Evidence map›Paper›PMID 40348854›Full record

ArticleNPJ digital medicine2025

Mobile health intervention CanRelax reduces distress in people with cancer in a randomized controlled trial.

Jürgen Barth, Sonja Schläpfer, Fabian Schneider, Prabhakaran Santhanam, Tobias Kowatsch, Priska Heinz, Ulrike Held, Manuela Eicher, Claudia M Witt

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Jürgen Barth *Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Zurich, Switzerland. mail@juergen-barth.de.ORCID http://orcid.org/0000-0001-7096-7178
Sonja Schläpfer *Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-0330-403X
Fabian SchneiderByldr GmbH, Schlieren, Switzerland.ORCID http://orcid.org/0000-0003-2434-7087
Prabhakaran SanthanamDatahouse AG, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-9506-4888
Tobias KowatschCentre for Digital Health Interventions, Department of Management, Technology, and Economics, ETH Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-5939-4145
Priska HeinzDepartment of Biostatistics at the Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Ulrike HeldDepartment of Biostatistics at the Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0003-3105-5840
Manuela EicherIUFRS Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne and Lausanne University Hospital, Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-7691-0719
Claudia M WittInstitute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-5440-7805

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mindfulness and relaxation exercises are effective face-to-face interventions for reducing distress in people with cancer. Their effectiveness in mobile health settings has yet to be investigated. This study evaluated the effectiveness of the CanRelax 2 app in reducing distress in people with cancer. German-speaking adults diagnosed with cancer within the last five years with elevated distress levels (Distress Thermometer ≥5) were recruited. Participants were randomized to the CanRelax 2 app or a waitlist control group. The primary endpoint was the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS) after 10 weeks (210 participants). We observed a clinically meaningful larger reduction in PHQ-ADS scores in the intervention group compared to the control group (-3.7, 95%-CI from -5.7 to -1.6; p = 0.0005). Similar effects were found for distress, well-being, and self-regulation. Our results confirm the effectiveness of a mobile health app in reducing distress in people with cancer. Registration: German Clinical Trials Register (DRKS00027546) on 23.02.2022.

Identifiers

PMID40348854
PMCPMC12065826

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.