Table 3.
Effect Size Estimates of the Intervention for Improving Patient-Reported Outcomes
Patient-Reported Outcomes | Usual Care | Intervention | Cohen’s d Effect Size* | ||
---|---|---|---|---|---|
Mean Δ | SD | Mean Δ | SD | ||
Quality of Life | |||||
FACT-G Total | −3.84 | 15.75 | −0.77 | 14.10 | 0.21 |
Symptoms | |||||
ESAS-Physical Symptoms | 3.96 | 10.69 | 0.06 | 15.72 | 0.29 |
ESAS-Total Symptoms | 5.72 | 13.94 | −0.47 | 20.61 | 0.35 |
Number of Moderate-Severe ESAS Symptoms | 1.04 | 2.82 | −0.69 | 3.18 | 0.58 |
GDS Depression Symptoms | 0.58 | 2.90 | −0.47 | 2.98 | 0.36 |
Functional Outcomes | |||||
Number of Independent ADLs | −0.68 | 1.93 | −0.88 | 3.67 | 0.07 |
Number of Independent IADLs | −0.24 | 1.48 | −0.19 | 1.22 | 0.04 |
Communication Confidence and Illness Perceptions | |||||
Perceived Efficacy in Patient-Physician Interactions | −0.80 | 6.49 | 1.06 | 2.54 | 0.38 |
Brief Illness Perception Questionnaire | 0.96 | 9.95 | 0.88 | 12.77 | 0.01 |
For each of these outcomes, we calculated effect sizes (Cohen’s d) for changes from baseline to week 12 ([Mean change score (intervention arm) – Mean change score (usual care arm)]/SDpooled), where 0.2 indicates a small effect, 0.5 a medium effect, and 0.8 a large effect.
Abbreviations: Mean Δ, mean change; SD, standard deviation; FACT-G, Functional Assessment of Cancer Therapy-General; ESAS, Edmonton Symptom Assessment System; GDS, Geriatric Depression Scale; ADLs, Activities of Daily Living; IADLs, Instrumental Activities of Daily Living.