ArticlePsycho-oncology2022
Smartphone-based Ecological Momentary Assessment to study "scanxiety" among Adolescent and Young Adult survivors of childhood cancer: A feasibility study.
Article in Psycho-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Compliance With Ecological Momentary Assessment Among Patients With Cancer: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Readdressing the Ongoing Challenge of Missing Data in Youth Ecological Momentary Assessment Studies: Meta-Analysis Update.Journal of medical Internet research · 2025Pooled it
- Manifestations of Body Image Distress in AYA Cancer Survivors: A Qualitative Analysis of Participants in an Expressive Writing Intervention.Psycho-oncology · 2026Article
- Use of Ecological Momentary Assessment to Measure Affect-Based Feeling States Among Rural Breast Cancer Survivors: A Feasibility Study Guided by the Integrated Screening Action Model.International journal of behavioral medicine · 2026Article
- Identifying Features of Scanxiety Among People With Cancer: A Nominal Group Technique Method.Psycho-oncology · 2026Article
- Medical Appointments are Associated With Same-Day Worry and Sleep Difficulties Among Cancer Survivors.Psycho-oncology · 2026Article
- Biomarkers and Psychological Factors Associated with Distress in Children, Adolescents, and Young Adults Undergoing MRI Neuroimaging: A Systematic Review of Observational Studies with Clinical Recommendations.Healthcare (Basel, Switzerland) · 2026Review
- Step-by-step: A clinical pathway for stepped care management of fear of cancer recurrence-results of a three-round online delphi consensus process with Australian health professionals and researchers.Journal of cancer survivorship : research and practice · 2026Article
- Ecological Momentary Assessment for Assessing Affect Patterns Associated With Depression in Cancer Survivors in Primary Care: A Pilot Study.Psycho-oncology · 2026Article
- Time-bounded uncertainty in childhood cancer survivorship: a psycho-oncology perspective on result communication.Frontiers in psychology · 2026Article
- Fear of cancer recurrence among adolescent and young adult cancer survivors: a mixed-methods systematic review.Journal of cancer survivorship : research and practice · 2025Review
- Resilience in advanced cancer patients who obtain a long-term response to immunotherapy or targeted therapy: an Ecological Momentary Assessment study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Observational
- Scanxiety and Fear of Recurrence in Young Adult Female Breast and Gynaecological Cancer Survivors: Investigating Shared Mechanisms.Psycho-oncology · 2024Article
- Scanxiety and quality of life around follow-up imaging in patients with unruptured intracranial aneurysms: a prospective cohort study.European radiology · 2024Article
- Fear of cancer recurrence experienced by pediatric survivors of childhood cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Depression and anxiety among cancer patients visiting a tertiary care cancer hospital.World journal of psychiatry · 2024Article
- Cancer Survivorship at Stanford Cancer Institute.Journal of cancer survivorship : research and practice · 2024Article
- "Making Data the Drug": A Pragmatic Pilot Feasibility Randomized Crossover Trial of Data Visualization as an Intervention for Pediatric Chronic Pain.Children (Basel, Switzerland) · 2023Article
- "Scanxiety" and a sense of control: the perspective of lung cancer survivors and their caregivers on follow-up - a qualitative study.BMC psychology · 2023Article
- Scanxiety among Adults with Cancer: A Scoping Review to Guide Research and Interventions.Cancers · 2023Article
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
objectiveScan-related anxiety ("scanxiety") refers to the fear, stress, and anxiety in anticipation of tests and scans in follow-up cancer care. This study assessed the feasibility of Ecological Momentary Assessment (EMA) for real-world, real-time capture of scanxiety using patients' personal smartphone.
methodsAdolescent and Young Adult survivors of childhood cancer were prompted to complete EMA surveys on a smartphone app three times per day for 11 days (33 surveys total) around their routine surveillance scans. Participants provided structured feedback on the EMA protocol.
resultsThirty out of 46 contacted survivors (65%) enrolled, exceeding the preregistered feasibility cutoff of 55%. The survey completion rate (83%) greatly exceeded the preregistered feasibility cutoff of 65%. Participants generally found the smartphone app easy and enjoyable to use and reported low levels of distress from answering surveys. Participants reported significantly more daily fear of cancer recurrence (FCR) and negative affect in the days before compared to the days after surveillance scans, aligning with the expected trajectory of scanxiety. Participants who reported greater FCR and scanxiety using comprehensive measures at baseline also reported significantly more daily FCR around their surveillance scans, indicating validity of EMA items. Bodily threat monitoring was prospectively and concurrently associated with daily FCR, thus warranting further investigation as a risk factor for scanxiety.
conclusionsFindings indicate the feasibility, acceptability, and validity of EMA as a research tool to capture the dynamics and potential risk factors for scanxiety.
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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.