Evidence map›Paper›PMID 42620980›Full record

ArticleFrontiers in medicine2026

A "well-kept secret": facilitators and barriers to occupational therapy referral as a component of supportive cancer care in the United States.

Khawla Loubani, Katie M Polo, Morgan Jones, Korrin Schalhamer, Olivia Witteborg, Alexandria Gilley, Cara Murphy, Taylor Brown, Rachel Graves

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Khawla LoubaniDepartment of Occupational Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Katie M PoloSchool of Occupational Therapy, University of Indianapolis, Indianapolis, IN, United States.
Morgan JonesSchool of Occupational Therapy, University of Indianapolis, Indianapolis, IN, United States.
Korrin SchalhamerSchool of Occupational Therapy, University of Indianapolis, Indianapolis, IN, United States.
Olivia WitteborgSchool of Occupational Therapy, University of Indianapolis, Indianapolis, IN, United States.
Alexandria GilleySchool of Occupational Therapy, University of Indianapolis, Indianapolis, IN, United States.
Cara MurphySchool of Occupational Therapy, University of Indianapolis, Indianapolis, IN, United States.
Taylor BrownSchool of Occupational Therapy, University of Indianapolis, Indianapolis, IN, United States.
Rachel GravesSchool of Occupational Therapy, University of Indianapolis, Indianapolis, IN, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: People living with and beyond cancer often experience persistent physical, cognitive, psychosocial, and functional challenges that require supportive rehabilitation across the cancer continuum. Occupational therapy (OT) can address these needs by supporting daily functioning, participation, self-management, and quality of life; however, OT remains underutilized in cancer care. Because access to OT often depends on referral decisions made by oncology professionals, understanding how referral sources perceive OT and navigate referral processes is essential for improving timely access to supportive cancer-care services. This study explored cancer-care professionals' perspectives on barriers, facilitators, and solutions to strengthen OT referral as part of supportive cancer-care delivery for persons living with and beyond cancer. Methods: This grounded-theory-informed, qualitative, multiple-case study included four videoconference focus groups and 17 participants. Data were analyzed using Corbin and Strauss's three-stage approach. A final logic diagram was developed to organize multilevel barriers and facilitators and to generate theoretical propositions regarding how referral sources' knowledge, OT visibility, organizational processes, and system-level constraints shape OT referral decision-making. Results: Three main themes emerged: (1) Conclusion: Despite recognition of OT's potential value, multiple multilevel barriers limit access to OT services for cancer survivors in the US. Addressing these barriers requires coordinated strategies, including embedding OT practitioners within interdisciplinary cancer-care teams, expanding service delivery models, and improving awareness among referral sources. These strategies may support earlier identification of functional needs and improve access to timely, coordinated supportive rehabilitation across the cancer continuum.

Indexed as

cancer rehabilitationcancer survivorship (public health)occupational therapyqualitative researchreferral pathwayssupportive cancer care

Identifiers

PMID42620980
PMCPMC13486235

What Socratic 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 Socratic graph.