Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023
Smartphone Psychotherapy Reduces Fear of Cancer Recurrence Among Breast Cancer Survivors: A Fully Decentralized Randomized Controlled Clinical Trial (J-SUPPORT 1703 Study).
Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 7 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
42 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Comparison of the effects of cognitive-supportive-relaxation multimodal psychosocial intervention on fear of cancer recurrence and psychological resilience in breast cancer patients: a network meta-analysis based on randomized controlled trials.Frontiers in oncology · 2026Pooled it
- Effects of CBT-based interventions on health outcomes in breast cancer patients: a systematic review and Meta-analysis.Breast cancer (Tokyo, Japan) · 2025Pooled it
- Effects of cognitive behavioral therapy on resilience among adult cancer patients: a systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- Systematic review on the effectiveness of mobile health applications on mental health of breast cancer survivors.Journal of cancer survivorship : research and practice · 2025Pooled it
- Fear of cancer recurrence in oncohematological patients: assessment instruments and evidence-based psychological interventions - a systematic review.Frontiers in psychology · 2025Pooled it
- Effectiveness of telemedicine-based psychosocial intervention for breast cancer patients: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Pooled it
- Effect of electronic health (eHealth) on quality of life in women with breast cancer: A systematic review and meta-analysis of randomized controlled trials.Cancer medicine · 2023Pooled it
- Smartphone cognitive behavioral therapy for prevention of depressive symptoms in patients with recurrent pregnancy loss: an exploratory decentralized, parallel-group, multicenter, open, individually randomized, fully factorial trial.Psychiatry and clinical neurosciences · 2026Trial
- Trial
- Smartphone-Based Acceptance and Commitment Therapy for Postmastectomy Pain Syndrome: A Pilot RCT Evaluating Feasibility, Acceptability, and Preliminary Clinical Outcomes.Journal of pain research · 2026Trial
- Impacts and Pathways of Behavioral Activation on Psychological Distress Among Patients Diagnosed With Esophageal and Gastric Cancer in China: A Randomized Controlled Trial.Cancer medicine · 2024Trial
- Optimizing smartphone psychotherapy for depressive symptoms in patients with cancer: Multiphase optimization strategy using a decentralized multicenter randomized clinical trial (J-SUPPORT 2001 Study).Psychiatry and clinical neurosciences · 2024Trial
- Effectiveness of computer-based stress inoculation training (SIT) counseling approach on anxiety, depression, and stress of students with premenstrual syndrome.BMC public health · 2024Trial
- Application of Digital Technology in Palliative Care in Japan.Journal of hospice and palliative care · 2026Review
- Differences in Internalizing Problems Across Risk Groups of Smartphone Addiction: Simulation-Based Network Analysis of Intervention Targets.Behavioral sciences (Basel, Switzerland) · 2026Article
- Implementation of artificial intelligence in palliative and supportive care for people with cancer: A scoping review.Palliative medicine · 2026Article
- Interventions to Reduce Fear of Cancer Recurrence Among People With Cancer: Scoping Review.JMIR cancer · 2026Article
- Online peer support for breast cancer survivors: protocol for a decentralized multicenter open-label pilot randomized controlled trial (HOPE-BC study).International journal of clinical oncology · 2026Article
- Systematic review and meta-analysis of digital interventions for mental health in cancer patients and survivors.NPJ digital medicine · 2025Article
- Enhancing Well-Being in Cancer Survivors Through Acceptance and Commitment Therapy: A Randomized Clinical Trial.Cureus · 2025Article
Corrections and comments
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Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFear of cancer recurrence (FCR) is a common distressing condition. We investigated the efficacy of smartphone problem-solving therapy and behavioral activation applications in breast cancer survivors.
methodsThis was a decentralized randomized trial. Participants were disease-free breast cancer survivors age 20-49 years who were randomly assigned to the smartphone-based intervention or waitlist control. Both groups received treatment as usual. The control group could access the smartphone apps during weeks 8-24. The intervention comprised smartphone problem-solving therapy and behavioral activation apps. The primary end point was the Concerns About Recurrence Scale at week 8. Secondary outcomes included the Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF), the Hospital Anxiety and Depression Scale (HADS), the Short-form Supportive Care Needs Survey (SCNS-SF34), and the Posttraumatic Growth Inventory at weeks 8 and 24 (trial registration: UMIN-CTR: UMIN000031140).
resultsThe intervention group included 223 participants, and the control group included 224 participants. Primary outcome data were obtained for 444 participants, and 213 participants in the intervention arm completed the week 24 assessment. The intervention group had statistically greater improvements than controls at week 8 on the Concerns About Recurrence Scale (difference -1.39; 95% CI, -1.93 to -0.85;
conclusionNovel smartphone psychotherapy offers a promising way to reduce FCR given the large number of survivors and a limited number of therapists to competently conduct psychotherapy.
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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.