to the literature by describing clinical trial perceptions among patients in a precision oncology prospective cohort from a cancer center that serves a predominately white, Appalachian population. Addressing patients' perceptions and concerns related to trials and involving family or support networks in the decision making process is likely to be a key element of supporting informed patient decision-making for future trial opportunities.

Indexed as

Clinical Trials as TopicHealth Knowledge, Attitudes, PracticeNeoplasmsPatient ParticipationPrecision MedicineAdultAgedAppalachian RegionCancer Care FacilitiesDecision MakingFemaleHumansIntentionMaleMiddle AgedRural Populationcancer controlcancer survivorshipclinical trialsprecision oncologyrural

Identifiers

PMID42747098
PMCPMC13580100

What OpenQuestion holds

Textmetadata
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.