Evidence map›Paper›PMID 39981705›Full record

Trial reportCancer medicine2025

Heart Rate Variability as a Digital Biomarker in Adolescents and Young Adults Receiving Hematopoietic Cell Transplantation.

Mallory R Taylor, Miranda C Bradford, Chuan Zhou, Kaitlyn M Fladeboe, Jorie F Wittig, K Scott Baker, Joyce P Yi-Frazier, Abby R Rosenberg

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03640325 (The Promoting Resilience in Stress Management), which is not on this map. Cited by 1 paper.

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

NCT03640325 nacompletednot on this map

The Promoting Resilience in Stress Management (PRISM) Intervention: a Multi-site Randomized Controlled Trial for Adolescents and Young Adults Receiving Hematopoietic Cell Transplantation

TypeinterventionalSponsorSeattle Children's HospitalRan2019 to 2024Enrolled143ConditionsCancer, Bone Marrow Neoplasms, Anxiety, DepressionArmsPRISM (Promoting Resilience in Stress Management)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

8 authors.

Mallory R TaylorDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.ORCID https://orcid.org/0000-0002-8998-4530
Miranda C BradfordBiostatistics Epidemiology and Analytics in Research Core, Seattle Children's Research Institute, Seattle, Washington, USA.
Chuan ZhouDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
Kaitlyn M FladeboeDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
Jorie F WittigUniversity of Washington School of Medicine, Seattle, Washington, USA.
K Scott BakerDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
Joyce P Yi-FrazierDepartment of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Abby R RosenbergDepartment of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-7608-607X

Funding

American Cancer Society
6 · The paper itself

Abstract

introductionAdolescents and young adults (AYAs) receiving hematopoietic cell transplantation (HCT) are at high risk for poor psychosocial outcomes. Heart rate variability (HRV), a surrogate for autonomic nervous system activity, is a promising digital biomarker that has been linked to important outcomes. The objectives of this study were to prospectively describe the trajectory of HRV among AYAs receiving HCT and explore the association between HRV and patient-reported outcomes (PROs).

methodsThis was a multi-site study embedded in a randomized trial among AYAs receiving HCT (NCT03640325). We collected sequential 24-h HRV metrics, including the standard deviation of normal-to-normal beats (SDNN), root-mean-square of successive differences (RMSSD), as well as frequency domain measures. PRO surveys queried anxiety, depression, quality of life, hope, and resilience at baseline and 3 months. We summarized outcomes using descriptive statistics, and Pearson correlation coefficients were used to examine the relationship between HRV and PROs.

resultsThirty-nine HRV recordings were collected from n = 16 participants aged 12-21 years. There was a moderately strong correlation between inferior baseline HRV and higher anxiety and depression (anxiety: r = -0.35 (p = 0.18) for SDNN, r = -0.47 (p = 0.07) for RMSSD; depression: r = -0.26 (p = 0.34) for SDNN, r = -0.39 (p = 0.14) for RMSSD). Among participants with elevated baseline anxiety, higher HRV suggested greater improvement in anxiety over time (r = -0.66 (p = 0.08) for SDNN, r = -0.31 (p = 0.45) for RMSSD).

conclusionsThere was a correlation between HRV and PROs in this study, and among those with elevated anxiety, HRV predicted improvement over time. Digital biomarkers may augment behavioral intervention design and implementation.

Indexed as

Heart RateHematopoietic Stem Cell TransplantationAdolescentAdultAnxietyBiomarkersChildDepressionFemaleHumansMalePatient Reported Outcome MeasuresProspective StudiesQuality of LifeYoung AdultBiomarkersadolescents and young adultsdigital biomarkersheart rate variabilityhematopoietic cell transplantationpsychosocial

Identifiers

PMID39981705
PMCPMC11843223

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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.