{"id":"https://openalex.org/W7204988035","doi":"https://doi.org/10.1080/01463373.2026.2727362","title":"Disclosure and supportive communication patterns in the cancer pre-diagnosis phase","display_name":"Disclosure and supportive communication patterns in the cancer pre-diagnosis phase","publication_year":2026,"publication_date":"2026-09-02","ids":{"openalex":"https://openalex.org/W7204988035","doi":"https://doi.org/10.1080/01463373.2026.2727362"},"language":"en","primary_location":{"id":"doi:10.1080/01463373.2026.2727362","doi":"https://doi.org/10.1080/01463373.2026.2727362","is_oa":false,"landing_page_url":"https://doi.org/10.1080/01463373.2026.2727362","pdf_url":null,"source":{"id":"https://openalex.org/S43587112","display_name":"Communication Quarterly","issn_l":"0040-8573","issn":["0040-8573","0146-3373","1746-4102","2331-060X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","erih-plus","jufo-1","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319847","host_organization_name":"Routledge","host_organization_lineage":["https://openalex.org/P4310319847","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Routledge","Taylor & Francis"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Communication Quarterly","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074092094","display_name":"Andrew C. Tollison","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Andrew C. Tollison","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5088177311","display_name":"Lisa Glebatis Perks","orcid":"https://orcid.org/0000-0001-9624-8614","observed_orcids":["https://orcid.org/0000-0001-9624-8614"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lisa G. Perks","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5074092094"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"74","issue":"5","first_page":"468","last_page":"490"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.9564999938011169,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.9564999938011169,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13574","display_name":"Family Support in Illness","score":0.01140000019222498,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.010200000368058681,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/social-support-needs","display_name":"social support needs","score":0.7670000195503235},{"id":"https://openalex.org/keywords/diagnostic-uncertainty","display_name":"diagnostic uncertainty","score":0.7929999828338623},{"id":"https://openalex.org/keywords/selective-disclosure","display_name":"selective disclosure","score":0.9150000214576721},{"id":"https://openalex.org/keywords/peer-support","display_name":"peer support","score":0.777999997138977},{"id":"https://openalex.org/keywords/cancer-testing","display_name":"cancer testing","score":0.3070000112056732}],"concepts":[{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5618000030517578},{"id":"https://openalex.org/C44280652","wikidata":"https://www.wikidata.org/wiki/Q104837","display_name":"Phase (matter)","level":2,"score":0.5562000274658203},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.46790000796318054},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.38449999690055847},{"id":"https://openalex.org/C175202939","wikidata":"https://www.wikidata.org/wiki/Q2892912","display_name":"Self-disclosure","level":2,"score":0.37450000643730164},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33160001039505005},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.296099990606308},{"id":"https://openalex.org/C2778080475","wikidata":"https://www.wikidata.org/wiki/Q4353774","display_name":"Health communication","level":2,"score":0.2660999894142151},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25940001010894775},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.23669999837875366}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1080/01463373.2026.2727362","doi":"https://doi.org/10.1080/01463373.2026.2727362","is_oa":false,"landing_page_url":"https://doi.org/10.1080/01463373.2026.2727362","pdf_url":null,"source":{"id":"https://openalex.org/S43587112","display_name":"Communication Quarterly","issn_l":"0040-8573","issn":["0040-8573","0146-3373","1746-4102","2331-060X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","erih-plus","jufo-1","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319847","host_organization_name":"Routledge","host_organization_lineage":["https://openalex.org/P4310319847","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Routledge","Taylor & Francis"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Communication