Evidence map›Paper›PMID 40879639›Full record

Trial reportPsycho-oncology2025

An HRQOL Proof-Of-Concept Analysis of the eHealth TOGETHER Intervention for Adolescent and Young Adult Cancer Survivors: A Brief Report.

Rina S Fox, Terry A Badger, Samantha Moya, Lisa M Gudenkauf, Marjorie A Nelson, Riley M O'Neill, Jacqueline J Leete, Sydney E Friedman, Emmanuel Katsanis, David E Victorson and 4 more

4 registry-linked trialsAbstract readClinical 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. It is linked to 4 registered trials, which are not on this map. Not yet cited in PubMed.

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

NCT05048316 nacompletednot on this map

Pilot Study to Develop a Group-Based E-Health Intervention for Young Adult Cancer Survivors

TypeinterventionalSponsorH. Lee Moffitt Cancer Center and Research InstituteRan2021 to 2022Enrolled17ConditionsCancer Survivor, Young AdultArmsCognitive-Behavioral Stress Management and Health Education
NCT05054569 nacompletednot on this map

Developing and Pre-Testing an eHealth Group Intervention for Young Adult Cancer Survivors

TypeinterventionalSponsorNorthwestern UniversityRan2021 to 2021Enrolled6ConditionsCancerArmsCognitive-Behavioral Stress Management and Health Education
NCT05597228 nacompletednot on this map

Adapting and Testing an eHealth Platform to Deliver a Group Intervention for Young Adult Cancer Survivors

TypeinterventionalSponsorUniversity of ArizonaRan2022 to 2023Enrolled7ConditionsCancerArmsCognitive-Behavioral Stress Management and Health Education
NCT05952492 nacompletednot on this map

Improving Young Adult Cancer Survivors' Mental Health with an EHealth Group Intervention

TypeinterventionalSponsorUniversity of ArizonaRan2024 to 2024Enrolled32ConditionsCancerArmsStress Management Skills Training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Rina S FoxDivision of Nursing and Health Sciences, University of Arizona College of Nursing, Tucson, Arizona, USA.ORCID 0000-0003-4307-5259
Terry A BadgerDivision of Nursing and Health Sciences, University of Arizona College of Nursing, Tucson, Arizona, USA.ORCID 0000-0002-2403-9562
Samantha MoyaUniversity of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA.
Lisa M GudenkaufDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Marjorie A NelsonDivision of Nursing and Health Sciences, University of Arizona College of Nursing, Tucson, Arizona, USA.
Riley M O'NeillDepartment of Psychology, University of Arizona College of Science, Tucson, Arizona, USA.ORCID 0000-0002-1881-2758
Jacqueline J LeeteDepartment of Psychology, University of Arizona College of Science, Tucson, Arizona, USA.
Sydney E FriedmanDepartment of Psychology, University of Arizona College of Science, Tucson, Arizona, USA.
Emmanuel KatsanisUniversity of Arizona Cancer Center, Tucson, Arizona, USA.
David E VictorsonDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-3530-8633
Stacy D SanfordRobert H. Lurie Comprehensive Cancer Center, Chicago, Illinois, USA.
Frank J PenedoDepartment of Psychology, University of Miami, Miami, Florida, USA.ORCID 0000-0002-2780-0417
Michael H AntoniDepartment of Psychology, University of Miami, Miami, Florida, USA.
Laura B OswaldDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Virology and Immunology Technology CoreP30AI117943 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Michael E Newcomb · 2015 to 2026
$38.4M
Improving sleep in gynecologic cancer survivorsK08CA247973 · NCI · UNIVERSITY OF ARIZONA · PI FOX, RINA S · 2021 to 2025
$926k
American Cancer Society IRG-174-173-22American Cancer Society IRG-18-161-40American Cancer Society IRG-18-163-24Institute for Mental Health ResearchNCATS NIH HHS UL1 TR001422NCATS NIH HHS UL1TR001422NCI NIH HHS K08 CA247973NCI NIH HHS K08CA247973NCI NIH HHS P30 CA023074NCI NIH HHS P30CA023074NCI NIH HHS P30 CA076292NCI NIH HHS P30CA076292NIAID NIH HHS P30 AI117943
6 · The paper itself

Abstract

backgroundAdolescent and young adult (AYA) cancer survivors ages 18-39 report elevated stress and poor health-related quality of life (HRQOL), yet few evidence-based stress management interventions exist that meet their specific needs. Our team designed TOGETHER, a 10-week eHealth group-delivered behavioral intervention designed to improve HRQOL via stress management skills training. To date, TOGETHER has been delivered to seven groups of AYAs, and its feasibility and acceptability have been well established.

aimsThis proof-of-concept analysis explored TOGETHER's impact on patient-reported outcomes among AYAs.

methodsParticipants were English-speaking AYAs aged 18-39 who were diagnosed with cancer while aged 15-39 and had completed curative treatment within the past five years. Patient-reported outcomes were assessed at baseline and post-intervention and included HRQOL, stress management skills self-efficacy, coping strategies, and depression and anxiety symptoms. Pre-to-post-intervention changes were assessed with paired-samples t-tests among those with complete data (n = 39) and using a series of imputation strategies. The proportion of participants achieving clinically meaningful change was computed when possible.

resultsParticipants (N = 51) had an average age of 29 years and were predominantly female (78%), White (69%), and non-Hispanic (80%). HRQOL significantly improved from pre-to post-intervention with small-to-moderate effect sizes (gs ranged from 0.32-0.60), and more than half of participants (51%-59%) demonstrated clinically meaningful improvement. Statistically significant improvements were found for stress management skills self-efficacy, coping, and depression symptoms, but not anxiety symptoms.

conclusionsResults provide proof-of-concept evidence that TOGETHER can meaningfully improve patient-reported outcomes among AYA survivors, supporting continued evaluation of the intervention.

trial registrationClinicalTrials.gov; NCT05048316, NCT05054569, NCT05597228, NCT05952492.

Indexed as

Cancer SurvivorsNeoplasmsQuality of LifeStress, PsychologicalAdaptation, PsychologicalAdolescentAdultAnxietyDepressionFemaleHumansMalePatient Reported Outcome MeasuresProof of Concept StudySelf EfficacyTelemedicineadolescent and young adultbehavioral interventioncancer survivorshiponcologystress management

Identifiers

PMID40879639
PMCPMC12638025

What OpenQuestion holds

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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.