Participation in psychosocial oncology and quality-of-life research: A systematic review
Open accessAbstract
Quality-of-life and psychosocial oncology studies that have low participation might have less precision, less statistical power, and can have non-response bias. In this systematic Review, we searched MEDLINE, Embase, and PsycInfo, for paediatric studies published in 2010-15 and adults studies published 2014-15. Studies were eligible if they were original studies published in a peer-reviewed journal; recruited children (aged 0-18 years at diagnosis) with cancer or their parents, or adult patients with cancer; and assessed psychosocial outcomes, including quality of life, depression, anxiety, wellbeing, distress, coping, or adjustment as a primary or secondary outcome. We assessed participation reporting quality, calculated percentages of participation achieved, and measured the influence of study design and participant characteristics. We reviewed 311 studies including a total of 87 240 adults, children, and parents. Mean participation across studies was more than 70% (paediatric participation was 72% and adult participation was 74%). Many studies did not report data essential for the assessment of participation, especially for non-respondents. Studies using a longitudinal cohort design had higher participation than randomised trials. In paediatric studies, recruitment of participants at diagnosis, face to face, and with the use of short questionnaires yielded higher participation. Other study design characteristics (method of data collection, who enrolled the participants, and incentives) and patient characteristics (cancer type, patient or parent age, and sex) did not affect participation in either paediatric or adult studies. Researchers can use these data to improve reporting quality and make evidence-based choices to maximise participation in future studies.
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Rigorous trials are rare in pediatric psycho-oncology.
“Rigorous trials are rare in pediatric psycho-oncology [80].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [80]
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Wakefield, C. E., Sansom-Daly, U. M., McGill, B. C., Hetherington, K., Ellis, S. J., Robertson, E. G., Donoghoe, M. W., McCarthy, M., Kelada, L., Girgis, A., et al. (2021) · Cancers · doi:10.3390/cancers13225597 · Cited by 28 · see citing works
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Quality of life in caregivers of a child with a developmental and epileptic encephalopathy
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Robertson, E. G., Wakefield, C. E., Cohn, R. J., Battisti, R. A., Donoghoe, M. W., Ziegler, D. S., Fardell, J. E., Mitchell, R., & O'Brien, T. A. (2019) · Psycho-Oncology · doi:10.1002/pon.5109 · Cited by 25 · see citing works
Self-citationHow Parents of Childhood Cancer Survivors Perceive Support From Their Extended Families
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Self-citationJoosten, M. M. H., Maurice‐Stam, H., van Gorp, M., Beek, L. R., Holten, D. S., Scholten, L., & Grootenhuis, M. A. (2024) · Psycho-Oncology · doi:10.1002/pon.6284 · Cited by 23 · see citing works
Zhang, T., Wakefield, C. E., Ren, Z., Chen, W., Du, X., Shi, C., Lai, L., Zhao, C., Gao, Y., Chen, Z., et al. (2023) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2023.05.016 · Cited by 22 · see citing works
Self-citationPoor diet quality and adverse eating behaviors in young survivors of childhood cancer
Fleming, C., Murphy‐Alford, A. J., Cohen, J. E., Fleming, M. R., Wakefield, C. E., & Naumann, F. (2021) · Pediatric Blood & Cancer · doi:10.1002/pbc.29408 · Cited by 21 · see citing works
Self-citationShepherd, R. F., Werner‐Lin, A., Keogh, L. A., Delatycki, M. B., & Forrest, L. E. (2020) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2020.1768199 · Cited by 21 · see citing works
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Factors associated with unwillingness to seek professional help for depression: a web-based survey
Yoshikawa, E., Taniguchi, T., Nakamura‐Taira, N., Ishiguro, S., & Matsumura, H. (2017) · BMC Research Notes · doi:10.1186/s13104-017-3010-1 · Cited by 19 · see citing works
Wakefield, C. E., Hetherington, K., Robertson, E. G., Donoghoe, M. W., Hunter, J. D., Vetsch, J., Marron, J. M., Tucker, K., Marshall, G. M., Broom, A. F., et al. (2023) · British Journal of Cancer · doi:10.1038/s41416-023-02429-1 · Cited by 18 · see citing works
Self-citationRobertson, E. G., Wakefield, C. E., Cohn, R. J., O'Brien, T., Ziegler, D. S., & Fardell, J. E. (2018) · JMIR Research Protocols · doi:10.2196/resprot.9258 · Cited by 17 · see citing works
