Evidence map›Paper›PMID 27862646›Full record

Trial reportPsycho-oncology2017

A randomized pilot trial of a positive affect skill intervention (lessons in linking affect and coping) for women with metastatic breast cancer.

Elaine O Cheung, Michael A Cohn, Laura B Dunn, Michelle E Melisko, Stefana Morgan, Frank J Penedo, John M Salsman, Dianne M Shumay, Judith T Moskowitz

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07021872 (Reducing Loneliness Among Older Adults Through Enhancing Positive Affect), which is not on this map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 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.

NCT07021872 narecruitingnot on this mapstarted 2025, after this paper: background citation

Reducing Loneliness Among Older Adults Through Enhancing Positive Affect: A Randomized Controlled Trial With Ecological Momentary Assessments

TypeinterventionalSponsorEducation University of Hong KongRan2025 to 2026Enrolled276ConditionsLonelinessArmsTele-Positive Affect Intervention, Tele-Behavioral Activation Intervention, Tele-Friendly Visit
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Randomized controlled trial of a facilitated online positive emotion regulation intervention for dementia caregivers.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019
    Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

9 authors.

Elaine O CheungNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Michael A CohnUniversity of California San Francisco, San Francisco, CA, USA.
Laura B DunnStanford Medicine, Stanford, CA, USA.
Michelle E MeliskoUniversity of California San Francisco, San Francisco, CA, USA.
Stefana MorganUniversity of California San Francisco, San Francisco, CA, USA.
Frank J PenedoNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
John M SalsmanWake Forest School of Medicine, Winston-Salem, NC, USA.
Dianne M ShumayUniversity of California San Francisco, San Francisco, CA, USA.
Judith T MoskowitzNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.

Funding

Training Researchers in Clinical Integrative Medicine (TRIM) - NOSI supplementT32AT003997 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHELLEY R ADLER, MARIA T CHAO · 2007 to 2026
$6.6M
TRAINING THE NEXT GENERATION OF MENTAL HEALTH RESEARCHERSR25MH060482 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DANIEL H MATHALON, Susan M. Voglmaier · 2000 to 2026
$5.2M
Assessment, Development and Application of Positive Psychology Science for CancerK07CA158008 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SALSMAN, JOHN · 2011 to 2015
$668k
NCCIH NIH HHS T32 AT003997NCI NIH HHS K07 CA158008NIMH NIH HHS R25 MH060482
6 · The paper itself

Abstract

backgroundWe conducted a randomized pilot trial to examine the feasibility, acceptability, and preliminary efficacy of a 5 week positive affect skills intervention (LILAC: lessons in linking affect and coping) for women with metastatic breast cancer. Additionally, we examined whether online delivery of the intervention would offer comparable benefits as in-person delivery.

methodsWomen with metastatic breast cancer (N = 39) were randomized to an in-person intervention, online intervention, or in-person attention-matched control. Psychological well-being (depression [Center for Epidemiologic Studies Depression Scale], positive and negative affect [Differential Emotions Scale], cancer-specific quality of life [Multidimensional Quality of Life Scale-Cancer Version]), and positive coping (mindfulness, positive-affect skill use, and self-compassion [Self-Compassion Scale: Short-Form]) were assessed at baseline, 1 week post-intervention, and 1 month post-intervention follow-up.

resultsThe LILAC intervention showed good feasibility, acceptability, and retention. Although the study was not adequately powered to detect between-group differences in change on preliminary efficacy outcomes, within-group comparisons revealed that LILAC participants (in-person and online combined) showed reductions in depression and negative affect by the 1 month follow-up (d = -0.81). Notably, LILAC participants fell below the clinical threshold for depression (Center for Epidemiologic Studies Depression Scale = 16) by the 1 month follow-up (t[17] = -2.22, P = .04, d = -0.52), whereas control participants did not differ from threshold (t[9] = 0.45, P = .66, d = 0.14).

conclusionsThe LILAC intervention, regardless of delivery method, shows feasibility, acceptability, and preliminary efficacy for promoting psychological well-being in women with metastatic breast cancer. This research provides support for a larger randomized trial to test more definitively the potential benefits of LILAC. A strength of the LILAC intervention includes its innovative focus on positive affect. The efficacy of the online delivery suggests the potential for widespread Internet dissemination.

Indexed as

Adaptation, PsychologicalMindfulnessPatient Acceptance of Health CareQuality of LifeAdultAgedBreast NeoplasmsDepressionEmotionsFeasibility StudiesFemaleHumansInternetMiddle AgedNeoplasm MetastasisPilot Projectscancermetastatic breast canceroncologyonlinepositive Affectwell-being

Identifiers

PMID27862646
PMCPMC5550341

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.