Evidence map›Paper›PMID 37103493›Full record

ArticleJMIR research protocols2023

Coping After Breast Cancer: Protocol for a Randomized Controlled Trial of Stress Management eHealth Interventions.

Karianne Svendsen, Lise Solberg Nes, Anders Meland, Ine Marie Larsson, Ylva M Gjelsvik, Elin Børøsund, Christine M Rygg, Tor Åge Myklebust, Kristin V Reinertsen, Cecilie E Kiserud and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04480203 (Coping After Breast Cancer - CABC - Stressmestring Etter Brystkreft - SEB), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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.

NCT04480203 narecruitingnot on this map

Coping After Breast Cancer - CABC - Stressmestring Etter Brystkreft - SEB

TypeinterventionalSponsorNorwegian Institute of Public HealthRan2021 to 2035Enrolled390ConditionsBreast Cancer Patients, Health, SubjectiveArmsStressproffen cognitive based stress management, Stressproffen mindfulness based intervention, Control
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Digital and AI-enhanced psychosocial interventions in breast cancer patients: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Trial
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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

17 authors at 9 institutions in 4 countries.

Karianne SvendsenCancer Registry of Norway, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-7628-0999
Lise Solberg NesDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-9261-0871
Anders MelandDepartment of Sport and Social Sciences, School of Sport Sciences, Oslo, Norway.ORCID https://orcid.org/0000-0002-5412-0097
Ine Marie LarssonCancer Registry of Norway, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0009-0006-7100-6663
Ylva M GjelsvikCancer Registry of Norway, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0001-5027-9482
Elin BørøsundDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-3897-7055
Christine M RyggDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0009-0008-8843-0553
Tor Åge MyklebustCancer Registry of Norway, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-4645-1635
Kristin V ReinertsenNational Advisory Unit for Late Effects After Cancer, Department of Oncology, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-0433-8589
Cecilie E KiserudNational Advisory Unit for Late Effects After Cancer, Department of Oncology, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-1955-185X
Helle SkjervenSection for Breast and Endocrine Surgery Department, Vestre Viken Hospital Trust, Drammen, Norway.ORCID https://orcid.org/0000-0003-3193-5119
Michael H AntoniDepartment of Psychology, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, United States.ORCID https://orcid.org/0000-0002-3971-0873
Trudie ChalderDepartment of Psychological Medicine, King's College London, London, United Kingdom.ORCID https://orcid.org/0000-0003-0775-1045
Ingvil MjaalandDepartment of Oncology and Hematology, Stavanger University Hospital, Stavanger, Norway.ORCID https://orcid.org/0000-0001-6981-6444
Linda E CarlsonDepartment of Oncology, University of Calgary, Calgary, AB, Canada.ORCID https://orcid.org/0000-0002-4411-2085
Hege R Eriksen *Department of Sport, Food and Natural Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID https://orcid.org/0000-0001-9812-4463
Giske Ursin *Cancer Registry of Norway, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-0835-9507
Oslo University Hospital · NOKing's College London · GBNorwegian School of Sport Sciences · NOStavanger University Hospital · NOUniversity of Calgary · CAUniversity of Miami · USUniversity of Southern California · USVestre Viken Hospital Trust · NOWestern Norway University of Applied Sciences · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne-third or more of breast cancer survivors report stress and other psychological and physical complaints that can negatively impact their quality of life. Psychosocial stress management interventions, shown to mitigate the negative impact of these complaints, can now be delivered as accessible and convenient (for the patient and provider) eHealth interventions. In this randomized controlled trial (RCT), Coping After Breast Cancer (CABC), 2 modified versions of the stress management eHealth intervention program StressProffen were created: one with predominantly cognitive behavioral stress management content (StressProffen-cognitive behavioral therapy intervention [StressProffen-CBI]) and another with predominantly mindfulness-based stress management content (StressProffen-mindfulness-based intervention [StressProffen-MBI]).

objectiveThis study aims to investigate the effects in breast cancer survivors of using StressProffen-CBI and StressProffen-MBI compared with a control group (treatment as usual).

methodsWomen diagnosed with breast cancer (stage I-III, unequivocally human epidermal growth factor receptor 2-positive or estrogen receptor-negative tumors) or ductal carcinoma in situ (DCIS) aged 21-69 years who completed the Cancer Registry of Norway-initiated health survey on quality of life are invited to the CABC trial about 7 months after diagnosis. Women who give consent to participate are randomized (1:1:1) to either the StressProffen-CBI, StressProffen-MBI, or control group. Both StressProffen interventions consist of 10 modules of stress management content delivered through text, sound, video, and images. The primary outcome is between-group changes in perceived stress at 6 months, assessed with Cohen 10-item Perceived Stress Scale. The secondary outcomes comprise changes in quality of life, anxiety, depression, fatigue, sleep, neuropathy, coping, mindfulness, and work-related outcomes approximately 1, 2, and 3 years after diagnosis. Long-term effects of the interventions on work participation, comorbidities, relapse or new cancers, and mortality will be assessed using data from national health registries.

resultsRecruitment is scheduled from January 2021 to May 2023. The goal is to recruit 430 participants (100 in each group). As of April 14 2023, 428 participants have been enrolled.

conclusionsThe CABC trial is possibly the largest ongoing psychosocial eHealth RCT in patients with breast cancer. If 1 or both interventions prove to be effective in reducing stress and improving psychosocial and physical complains, the StressProffen eHealth interventions could be beneficial, inexpensive, and easily implementable tools for breast cancer survivors when coping with late effects after cancer and cancer treatments.

trial registrationClinicaltrials.gov NCT04480203; https://clinicaltrials.gov/ct2/show/NCT04480203. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/47195.

Indexed as

breast cancercognitive behavioral therapydigitaleHealthinterventionmindfulnesspsychosocialRCTstress managementStressProffen

Identifiers

PMID37103493
PMCPMC10248777
OpenAlexW4366780037

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.