Evidence map›Paper›PMID 25146413›Full record

Trial reportPsycho-oncology2015

A randomized trial comparing live and telemedicine deliveries of an imagery-based behavioral intervention for breast cancer survivors: reducing symptoms and barriers to care.

Lyn W Freeman, Rebecca White, Chelsea G Ratcliff, Sue Sutton, Mary Stewart, J Lynn Palmer, Judith Link, Lorenzo Cohen

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psycho-oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 18 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

58 citing papers in PubMed, 18 syntheses or guidelines pooled it.

  1. Effectiveness of eHealth interventions in long-term follow-up care for breast and gynecological cancer survivors: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. The effectiveness of guided imagery on psychological outcomes and quality of life in cancer patients: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  3. Pooled it
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  5. Effectiveness of telemedicine-based psychosocial intervention for breast cancer patients: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  6. Pooled it
  7. Psychological interventions for women with non-metastatic breast cancer.The Cochrane database of systematic reviews · 2023
    Pooled it
  8. Pooled it
  9. Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Pooled it
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  11. Pooled it
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  13. Telephone interventions for symptom management in adults with cancer.The Cochrane database of systematic reviews · 2020
    Pooled it
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  19. Article
  20. Remote group intervention for adults with cancer-related cognitive impairment: a feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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

8 authors.

Lyn W FreemanMind Matters Research LLC, 7926 Port Orford Dr., Anchorage, AK, 99507, USA.
Rebecca WhiteArctic Skye Family Medicine, 561 S Denali Suite E, Palmer, AK, 99645, USA.
Chelsea G RatcliffDepartment of Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77204, USA.
Sue SuttonMind Matters Research LLC, 7926 Port Orford Dr., Anchorage, AK, 99507, USA.
Mary StewartAlaska Oncology and Hematology LLC, 2925 DeBarr Road, Suite 300, Anchorage, AK, 99508, USA.
J Lynn PalmerDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Judith LinkCancer Center Program, Alaska Regional Hospital, 2801 DeBarr Rd, Anchorage, AK, 99508, USA.
Lorenzo CohenDepartment of General Oncology and the Integrative Medicine Department, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kathrin Milbury · 1985 to 2026
$290.8M
R25 SUPPLEMENT IN GENETIC EPIDEMIOLOGY EDUCATIONR25CA057730 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CHANG, SHINE · 1992 to 2016
$18.6M
Multi-Media Imagery Program for Breast Cancer Patients (Phase II)R44CA117597 · NCI · MIND MATTERS RESEARCH · PI FREEMAN, LYNDA WELTON · 2008 to 2009
$963k
NCI NIH HHS 2 R44 CA117597-02A2NCI NIH HHS P30 CA016672NCI NIH HHS R25 CA057730NCI NIH HHS R25T CA057730NCI NIH HHS R44 CA117597
6 · The paper itself

Abstract

objectiveThis multi-site randomized trial evaluates the quality of life (QOL) benefits of an imagery-based group intervention titled 'Envision the Rhythms of Life'(ERL).

methodsBreast cancer survivors >6 weeks post-treatment were randomized to attend five weekly 4-h group sessions at a community center with therapist present (live delivery (LD), n = 48), therapist streamed via telemedicine (telemedicine delivery (TD), n = 23), or to a waitlist control (WL) group (n = 47). Weekly individual phone calls to encourage at-home practice began at session one and continued until the 3-month follow-up. Seven self-report measures of QOL were examined at baseline, 1-month and 3-month post-treatments including health-related and breast cancer-specific QOL, fatigue, cognitive function, spirituality, distress, and sleep.

resultsThe Bonferroni method was used to correct for multiple comparisons, and alpha was adjusted to 0.01. Linear multilevel modeling analyses revealed less fatigue, cognitive dysfunction, and sleep disturbance for LD and TD compared with WL across the follow-up (p's < 0.01). Changes in fatigue, cognitive dysfunction, sleep disturbance, and health-related and breast cancer-related QOL were clinically significant. There were no differences between LD and TD.

conclusionsBoth the live and telemedicine delivered ERL intervention resulted in improvements in multiple QOL domains for breast cancer survivors compared with WL. Further, there were no significant differences between LD and TD, suggesting telemedicine delivered ERL intervention may represent an effective and viable option for cancer survivors in remote areas.

Indexed as

Imagery, PsychotherapyQuality of LifeTelemedicineAdultAgedBehavior TherapyBreast NeoplasmsCognitive DysfunctionFatigueFemaleHumansMiddle AgedSleep Wake DisordersSpiritualitySurvivorsWaiting Listsbreast cancercancer survivorshipguided imageryquality of lifetelemedicine

Identifiers

PMID25146413
PMCPMC4379121

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.