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Millar, M. M., Kinney, A., Camp, N., Cannon-Albright, L., Hashibe, M., Penson, D., Kirchhoff, A. C., Neklason, D. W., Gilsenan, A., Dieck, G., et al. (2019) · American Journal of Epidemiology · doi:10.1093/aje/kwz011 · Cited by 16 · see citing works
Touyz, L. M., Cohen, J. E., Cohn, R. J., Garnett, S. P., Anazodo, A. C., Gohil, P., Grech, A. M., Ng, A., & Wakefield, C. E. (2019) · Pediatric Blood & Cancer · doi:10.1002/pbc.27922 · Cited by 17 · see citing works
Self-citationFeng, L., Li, Z., Gu, X., Jiang, J., & Liu, X. (2021) · Gastroenterology Research and Practice · doi:10.1155/2021/6637084 · Cited by 16 · see citing works
Genetic Testing in the Pediatric Nephrology Clinic: Understanding Families' Experiences
Nevin, S. M., McLoone, J. K., Wakefield, C. E., Kennedy, S., & McCarthy, H. J. (2020) · Journal of Pediatric Genetics · doi:10.1055/s-0040-1721439 · Cited by 16 · see citing works
Self-citationBravery, B. D., Loughnan, S. A., & Murphy, M. (2020) · Evidence-Based Mental Health · doi:10.1136/ebmental-2020-300145 · Cited by 16 · see citing works
Sender, A., Friedrich, M., Leuteritz, K., Stuckenberg, E., Richter, D., Stöbel‐Richter, Y., Lordick, F., & Geue, K. (2021) · Psycho-Oncology · doi:10.1002/pon.5678 · Cited by 17 · see citing works
Müller, F., Stephenson, E., DeLongis, A., Smink, A., van Ginkel, R. J., Tuinman, M. A., & Hagedoorn, M. (2017) · Psycho-Oncology · doi:10.1002/pon.4574 · Cited by 15 · see citing works
van Driessche, A., Beernaert, K., Deliëns, L., Kars, M. C., Lyon, M. E., Barrera, M. E., Dussel, V., Bidstrup, P. E., Rosenberg, A. R., Akard, T. F., et al. (2023) · European Journal of Pediatrics · doi:10.1007/s00431-023-05139-1 · Cited by 13 · see citing works
Patterns and drivers of health care use in long-term childhood cancer survivors: A systematic review
van Breeschoten, J., Lourenço, R. D. A., Signorelli, C., Haas, M. R., Cohn, R. J., Wakefield, C. E., & Fardell, J. E. (2017) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2017.10.004 · Cited by 13 · see citing works
Self-citationSignorelli, C., Wakefield, C. E., McLoone, J. K., Mateos, M. K., Aaronson, N. K., Lavoipierre, A., Cohn, R. J., & The ANZCHOG Survivorship Study Group (2020) · International Journal of Cancer · doi:10.1002/ijc.33244 · Cited by 13 · see citing works
Self-citationStarkings, R., Shilling, V. M., Jenkins, V. A., & Fallowfield, L. J. (2021) · Skin Health and Disease · doi:10.1002/ski2.39 · Cited by 12 · see citing works
Evaluation of an In-Hospital Recreation Room for Hospitalised Children and Their Families
Kelada, L., Wakefield, C. E., Graves, S. D., Treadgold, C., Dumlao, G., Schaffer, M., & O'Brien, T. A. (2021) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2021.05.017 · Cited by 11 · see citing works
Self-citationHill, R., Mercieca‐Bebber, R., Fardell, J. E., Wakefield, C. E., Signorelli, C., Webber, K., Cohn, R. J., & ANZCHOG Study Group (2023) · Cancer · doi:10.1002/cncr.34984 · Cited by 11 · see citing works
Self-citationRaharjo, C. V., Hetherington, K., Donovan, L., Fardell, J. E., Russell, V., Cohn, R. J., Morgan, N. L., Siddiqui, J., & Wakefield, C. E. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.01.013 · Cited by 11 · see citing works
Self-citationRobertson, E. G., Roberts, N., Marne, F. A. L., Beavis, E., Macintosh, R., Kelada, L., Best, S., Goranitis, I., Pierce, K., Gill, D. S., et al. (2023) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2023.09.010 · Cited by 11 · see citing works
Vetsch, J., Wakefield, C. E., Doolan, E. L., Signorelli, C., McGill, B. C., Moore, L., Techakesari, P., Pieters, R., Patenaude, A. F., McCarthy, M., et al. (2019) · Acta Oncologica · doi:10.1080/0284186x.2018.1532600 · Cited by 11 · see citing works
Self-citationSansom‐Daly, U. M., Evans, H. E., Ellis, S. J., McGill, B. C., Hetherington, K., & Wakefield, C. E. (2017) · Internal Medicine Journal · doi:10.1111/imj.13535 · Cited by 10 · see citing works
Self-citationGerstl, B., Signorelli, C., Wakefield, C. E., Deans, R., Vaishnav, T., Johnston, K. A., Neville, K. A., Cohn, R. J., & Anazodo, A. C. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-023-01349-6 · Cited by 10 · see citing works
Self-citationBrock, H., Schröter, K., Friedrich, M., Sender, A., Richter, D., Mehnert, A., Geue, K., & Leuteritz, K. (2024) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-024-06050-4 · Cited by 10 · see citing works
Shepherd, R. F., Bradford, A., Lieschke, M., Shackleton, K., & Hyatt, A. (2023) · Trials · doi:10.1186/s13063-023-07284-2 · Cited by 10 · see citing works
