Evidence map›Paper›PMID 32243717›Full record

Trial reportCancer medicine2020

Results from a randomized controlled trial testing StressProffen; an application-based stress-management intervention for cancer survivors.

Elin Børøsund, Shawna L Ehlers, Cecilie Varsi, Matthew M Clark, Michael A Andrykowski, Milada Cvancarova, Lise Solberg Nes

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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.

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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  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
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  7. Barriers and enablers to integrating physical activity in breast cancer care: A qualitative study using the TDF and COM-B model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  16. Review of psychological interventions in patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

7 authors at 4 institutions in 2 countries.

Elin BørøsundDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-3897-7055
Shawna L EhlersDepartment of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-3004-5966
Cecilie VarsiDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-5257-7993
Matthew M ClarkDepartment of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-3887-4419
Michael A AndrykowskiDepartment of Behavioral Science, College of Medicine, University of Kentucky, Lexington, Kentucky.ORCID 0000-0002-6441-1541
Milada CvancarovaFaculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0001-8947-8649
Lise Solberg NesDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-9261-0871
Oslo University Hospital · NOMayo Clinic · USOsloMet – Oslo Metropolitan University · NOUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn-person cognitive-behavioral stress-management interventions are consistently associated with reduced cancer distress. However, face-to-face delivery is an access barrier for many patients, and there is a need to develop remote-delivered interventions. The current study evaluated the preliminary efficacy of an application (app)-based cancer stress-management intervention, StressProffen, in a randomized controlled trial.

methodsCancer survivors, maximum 1-year posttreatment (N = 172), were randomized to StressProffen (n = 84) or a usual care control group (n = 88). Participants received a blended delivery care model: (a) one face-to-face introduction session, (b) 10 app-based cognitive-behavioral stress-management modules, and (c) follow-up phone calls at weeks 2-3 and 6-7. Outcome measures included stress (Perceived Stress Scale), anxiety and depression (Hospital Anxiety Depression Scale), and health-related quality of life (HRQoL; Short-Form Health Surveys [SF-36]) at 3-months post-intervention, analyzed with change scores as dependent variables in linear regression models.

resultsParticipants were primarily women (82%), aged 20-78 years (mean 52, SD 11.2), with mixed cancer types (majority breast cancer; 48%). Analysis of 149 participants completing questionnaires at baseline and 3 months revealed significant intervention effects: decreased stress (mean difference [MD] -2.8; 95% confidence interval [CI], [-5.2 to -0.4]; P = .022) and improved HRQoL (Role Physical MD = 17.7, [CI 3.7-31.3], P = .013; Social Functioning MD = 8.5, [CI 0.7-16.2], P = .034; Role Emotional MD = 19.5, [CI 3.7-35.2], P = .016; Mental Health MD = 6.7, [CI 1.7-11.6], P = .009). No significant changes were observed for anxiety or depression.

conclusionsDigital-based cancer stress-management interventions, such as StressProffen, have the potential to provide easily accessible, effective psychosocial support for cancer survivors.

Indexed as

AnxietyCancer SurvivorsCase-Control StudiesCombined Modality TherapyDepressionFemaleFollow-Up StudiesHumansInternet-Based InterventionMaleMiddle AgedNeoplasmsPrognosisPsychotherapyStress, PsychologicalSurvival Ratecancercancer survivorcognitive behavioraldigitaldistresshealth-care deliverypsycho-oncologystress-management

Identifiers

PMID32243717
PMCPMC7286452
OpenAlexW3014378605

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.