Evidence map›Paper›PMID 42812242›Full record

ArticleFrontiers in public health2026

Multimedia-assisted narrative intervention for existential distress among patients with advanced cancer: a one-group pre-post study.

Qiaoxue He, Xi Huang, Yang Liu, Xiaoqi Li, Lihong Huang, In Hye Park, Yiqiang Guo, Yingchun Chen

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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Qiaoxue He *Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment Center, Siping City Central People's Hospital, Siping, China.
Xi Huang *Department of Nursing, School of Medicine, Xiamen University, Xiamen, China.
Yang Liu *Department of Nursing, School of Medicine, Xiamen University, Xiamen, China.
Xiaoqi LiSchool of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Lihong Huang *Department of Nursing, School of Medicine, Xiamen University, Xiamen, China.
In Hye Park *College of Nursing, Ajou University, Suwon-si, Republic of Korea.
Yiqiang GuoDepartment of Nursing, Kiang Wu Nursing College of Macau, Macau, Macao, China.
Yingchun Chen *Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment Center, Siping City Central People's Hospital, Siping, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Patients with advanced cancer often experience challenges related to life meaning, coping confidence, and death-related concerns, which may impair quality of life. This preliminary one-group quasi-experimental pre-post study examined whether meaning in life, terminal self-efficacy, and death anxiety changed after a multimedia-assisted narrative psychosocial intervention. The uncontrolled design was intended to identify preliminary within-participant signals and cannot establish intervention efficacy. Methods: A one-group quasi-experimental pre-post study was conducted in three hospice care facilities. Of 50 recruited patients, 43 completed the 4-week program and post-intervention assessment. The intervention integrated weekly group storytelling sessions, individual interviews, daily educational dissemination, multimedia-supported reflection, and structured legacy-oriented activities. Outcomes were assessed using validated scales and analyzed with paired-samples t-tests, mean differences, 95% confidence intervals, Cohen's dz, and Holm-adjusted Results: Meaning in life increased from 2.28 ± 0.65 to 2.70 ± 0.52 (mean difference = 0.42, 95% CI 0.33 to 0.51, dz = 1.49), and terminal self-efficacy increased from 2.38 ± 0.58 to 2.88 ± 0.47 (mean difference = 0.50, 95% Conclusion: This preliminary one-group pre-post study observed favorable changes in meaning in life, terminal self-efficacy, and death anxiety following a multimedia-assisted narrative intervention. Because the study lacked a control group and used a small convenience sample, the findings should be interpreted as hypothesis-generating rather than evidence of intervention efficacy.

Indexed as

ExistentialismMultimediaNarrationNeoplasmsStress, PsychologicalAdaptation, PsychologicalAdultAgedAged, 80 and overAnxietyAttitude to DeathFemaleHumansMaleMiddle AgedQuality of Lifeadvanced cancerdeath anxietyexistential distressmeaning in lifenarrative interventionpalliative carepublic mental healthterminal self-efficacy

Identifiers

PMID42812242
PMCPMC13619424

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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.