Evidence map›Paper›PMID 31941539›Full record

ArticleTrials2020

Evaluating a digital tool for supporting breast cancer patients: a randomized controlled trial protocol (ADAPT).

Emma Lidington, Sophie E McGrath, Jillian Noble, Susannah Stanway, Amanda Lucas, Kabir Mohammed, Winette van der Graaf, Olga Husson

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03866655 (Evaluating a Digital Tool for Supporting Breast Cancer Patients), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
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.

NCT03866655 naunknown statusnot on this map

Evaluating a Digital Tool for Supporting Breast Cancer Patients: A Prospective Randomised Controlled Trial

TypeinterventionalSponsorRoyal Marsden NHS Foundation TrustRan2019 to 2022Enrolled165ConditionsBreast CancerArmsOWise
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Effect of a digital tool on breast cancer specific health-related quality of life and psychological distress: secondary results from the ADAPT study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  2. Evaluating a digital tool for supporting people affected by breast cancer: a prospective randomized controlled trial-the ADAPT study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  3. Article
  4. Article
  5. Review
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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 at 4 institutions in 2 countries.

Emma LidingtonThe Royal Marsden Hospital, London, United Kingdom.
Sophie E McGrathThe Royal Marsden Hospital, London, United Kingdom.
Jillian NobleThe Royal Marsden Hospital, London, United Kingdom.
Susannah StanwayThe Royal Marsden Hospital, London, United Kingdom.
Amanda LucasDiscover at Imperial College Health Partners, London, United Kingdom.
Kabir MohammedDiscover at Imperial College Health Partners, London, United Kingdom.
Winette van der GraafThe Royal Marsden Hospital, London, United Kingdom.
Olga HussonNetherlands Cancer Institute, Amsterdam, Netherlands. olga.husson@icr.ac.uk.
Royal Marsden Hospital · GBKings Health Partners · GBDutch Cancer Society · NLThe Netherlands Cancer Institute · NL

Funding

Innovate UK 12462
6 · The paper itself

Abstract

backgroundThere are a growing number of mHealth tools for breast cancer patients but a lack of scientific evidence for their effects. Recent studies have shown a mix of positive and negative impacts on users. Here we will assess the impact of OWise Breast Cancer, a mobile application for self-monitoring symptoms and managing care, on the process of self-management.

methodsThis randomized controlled trial with early stage breast cancer patients will assess the effect of OWise use on patient activation at 3 months from diagnosis measured by the PAM-13 questionnaire. We will also assess differences in changes in health-related quality of life, psychological distress, health status, and National Health Service (NHS) health resource utilization over the first year from diagnosis. Participants will be randomly allocated (1:1) to standard care or standard care plus OWise. Participants will complete questionnaires before starting anti-cancer treatment and at 3, 6, and 12 months from diagnosis. Clinical and patient-reported outcome data will be linked to health resource utilization data from Discover, an integrated care record of primary, secondary, and social care in North West London. We will measure contamination in the control group and adjust the sample size to mitigate the dilution of effect estimates. A per-protocol analysis will be conducted as a sensitivity analysis to assess robustness of the primary results. DISCUSSION: This study aims to generate evidence for the effectiveness of OWise at improving patient activation for women with early-stage breast cancer. The results will show the impact of using the tool at the patient level and the NHS health system level. The outcomes of the study will have implications for the application of OWise across the NHS for breast cancer patients and expansion into other tumor types. Assessing publicly available mHealth tools poses a challenge to trialists due to the risk of contamination. Here we apply various methods to measure, mitigate, and assess the effects of contamination.

trial registrationThe study was registered at clincaltrials.gov (NCT03866655) on 7 March 2019.

Indexed as

AgedBreast NeoplasmsCase-Control StudiesFemaleHealth ResourcesHealth StatusHumansLondonMiddle AgedMobile ApplicationsPatient Reported Outcome MeasuresProgram EvaluationPsychological DistressQuality of LifeRandomized Controlled Trials as TopicSample SizeBreast cancerHealth-related quality of lifeHealth resource utilizationmHealthPatient activationPatient-reported outcome measures

Identifiers

PMID31941539
PMCPMC6961395
OpenAlexW2995035339

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.