Wakefield, C. E., Doolan, E. L., Fardell, J. E., Signorelli, C., Quinn, V. F., Tucker, K., Patenaude, A. F., Marshall, G. M., Lock, R. B., Georgiou, G., et al. (2018) · EBioMedicine · doi:10.1016/j.ebiom.2018.10.060 · Cited by 10 · see citing works
Self-citationHjelmstedt, S., Forinder, U., Montgomery, S., Norberg, A. L., & Hovén, E. (2021) · Pediatric Blood & Cancer · doi:10.1002/pbc.29245 · Cited by 9 · see citing works
Custers, J. A. E., Döking, S., van der Hoeven, Y. C. W., Thewes, B., Dekker, J., Braamse, A. M. J., & Prins, J. B. (2023) · Psycho-Oncology · doi:10.1002/pon.6100 · Cited by 9 · see citing works
Tran, A., Hou, S., Forbes, C., Cho, S., Forster, V. J., Stokoe, M., Wakefield, C. E., Wiener, L. S., Heathcote, L. C., Michel, G., et al. (2023) · Current Oncology · doi:10.3390/curroncol30020186 · Cited by 8 · see citing works
Self-citationSatisfaction with an Exercise Physiology Consultation After Treatment for Childhood Cancer
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Self-citationHulbert-Williams, N., Hulbert‐Williams, L., Whelen, L., & Mulcare, H. (2019) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000008 · Cited by 8 · see citing works
Ha, L., Nevin, S. M., Wakefield, C. E., Jacovou, J., Mizrahi, D., & Signorelli, C. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01560-z · Cited by 7 · see citing works
Self-citationChow, W. K., Hetherington, K., McGill, B. C., Sansom‐Daly, U. M., Daly, R., Miles, G. C. P., Cohn, R. J., & Wakefield, C. E. (2022) · Pediatric Blood & Cancer · doi:10.1002/pbc.30015 · Cited by 7 · see citing works
Self-citationMüller, F., Tuinman, M. A., Stephenson, E., Smink, A., DeLongis, A., & Hagedoorn, M. (2018) · Health Psychology · doi:10.1037/hea0000664 · Cited by 6 · see citing works
A Decision Aid for Nutrition Support is Acceptable in the Pediatric Hospital Setting
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Poor diet quality and adverse eating behaviours in young survivors of childhood cancerPreprint
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Robertson, E. G., Hetherington, K., Hunter, J. D., McGillycuddy, M., Venkatesha, V., Lau, L. M. S., Khuong-Quang, D.-A., Ziegler, D. S., & Wakefield, C. E. (2025) · JCO Precision Oncology · doi:10.1200/po-24-00840 · Cited by 1 · see citing works
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Body, A. L., Donoghoe, M. W., Lal, L., Wakefield, C. E., Ahern, E. S., Anazodo, A. C., Fuentes-Bolanos, N., Padhye, B. D., Downie, P., Opat, S., et al. (2024) · medRxiv · doi:10.1101/2024.06.02.24308345 · Cited by 1 · see citing works
Self-citationCabilan, C. J. (1905) · Queensland University of Technology · doi:10.5204/thesis.eprints.128073
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La búsqueda de asilo en el Reino Unido: las perspectivas de las lesbianas
Bennett, C. L., & Thomas, F. (2013) · RUA, Repositorio Institucional de la Universidad de Alicante (Universidad de Alicante)
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Fathers' Experience of Their Child's Paediatric Brain Tumour
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Implementing Rapid Behavioral Health Research within Oncology Clinics: Lessons LearnedPreprint
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Wieslander, K. N., Frygner-Holm, S., Nilsson, S., Lövgren, M., Höglund, A., & Godskesen, T. (2026) · Trials · doi:10.1186/s13063-026-10011-2
- Authors
- Wakefield, C. E., Fardell, J. E., Doolan, E. L., Aaronson, N. K., Jacobsen, P. B., Cohn, R. J., & King, M.
- Affiliations
- UNSW Sydney (AU)
- The Netherlands Cancer Institute (NL)
- Moffitt Cancer Center (US)
- The University of Sydney (AU)
- Corresponding author
- Wakefield, Claire E
- ORCID
- Venue
- The Lancet Oncology
- Publisher
- Elsevier BV
- Published
- 2017-03
- Volume
- 18
- Issue
- 3
- Pages
- e153-e165
- ISSN
- 1470-2045 (ISSN-L)
- OpenAlex
- W2593891789
- Cited by
- 89
- References
- 79
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 9 · 2023: 11 · 2022: 2 · 2021: 16 · 2020: 11 · 2019: 16 · 2018: 6 · 2017: 5 · 2013: 1
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- The Lancet Oncology (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- participant recruitment, study participation rates, psycho-oncology, quality of life, cancer patients, childhood cancer, nonresponse bias, reporting quality, research design, recruitment incentives
- MeSH terms
- Adult, Anxiety Disorders, Depressive Disorder, Humans, Neoplasms, Patient Participation, Quality of Life, Biomedical Research
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