Evidence map›Paper›PMID 37901047›Full record

ArticleBreast care (Basel, Switzerland)2023

App-Based Lifestyle Coaching (PINK!) Accompanying Breast Cancer Patients and Survivors to Reduce Psychological Distress and Fatigue and Improve Physical Activity: A Feasibility Pilot Study.

Josefine Wolff, Pia Wuelfing, Alexander Koenig, Brigitte Ehrl, Jana Damsch, Martin Smollich, Freerk Theeagnus Baumann, Nadia Harbeck, Rachel Wuerstlein

Abstract read
In one paragraph

Article in Breast care (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Effectiveness of eHealth interventions in long-term follow-up care for breast and gynecological cancer survivors: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  5. Models, outcomes, barriers, and facilitators of supportive care in cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

9 authors.

Josefine WolffBreast Center, Department of Gynecology and Obstetrics, and Comprehensive Cancer Center Munich, Ludwig-Maximilians-University, University Hospital, Munich, Germany.
Pia WuelfingPINK! gegen Brustkrebs GmbH, Department Clinical Research, Hamburg, Germany.
Alexander KoenigBreast Center, Department of Gynecology and Obstetrics, and Comprehensive Cancer Center Munich, Ludwig-Maximilians-University, University Hospital, Munich, Germany.
Brigitte EhrlBreast Center, Department of Gynecology and Obstetrics, and Comprehensive Cancer Center Munich, Ludwig-Maximilians-University, University Hospital, Munich, Germany.
Jana DamschBreast Center, Department of Gynecology and Obstetrics, and Comprehensive Cancer Center Munich, Ludwig-Maximilians-University, University Hospital, Munich, Germany.
Martin SmollichInstitute of Nutritional Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany.
Freerk Theeagnus BaumannDepartment I of Internal Medicine, University of Cologne, Cologne, Germany.
Nadia HarbeckBreast Center, Department of Gynecology and Obstetrics, and Comprehensive Cancer Center Munich, Ludwig-Maximilians-University, University Hospital, Munich, Germany.
Rachel WuerstleinBreast Center, Department of Gynecology and Obstetrics, and Comprehensive Cancer Center Munich, Ludwig-Maximilians-University, University Hospital, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This pilot study aimed to investigate the effects of using an app-based certified medical product named PINK! on breast cancer patients and survivors. The objectives were to measure psychological distress, physical activity, and therapy-related fatigue of patients using PINK! to identify trends and develop a study design for a subsequent multicentric proof of efficacy RCT. Materials and Methods: PINK! offers individualized, evidence-based therapy and side-effect management, mindfulness-based stress reduction, nutritional and psychological education, physical activity tracking, and motivational exercises to implement lifestyle changes sustainably in daily routine. A prospective, intraindividual RCT was performed with Results: Primary efficacy variable analysis revealed a relative average decrease of 32.9% in psychological distress, which corresponds to a statistically significant reduction ( Conclusion: App-based supportive care offers a promising, low-threshold, and cost-efficient opportunity to improve psychological well-being, quality of life, fatigue, and physical activity. More research is needed to implement eHealth solutions in clinical cancer care.

Indexed as

App-based interventionBreast cancerDigitale GesundheitsanwendungeHealthFatiguePhysical activityPINK!Psychological distress

Identifiers

PMID37901047
PMCPMC10601684

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.