Evidence map›Paper›PMID 39679981›Full record

Trial reportHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2025

Effects of expressive helping writing during stem cell transplant: Randomized controlled trial.

Christine Rini, George Luta, Deniz Ozisik, Scott D Rowley, Annette L Stanton, Heiddis Valdimarsdottir, Jane Austin, Betina Yanez, Kristi D Graves

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Christine RiniDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine.ORCID 0000-0002-3169-3626
George LutaDepartment of Biostatistics, Bioinformatics and Biomathematics, Georgetown University Medical Center.
Deniz OzisikDepartment of Biostatistics, Bioinformatics and Biomathematics, Georgetown University Medical Center.
Scott D RowleyDepartment of Oncology, Georgetown University Lombardi Comprehensive Cancer Center.
Annette L StantonDepartment of Psychology, University of California at Los Angeles.
Heiddis ValdimarsdottirDepartment of Psychology, Reykjavik University.
Jane AustinDepartment of Psychology, William Paterson University.
Betina YanezDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine.
Kristi D GravesDepartment of Oncology, Georgetown University Lombardi Comprehensive Cancer Center.

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI MARCUS S NOEL · 1990 to 2026
$71.5M
Giving and receiving: A reciprocal support writing intervention to reduce symptoms during stem cell transplantR01CA223963 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI RINI, CHRISTINE · 2018 to 2021
$2.6M
National Institutes of Health; National Cancer InstituteNCI NIH HHS P30 CA051008NCI NIH HHS R01 CA223963
6 · The paper itself

Abstract

objectiveMost cancer patients undergoing hematopoietic stem cell transplant report elevated symptoms and reduced health-related quality of life during peritransplant. These concerns can become persistent. A prior randomized controlled trial showed that expressive helping-a low-burden, brief intervention combining expressive writing with a novel peer support writing exercise-reduced psychological distress and physical symptoms in long-term transplant survivors with moderate/high persistent symptoms. The Writing for Insight, Strength, and Ease trial evaluated the use of expressive helping during peritransplant, when symptoms peak and early intervention could prevent the development of persistent symptoms.

methodThree hundred sixty-six adult blood cancer patients (44.3% female, 74.6% White, 13.4% Black, 11.5% Hispanic/Latinx) scheduled for allogeneic (33.9%) or autologous (66.1%) transplant were randomized to complete either expressive helping or a neutral writing task in four writing sessions beginning pretransplant and ending 4 weeks posthospital discharge. Symptom severity (primary outcome), distress (depressive symptoms, generalized and cancer-specific anxiety), health-related quality of life, and fatigue were measured in multiple assessments from prerandomization to 12 months postintervention. Primary endpoints at 3 and 12 months postintervention estimated short- and long-term intervention effects. Moderation analyses explored subgroup differences in intervention efficacy.

resultsMixed models with repeated measures analyses revealed no statistically or clinically significant intervention effects on primary or secondary outcomes. Moderation analyses did not identify subgroups of participants who benefitted from the intervention.

conclusionFindings do not support use of expressive helping during peritransplant. We recommend that survivors with persistent symptoms complete expressive helping at least 9 months posttransplant, consistent with evidence from a prior trial. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Cancer SurvivorsHematologic NeoplasmsHematopoietic Stem Cell TransplantationPsychological DistressQuality of LifeWritingAdultDepressionFemaleHumansMaleMiddle Aged

Identifiers

PMID39679981
PMCPMC11932774

What OpenQuestion holds

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Registered trials

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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.