Evidence map›Paper›PMID 37644354›Full record

Trial reportJournal of cancer survivorship : research and practice2025

Efficacy of a brief cognitive behavioral therapy for head and neck cancer survivors with body image distress: secondary outcomes from the BRIGHT pilot randomized clinical trial.

Evan M Graboyes, Emily Kistner-Griffin, Elizabeth G Hill, Stacey Maurer, Wendy Balliet, Amy M Williams, Lynne Padgett, Flora Yan, Angie Rush, Brad Johnson and 4 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03831100 (A Single-Site, Parallel-Group, Randomized-Controlled Pilot Trial Comparing BRIGHT With Active Control in Reducing Body Image Disturbance Among Head and Neck Cancer Survivors), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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.

NCT03831100 nacompletednot on this map

A Single-Site, Parallel-Group, Randomized-Controlled Pilot Trial Comparing BRIGHT With Active Control in Reducing Body Image Disturbance Among Head and Neck Cancer Survivors (BRIGHT 2.0)

TypeinterventionalSponsorMedical University of South CarolinaRan2020 to 2022Enrolled54ConditionsHead and Neck CancerArmsBRIGHT, Active Control
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Mechanism underlying a brief cognitive behavioral treatment for head and neck cancer survivors with body image distress.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  4. Review
  5. Translation and psychometric properties of the Chinese version of the inventory to measure and assess image disturbance in head and neck cancer (IMAGE-HN).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Body Image Distress and Depression in Head and Neck Cancer Patients- a Narrative Review.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Evan M GraboyesDepartment of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA. graboyes@musc.edu.
Emily Kistner-GriffinDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Elizabeth G HillDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Stacey MaurerDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Wendy BallietDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Amy M WilliamsOffice of Physician Well-Being and Professionalism, Corewell Health, Detroit, MI, USA.
Lynne PadgettVeteran Affairs Office of Research and Development, Washington, DC, USA.
Flora YanDepartment of Otolaryngology-Head & Neck Surgery, Temple University School of Medicine, Philadelphia, USA.
Angie RushHead and Neck Cancer Alliance, Charleston, SC, USA.
Brad JohnsonHead and Neck Cancer Alliance, Charleston, SC, USA.
Taylor McLeodDepartment of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Jennifer DahneHollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Kenneth J RuggieroCollege of Nursing, Medical University of South Carolina, Charleston, SC, USA.
Katherine R SterbaDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Medical University of South Carolina · USMUSC Hollings Cancer Center · USCorewell HealthTemple University · USVA Office of Research and Development · US

Funding

Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI John J Lemasters · 2009 to 2026
$42.7M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
A Randomized Controlled Trial to Evaluate a Novel Treatment Strategy for Body Image-Related Distress Among Head and Neck Cancer SurvivorsR37CA269385 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Evan Michael Graboyes · 2023 to 2026
$2.5M
Development and Testing of a Depression-Specific Behavioral Activation Mobile App Paired with Nicotine Replacement Therapy Sampling for Smoking Cessation Treatment Via Primary CareK23DA045766 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DAHNE, JENNIFER RENEE · 2018 to 2022
$1.0M
A Novel Treatment Strategy for Body Image Disturbance in Head and Neck Cancer SurvivorsR21CA245941 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GRABOYES, EVAN MICHAEL · 2020 to 2020
$387k
NCATS NIH HHS UL1 TR000062NCI NIH HHS P30 CA138313NCI NIH HHS R21 CA245941NCI NIH HHS R37 CA269385NIDA NIH HHS K23 DA045766
6 · The paper itself

Abstract

purposeBody image distress (BID) among head and neck cancer (HNC) survivors leads to depression, social isolation, stigma, and poor quality of life. BRIGHT (Building a Renewed ImaGe after Head and neck cancer Treatment) is a brief, tailored cognitive behavioral therapy (CBT) that reduces HNC-related BID. This trial examines the effect of BRIGHT on psychosocial outcomes among HNC survivors with BID.

methodsIn this pilot randomized trial, HNC survivors with clinically significant BID were randomized to 5 weekly psychologist-led tele-CBT sessions (BRIGHT) or dose and delivery-matched survivorship education (attention control [AC]). Secondary psychosocial outcomes were assessed using validated patient-reported outcomes at baseline and 1 and 3-month post-intervention.

resultsAmong 44 HNC survivors with BID, BRIGHT resulted in a greater reduction in depression relative to AC (mean model-based 1-month difference in Δ PROMIS SF v1.0-Depression 8a score, -3.4; 90% CI, -6.4 to -0.4; 3-month difference, -4.3; 90% CI, -7.8 to -0.8). BRIGHT also decreased shame and stigma relative to AC (mean model-based 3-month difference in Δ Shame and Stigma Scale score, -9.7; 90% CI, -15.2 to -4.2) and social isolation (mean model-based 3-month difference in Δ PROMIS SF v2.0 Social Isolation 8a score, -2.9; 90% CI, -5.8 to -0.1).

conclusionsIn this planned secondary analysis of a pilot RCT, BRIGHT improved a broad array of psychosocial outcomes among HNC survivors with BID.

trial registrationClinicalTrials.gov identifier: NCT03831100 . IMPLICATIONS FOR CANCER SURVIVORS: These promising preliminary data suggest the need for a large efficacy trial evaluating the effect of BRIGHT on psychosocial outcomes among HNC survivors with BID.

Indexed as

Body ImageCancer SurvivorsCognitive Behavioral TherapyHead and Neck NeoplasmsAdultAgedDepressionFemaleHumansMaleMiddle AgedPilot ProjectsQuality of LifeTreatment OutcomeBody imageCognitive behavioral therapyHead and neck cancerPsychosocial oncologySurvivorshipTelemedicine

Identifiers

PMID37644354
PMCPMC10902187
OpenAlexW4386244360

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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.