Effectiveness of routine provision of feedback from patient‐reported outcome measurements for cancer care improvement: a systematic review and meta-analysis

Journal article

Objective: To test whether a personality feedback intervention improves three domains of cancer self-management: self-awareness, self-efficacy, and positive affect. Methods: From 11/2020-02/2021, 372 adults diagnosed with cancer participated in a randomized controlled trial (RCT) of an intervention that entailed reading a brief personality-related excerpt during an online survey. Eligibility included self-reported age ≥ 18 years, current or past cancer diagnosis, and ability to read English. The survey included a baseline assessment with a personality questionnaire, then randomized participants to one of two groups. The intervention group (n = 184) received a personality feedback report with tailored self-care tips, whereas the control group (n = 188) received a generic reading on personality theory. At the end of the survey, participants completed outcome measures of self-awareness (primary), self-efficacy for illness management, and positive affect. General linear models tested between-group differences in changes from baseline to post-test on each outcome. Results: There was no intervention effect on self-awareness (primary outcome) or positive affect. However, compared to controls, intervention participants experienced a greater increase in self-efficacy for illness management (d = 0.33, p = 0.002), including in 2 of 3 constituent domains: self-efficacy for managing symptoms (d = 0.36, p \u3c 0.001) and self-efficacy for managing treatments/medication (d = 0.22, p = 0.035). Conclusion: Despite the primary outcome\u27s null results, this was the first RCT of a personality feedback intervention to show improvements in self-efficacy for managing chronic illness. Given the important role of self-efficacy in self-management, the intervention has implications for other cancer outcomes. Follow-up studies on longer-term outcomes such as health behaviors and quality of life should be explored. Trial Registration: NCT04625439

Authors: Lu, S-C; Porter, I; Valderas, JM; Harrison, CJ; Sidey-Gibbons, C

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: SpringerOpen
• Journal: Journal of Patient-Reported Outcomes
• Volume: 7
• Issue: 1
• Pages: 54-54
• Article number: 54
• Publication date: 2023-06-05
• DOI: 10.1186/s41687-023-00578-8
• EISSN: 2509-8020
• ISSN: 2509-8020
• Language: English
• Keywords: Medicine; Mathematics; Intensive care medicine; Medical physics; Meta-analysis; Cancer; Internal medicine; Outcome (game theory)