Quarterly","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":64,"referenced_works":["https://openalex.org/W1577064061","https://openalex.org/W1825779275","https://openalex.org/W1845415662","https://openalex.org/W1979290264","https://openalex.org/W1985206547","https://openalex.org/W1989893231","https://openalex.org/W1990179149","https://openalex.org/W1994227608","https://openalex.org/W1995250783","https://openalex.org/W1996535281","https://openalex.org/W2003095486","https://openalex.org/W2009234690","https://openalex.org/W2013914158","https://openalex.org/W2014929131","https://openalex.org/W2042748411","https://openalex.org/W2044781546","https://openalex.org/W2075413394","https://openalex.org/W2081745157","https://openalex.org/W2085837773","https://openalex.org/W2089653002","https://openalex.org/W2099189588","https://openalex.org/W2115364836","https://openalex.org/W2117046281","https://openalex.org/W2122033165","https://openalex.org/W2146011485","https://openalex.org/W2151114590","https://openalex.org/W2151264927","https://openalex.org/W2163708351","https://openalex.org/W2166026554","https://openalex.org/W2174750142","https://openalex.org/W2335493236","https://openalex.org/W2338699881","https://openalex.org/W2400158805","https://openalex.org/W2509870072","https://openalex.org/W2522270354","https://openalex.org/W2523403764","https://openalex.org/W2524595018","https://openalex.org/W2565719646","https://openalex.org/W2772020427","https://openalex.org/W2804319096","https://openalex.org/W2883207255","https://openalex.org/W2903471832","https://openalex.org/W3128075790","https://openalex.org/W3160599633","https://openalex.org/W3165755909","https://openalex.org/W3186639657","https://openalex.org/W3199220482","https://openalex.org/W4200222475","https://openalex.org/W4211048728","https://openalex.org/W4283829441","https://openalex.org/W4292554328","https://openalex.org/W4310522098","https://openalex.org/W4367174052","https://openalex.org/W4376642640","https://openalex.org/W4385716907","https://openalex.org/W4386955384","https://openalex.org/W4389515135","https://openalex.org/W4389856070","https://openalex.org/W4391746381","https://openalex.org/W4395048872","https://openalex.org/W4408997824","https://openalex.org/W4409667212","https://openalex.org/W4410248624","https://openalex.org/W4415666060"],"related_works":["https://openalex.org/W4395048872","https://openalex.org/W7165957206","https://openalex.org/W3091222617","https://openalex.org/W1995250783","https://openalex.org/W7140166074","https://openalex.org/W1911806182","https://openalex.org/W2260034074","https://openalex.org/W4399480914","https://openalex.org/W2098328650","https://openalex.org/W2030920909"],"abstract_inverted_index":{"Health-related":[0],"disclosure":[1,26,103],"decisions":[2],"can":[3],"be":[4],"a":[5,52,113],"source":[6],"of":[7,30,116,153],"both":[8],"distress":[9],"and":[10,27,90,104,125,166],"social":[11,65,105],"support.":[12,106],"Using":[13],"Greene\u2019s":[14],"Disclosure":[15],"Decision-Making":[16],"Model":[17],"(DD-MM)":[18],"as":[19],"the":[20,33,57,69,79,120,123,139,154],"theoretical":[21],"framework,":[22],"this":[23],"research":[24,157],"assesses":[25],"support":[28,66,126],"needs":[29,67],"individuals":[31],"within":[32,56],"cancer":[34,42,53,70],"pre-diagnosis":[35,71,74,117,163],"phase":[36,75],"(i.e.":[37],"undergoing":[38],"advanced":[39],"testing":[40,109],"for":[41,162],"due":[43],"to":[44],"troubling":[45],"symptoms).":[46],"Fifty-five":[47],"participants":[48],"who":[49],"had":[50],"undergone":[51],"diagnosis":[54],"experience":[55],"last":[58],"5":[59],"years":[60],"were":[61,98],"interviewed":[62],"about":[63],"their":[64],"during":[68],"phase.":[72],"The":[73],"is":[76],"unique":[77,114],"in":[78],"disease":[80],"trajectory":[81],"because":[82],"extensive":[83],"uncertainties":[84],"remain":[85],"surrounding":[86],"symptom":[87],"causes,":[88],"diagnosis,":[89],"prognosis.":[91],"Through":[92],"thematic":[93],"analysis,":[94],"two":[95],"macro-level":[96],"themes":[97],"identified":[99],"focused":[100],"on":[101],"selective":[102],"Subthemes,":[107],"including":[108],"unawareness":[110],"or":[111],"denial,":[112],"form":[115],"stigma,":[118],"letting":[119],"patient":[121],"set":[122],"tone,":[124],"preferences":[127],"from":[128],"similar":[129],"peers,":[130],"are":[131],"developed":[132],"within.":[133],"Collectively,":[134],"these":[135],"findings":[136],"demonstrate":[137],"how":[138],"DD-MM":[140],"operates":[141],"under":[142],"diagnostic":[143],"uncertainty,":[144],"where":[145],"minimal":[146],"health":[147],"information":[148],"reshapes":[149],"all":[150],"three":[151],"factors":[152],"model.":[155],"This":[156],"also":[158],"offers":[159],"practical":[160],"advice":[161],"patients,":[164],"supporters,":[165],"healthcare":[167],"providers.":[168]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2026-09-02T00:00:00"}