Evidence map›Paper›PMID 34357555›Full record

SynthesisJournal of cancer survivorship : research and practice2022

Effects of tandem cognitive behavioral therapy and healthy lifestyle interventions on health-related outcomes in cancer survivors: a systematic review.

Sarah Addison, Damalie Shirima, Emmanuela B Aboagye-Mensah, Shanon G Dunovan, Esther Y Pascal, Maryam B Lustberg, Elizabeth K Arthur, Timiya S Nolan

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. The moderating effect of family socioeconomic status in the relationship between health-related behaviors and quality of life among the Hakka older adults in Fujian, China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  6. Article
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  8. Lifestyle modification program (IM Healthy) for cancer survivors: Implementation of a reimbursable telehealth group program during the COVID-19 pandemic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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 3 institutions in 1 country.

Sarah AddisonThe Ohio State College of Medicine, 370 West 9th Avenue, Columbus, OH, 43210, USA.ORCID 0000-0002-7092-9400
Damalie ShirimaThe Ohio State University Comprehensive Cancer, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, 460 W 10th Ave, Columbus, OH, 43210, USA.
Emmanuela B Aboagye-MensahThe Ohio State College of Medicine, 370 West 9th Avenue, Columbus, OH, 43210, USA.
Shanon G DunovanCollege of Nursing, University of Nebraska Medical Center, 4111 Dewey Ave, Omaha, NE, 68198, USA.
Esther Y PascalDepartment of Microbiology, College of Arts and Sciences, The Ohio State University, 281 W Lane Ave, Columbus, OH, 43210, USA.
Maryam B LustbergThe Ohio State University Comprehensive Cancer, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, 460 W 10th Ave, Columbus, OH, 43210, USA.
Elizabeth K ArthurThe Ohio State University Comprehensive Cancer, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, 460 W 10th Ave, Columbus, OH, 43210, USA.
Timiya S NolanThe Ohio State University Comprehensive Cancer, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, 460 W 10th Ave, Columbus, OH, 43210, USA. nolan.261@osu.edu.
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USFlorida State University · USUniversity of Nebraska Medical Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Piloting Y-AMBIENT: A Quality of Life Intervention for Young African American Breast Cancer Survivors in TreatmentK08CA245208 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI NOLAN, TIMIYA S · 2020 to 2024
$895k
Piloting Y-AMBIENT: A Quality of Life Intervention for Young African American Breast Cancer SurvivorsR03CA245999 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI NOLAN, TIMIYA S · 2020 to 2020
$156k
NCATS NIH HHS UL1 TR001863NCI NIH HHS K08 CA245208NCI NIH HHS R03 CA245999
6 · The paper itself

Abstract

purposeHealthy lifestyle (HL) behaviors and cognitive behavioral therapy (CBT) have been individually shown to improve adverse effects of cancer treatment. Little is known about how such programs in tandem affect health-related outcomes. This review evaluates extant literature on tandem CBT/HL interventions on health-related outcomes in cancer survivors.

methodsA comprehensive search of PubMed, PsychINFO, CINAHL, and Embase databases revealed numerous studies involving CBT and HL tandem interventions in cancer survivors in the last 20 years. Studies meeting the inclusion criteria were examined and assessed by the authors.

resultsThe 36 studies included 5199 participants. Interventions involved the use of CBT in combination with a HL condition (stress reduction, increasing physical activity, etc.). These tandem conditions were compared against no intervention, usual care, and/or CBT alone or HL alone. Interventions were delivered by a variety of interventionists, and over different durations. The most common HL target outcomes were stress, and insomnia. Most studies (31 of 36) reported a reduction in adverse treatment and/or cancer-related effects.

conclusionFindings were biased with the overrepresentation of breast cancer survivors, and underrepresentation of minority groups, and those with advanced cancer. Thus, this review highlights the need for further research to test tandem interventions against CBT alone and HL alone, and toward identifying the most efficacious interventions for dissemination and implementation across diverse groups of cancer survivors. Implications for cancer survivors Tandem CBT/HL interventions can improve health-related outcomes for cancer survivors when compared to usual care, but there is a paucity of knowledge to suggest differential outcomes when compared to CBT or HL alone.

Indexed as

Breast NeoplasmsCancer SurvivorsCognitive Behavioral TherapyFemaleHealthy LifestyleHumansSurvivorsCancer survivorshipCognitive behavior therapyHealthy lifestyle behaviorsInterventionsQuality of life

Identifiers

PMID34357555
PMCPMC8342979
OpenAlexW3190993955

What OpenQuestion holds

Textmetadata
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.