Trial reportEuropean journal of cancer care2019
Digital literacy linked to engagement and psychological benefits among breast cancer survivors in Internet-based peer support groups.
Trial report in European journal of cancer care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Enhancing patient knowledge and behaviour through digital health communication: a systematic review and random-effects meta-analysis of mobile, web-based, social media, telehealth, and AI-enabled interventions.Frontiers in public health · 2026Pooled it
- A systematic review of influences on engagement with remote health interventions targeting weight management for individuals living with excess weight.International journal of obesity (2005) · 2025Pooled it
- A systematic review of peer support interventions to improve psychosocial functioning among cancer survivors: can findings be translated to survivors with a rare cancer living rurally?Orphanet journal of rare diseases · 2024Pooled it
- Rapid systematic review on developing web-based interventions to support people affected by cancer.BMJ open · 2022Pooled it
- Studying the Digital Intervention Engagement-Mediated Relationship Between Intrapersonal Measures and Pre-Exposure Prophylaxis Adherence in Sexual and Gender Minority Youth: Secondary Analysis of a Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Digital Divide Among U.S. Adults with and without Cancer: Prevalence and Associated Factors.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- How Cancer Online Support Groups Work, for Whom, and in What Circumstances: Realist Review.Journal of medical Internet research · 2026Review
- Factors influencing information overload among breast cancer patients in the information explosion era: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Preparedness for generative AI adoption among Chinese cancer survivors: a multi-center cross-sectional survey study.Frontiers in public health · 2026Article
- Network analysis of distress, symptom burden, social support, and digital health literacy in older postoperative patients with gastric cancer.Frontiers in psychiatry · 2026Article
- An Action Plan to Facilitate the Transfer of Pain Management Competencies Among Nurses.Nursing reports (Pavia, Italy) · 2025Article
- Digital literacy, phubbing, and mental well-being in the digital age: a study on young university athletes.Frontiers in psychiatry · 2025Article
- Empowerment among breast cancer survivors using an online peer support community.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Uptake and engagement of a clinically moderated digital peer support platform to support the mental well-being older adults: a qualitative investigation.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2024Article
- Designing mHealth Apps to Incorporate Evidence-Based Techniques for Prolonging User Engagement.Interactive journal of medical research · 2024Article
- Lessons and Untapped Potential of Smartphone-Based Physical Activity Interventions for Mental Health: Narrative Review.JMIR mHealth and uHealth · 2024Review
- The Role of Social Media in Breast Cancer Care and Survivorship: A Narrative Review.Breast care (Basel, Switzerland) · 2023Review
- Digital Trends, Digital Literacy, and E-Health Engagement Predictors of Breast and Colorectal Cancer Survivors: A Population-Based Cross-Sectional Survey.International journal of environmental research and public health · 2023Article
- High engagement in mobile peer support is associated with better glycemic control in type 1 diabetes: A real-world study.Journal of diabetes investigation · 2022Article
- Electronic Health Literacy among Linguistically Diverse Patients in the Los Angeles County Safety Net Health System.Ethnicity & disease · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveInternet-based peer support groups (ISGs) represent an innovative, scalable approach to addressing information and support needs of cancer survivors. However, this innovation may not benefit survivors equally due to population variance in digital literacy. This study examined how digital literacy influences level of engagement in and psychological benefits from participating in ISGs for breast cancer (N = 183).
methodsSecondary analysis of data from a randomised trial of ISGs that included behavioural measures of engagement, subjective ratings and psychological distress symptoms.
resultsDigital literacy was positively related to education level (p = .005). Relative to women with high digital literacy, those with lower digital literacy were more likely to report difficulties using the ISG and to value the user's guide and facilitator assistance (all p's < .05). Digital literacy was negatively correlated with computer anxiety pre-intervention, distress before and after online chat during the intervention and post-intervention depressive symptoms (all p's < .05).
conclusionLow digital literacy is associated with computer anxiety and barriers to ISG use, as well as distress during and after ISG use. Digital literacy must be taken into account when designing or delivering innovative digital interventions for cancer survivors.
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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.