Evidence map›Paper›PMID 31654533›Full record

ArticlePsycho-oncology2020

Using smart-messaging to enhance mindfulness-based cognitive therapy for cancer patients: A mixed methods proof of concept evaluation.

Chloe Wells, Sam Malins, Simon Clarke, Iwona Skorodzien, Sanchia Biswas, Tim Sweeney, Nima Moghaddam, Jo Levene

Registry-linked trialAbstract read
In one paragraph

Article in Psycho-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06695234 (Effects of a Second-generation Mindfulness-based Intervention on Quality of Life, Pain Management, and Psycho-spiritual Wellbeing in Cancer Patients), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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.

NCT06695234 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effects of a Second-generation Mindfulness-based Intervention on Quality of Life, Pain Management, and Psycho-spiritual Wellbeing in Cancer Patients: A Randomised Controlled Trial

TypeinterventionalSponsorUniversity of DerbyRan2024 to 2025Enrolled200ConditionsCancer, Mindfulness-based Intervention, Meditation, Psychological Well-BeingArmsMeditation Awareness Training
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Chloe WellsDepartment of Psychology, Nottingham Trent University, Nottingham, UK.
Sam MalinsInstitute of Mental Health, University of Nottingham, Nottingham, UK.ORCID 0000-0001-9570-186X
Simon ClarkeDepartment of Psychology, Nottingham Trent University, Nottingham, UK.
Iwona SkorodzienSchool of Psychology, University of Leicester, Leicester, UK.
Sanchia BiswasSpecialist Services, Nottinghamshire Healthcare NHS Foundation Trust, Nottinghamshire, UK.ORCID 0000-0002-9457-5096
Tim SweeneySpecialist Services, Nottinghamshire Healthcare NHS Foundation Trust, Nottinghamshire, UK.
Nima MoghaddamSchool of Psychology, University of Lincoln, Lincoln, UK.
Jo LeveneSpecialist Services, Nottinghamshire Healthcare NHS Foundation Trust, Nottinghamshire, UK.

Funding

Department of Health
6 · The paper itself

Abstract

objectiveDepression and anxiety lead to reduced treatment adherence, poorer quality of life, and increased care costs amongst cancer patients. Mindfulness-based cognitive therapy (MBCT) is an effective treatment, but dropout reduces potential benefits. Smart-message reminders can prevent dropout and improve effectiveness. However, smart-messaging is untested for MBCT in cancer. This study evaluates smart-messaging to reduce dropout and improve effectiveness in MBCT for cancer patients with depression or anxiety.

methodsFifty-one cancer patients attending MBCT in a psycho-oncology service were offered a smart-messaging intervention, which reminded them of prescribed between-session activities. Thirty patients accepted smart-messaging and 21 did not. Assessments of depression and anxiety were taken at baseline, session-by-session, and one-month follow-up. Logistic regression and multilevel modelling compared the groups on treatment completion and clinical effectiveness. Fifteen post-treatment patient interviews explored smart-messaging use.

resultsThe odds of programme completion were eight times greater for patients using smart-messaging compared with non-users, controlling for age, gender, baseline depression, and baseline anxiety (OR = 7.79, 95% CI 1.75 to 34.58, p = .007). Smart-messaging users also reported greater improvement in depression over the programme (B = -2.33, SEB = .78, p = .004) when controlling for baseline severity, change over time, age, and number of sessions attended. There was no difference between groups in anxiety improvement (B = -1.46, SEB = .86, p = .097). In interviews, smart-messaging was described as a motivating reminder and source of personal connection.

conclusionsSmart-messaging may be an easily integrated telehealth intervention to improve MBCT for cancer patients.

Indexed as

AdultAnxietyCognitive Behavioral TherapyDepressionFemaleHumansMaleMindfulnessNeoplasmsProof of Concept StudyQuality of LifeTelemedicineTreatment Outcomecancercognitive therapydropoutmindfulnessoncologytelehealth

Identifiers

PMID31654533
PMCPMC7004102

What OpenQuestion holds

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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.