Evidence map›Paper›PMID 40634264›Full record

Trial reportPsycho-oncology2025

Feasibility Randomised Controlled Trial of a New Digital Intervention ('FRAME') to Promote Resilience in Women Treated for Primary Breast Cancer.

Anna V Cartwright, Hannah Krzyzanowski, Rona Moss-Morris, Laura Smith, Yogini Sawjani, Camilla Böhme Kristensen, Nuvera Mukaty, Sam Norton, Jo Armes, Colette R Hirsch

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

10 authors.

Anna V CartwrightInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Hannah KrzyzanowskiInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Rona Moss-MorrisInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Laura SmithInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Yogini SawjaniInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Camilla Böhme KristensenInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-4133-6331
Nuvera MukatyInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Sam NortonInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0003-1714-9963
Jo ArmesFaculty of Health and Medical Sciences, School of Health Sciences, University of Surrey, Guildford, UK.
Colette R HirschInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Funding

National Institute for Health and Care Research NIHR203318Wellcome Trust
6 · The paper itself

Abstract

objectiveThis study investigates the acceptability of a novel Cognitive Bias Modification for Interpretation (CBM-I) intervention, 'FRAME', to promote resilience in women who have completed active treatment for primary breast cancer and determines the feasibility of a full-scale randomised controlled trial.

methodsA two-armed, participant-blind, parallel groups randomised controlled trial of CBM-I versus a time-matched control. Participants were recruited from community organisations and social media. Measures of acceptability, feasibility, change in interpretation bias and clinical outcomes (resilience, mood and quality of life) were assessed at baseline (T0), 1-month post-randomisation (T1, end of intervention), 2-month (T2) and 4-month post-randomisation (T3).

resultsSixty-seven participants completed baseline assessment and were randomised to the FRAME CBM-I (n = 35) or control group (n = 32). Acceptability of CBM-I met pre-specified progression criteria, and 80% adhered to the CBM-I intervention. Between-group differences in interpretation bias at T1 demonstrated a moderate effect in favour of CBM-I on two measures of interpretation bias (SMD

conclusionsThe study results provide strong support for the acceptability of a new online CBM-I intervention ('FRAME') to promote resilience in women treated for primary breast cancer and indicate that a full-scale trial is feasible. The study fulfiled all pre-specified progression criteria to advance to an efficacy trial, except meeting the recruitment target of 70 participants. Importantly, recruitment took place during the Covid-19 pandemic. Recommendations for future research are provided.

Indexed as

Breast NeoplasmsCognitive Behavioral TherapyResilience, PsychologicalAdultAffectAgedFeasibility StudiesFemaleHumansMiddle AgedQuality of Lifebiasbreast cancercancer survivorscognitive bias modificationinterpretation biaspositive psychologypsychologicalpsycho‐oncologyresiliencesurvivorship

Identifiers

PMID40634264
PMCPMC12240892

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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.