Evidence map›Paper›PMID 40579827›Full record

ArticleNursing open2025

The Effect of an App-Based Multimodal Cancer Rehabilitation Programme on Sense of Coherence of Women With Gynaecological Cancer: Study Protocol for a Randomised Controlled Trial.

Ka Ming Chow, Carmen Wing Han Chan, Alexandra Leigh McCarthy, Jiemin Zhu, Kai Chow Choi, Ka Yi Siu, Alice Wai Yi Leung

Abstract readClinical Trial Protocol
In one paragraph

Article in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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. 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

7 authors.

Ka Ming ChowThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-7442-5197
Carmen Wing Han ChanThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Alexandra Leigh McCarthyGriffith Health, Griffith University, Queensland, Australia.
Jiemin ZhuDepartment of Nursing, School of Medicine, Xiamen University, Xiamen, China.ORCID 0000-0001-9705-9575
Kai Chow ChoiThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Ka Yi SiuDepartment of Obstetrics and Gynaecology, Prince of Wales Hospital, Hospital Authority, Hong Kong, China.
Alice Wai Yi LeungThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0001-5217-0464

Funding

Health and Medical Research Fund, the Health Bureau, The Government of the Hong Kong Special Administrative Region 20210201
6 · The paper itself

Abstract

aimTo investigate the effects and cost-effectiveness of an app-based multimodal cancer rehabilitation programme promoting sense of coherence for women treated for gynaecological cancer, and to understand participants' experience of the programme.

designAn assessor-blinded, concurrent mixed-method randomised controlled trial.

methodsGynaecological cancer patients (N = 160) will be recruited and randomly assigned to an intervention group (n = 80) or an attention control group (n = 80). The intervention group will receive the multimodal cancer rehabilitation programme over 12 weeks, in which they will access a Hong Kong-adapted version of the Australian Women's Wellness after Cancer Programme via a mobile application, plus three virtual individual counselling sessions and reminder phone calls. The attention control group will receive usual care plus telephone calls to deliver general greetings. The outcome variables of sense of coherence, cancer-specific distress, health-promoting behaviours and health-related quality of life (HRQoL) will be measured at baseline (T0), on the completion of the programme (T1) and 12 weeks after intervention completion (T2). HRQoL of the participants will be further reassessed every 3 months from T2 till 12-month post-intervention to evaluate cost-effectiveness. Semi-structured interviews will explore the participants' experience and perceptions of the programme. This study will adhere to the CONSORT-EHEALTH checklist.

conclusionThis study will offer the first empirical evidence regarding the effectiveness of the multimodal cancer rehabilitation programme in enhancing sense of coherence, reducing cancer-specific distress, promoting positive lifestyle changes, and improving quality of life for women treated for gynaecological cancer. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Women treated for gynaecological cancer experience unmet rehabilitation needs, yet healthcare professionals might not have the time or resources to meet these needs after intensive treatment is complete. This digital intervention could be incorporated into routine service delivery and adapted to other female cancer groups to improve patient outcomes. REPORTING

methodThis protocol adhered to the SPRIT 2013 statement. PATIENT OR PUBLIC CONTRIBUTION: None.

trial registrationISRCTN registry number: ISRCTN17629214 (registered in November 2023).

Indexed as

Genital Neoplasms, FemaleMobile ApplicationsSense of CoherenceAdultCost-Benefit AnalysisFemaleHong KongHumansMiddle AgedQuality of LifeRandomized Controlled Trials as Topicdietdistressgynaecological cancerphysical activityprotocolquality of liferehabilitationsense of coherence

Identifiers

PMID40579827
PMCPMC12205138

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.