ArticleFrontiers in oncology2025
Psychosocial barriers and cultural contexts in chemotherapy decision-making: a qualitative study of advanced lung cancer patients in China.
Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Experiences of psychosomatic symptoms and self-management strategies among patients with advanced lung cancer undergoing chemotherapy: a qualitative study based on symptom management theory.Frontiers in public health · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Shared Decision-Making (SDM) was developed within Western healthcare systems, which are characterized by cultural norms of individualism and low power distance, as a "patient-centered" medical decision-making model. Its applicability remains underexplored in collectivist societies like China, where family-centered decision-making and respect for authority shape medical encounters. Chemotherapy remains a cornerstone in the management of advanced lung cancer; however, the varied risk-benefit profiles of different therapeutic regimens often lead to decisional dilemmas and significant psychological burden in patients. This study investigates the chemotherapy decision-making experiences of advanced lung cancer patients in China to identify cultural barriers and inform the development of globally relevant SDM frameworks. Methods: This study employs Colaizzi's phenomenological approach and Hofstede's cultural dimensions theory as the foundational theoretical framework. We conducted semi-structured interviews with 14 lung cancer patients and thematically analyzed the data through iterative coding and member validation. A purposive sample of 14 advanced lung cancer patients receiving chemotherapy was recruited from a tertiary hospital in Jiangxi Province, China. Results: From the face-to-face conversations between patients and nursing staff, four main themes and 13 sub-themes were identified: Disease Treatment and Decision-making; Treatment Burden and Decision Conflict; Lifestyle Adjustment and Support Needs; Psychological Experience and Emotional Response. Conclusions: Lung cancer patients face information barriers in the decision-making process and show high needs for decision-making assistance, psychological support, and social recognition. Healthcare professionals need to strengthen professional information support and communication, enhance patients' enthusiasm for participating in decision-making, and pay attention to their intrinsic needs.
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Registered trials
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 Socratic graph.