Evidence map›Paper›PMID 41116260›Full record

Trial reportPsycho-oncology2025

A Pilot Study of the Cancer Distress Coach-Caregiver App: A Digital Intervention for Reducing PTSD Symptoms in HCT Caregivers.

Allison J Applebaum, Rebecca R Gebert, Cole Manschot, Eric Kuhn, Eric Laber, Amanda Kastrinos, Osborn Owusu Ansah, Hannah-Rose Mitchell, Sophia K Smith

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. Article
  2. Observational
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.

Allison J ApplebaumBrookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0002-2140-5635
Rebecca R GebertDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts, USA.
Cole ManschotBiostatistics and Research Decision Sciences (BARDS), Merck & Co. Inc., Rahway, New Jersey, USA.
Eric KuhnDissemination and Training Division, National Center for PTSD, Palo Alto VA Medical Center, Palo Alto, California, USA.
Eric LaberStatistical Sciences and Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0003-2640-7696
Amanda KastrinosDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Osborn Owusu AnsahSchool of Nursing, Duke University, Durham, North Carolina, USA.ORCID 0009-0006-5961-4893
Hannah-Rose MitchellFerkauf Graduate School of Psychology of Yeshiva University, New York, New York, USA.ORCID 0000-0002-5321-5270
Sophia K SmithSchool of Nursing, Duke University, Durham, North Carolina, USA.ORCID 0000-0002-7809-0339

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
Next-generation SMARTs for Discovery and Evaluation of Sequential Cancer Therapeutic StrategiesR01CA280970 · NCI · DUKE UNIVERSITY · PI Eric Benjamin Laber · 2024 to 2026
$1.1M
Developing a communication support intervention for cancer caregivers in emerging and young adulthoodK99CA279651 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI KASTRINOS, AMANDA · 2024 to 2025
$270k
Duke University School of Nursing: Discretionary Funds to Sophia SmithNCI NIH HHS 1K99CA279651NCI NIH HHS 1R01-CA280970-01A1NCI NIH HHS K99 CA279651NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA280970NCI NIH HHS T32 CA009461NCI NIH HHS T32CA009461
6 · The paper itself

Abstract

backgroundCaregivers of hematopoietic cell transplantation (HCT) survivors face high risk for posttraumatic stress disorder (PTSD) but lack psychosocial support. Digital health tools may offer scalable solutions to address caregiver distress. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of Cancer Distress Coach-Caregiver (CaDC-C), an app designed to reduce PTSD symptoms in cancer caregivers.

methodThis report focuses on the first-stage intervention of a larger Sequential Multiple Assignment Randomized Trial (SMART). Participants were initially randomized to receive CaDC-C or Usual Care (i.e., offered psychosocial services available at their respective institutions). Assessments were conducted at baseline and Week 4, and those with no meaningful symptom improvement at Week 4 were re-randomized to higher-intensity interventions. While details about the second-stage randomization will be reported separately, here we report on acceptability of CaDC-C use at Week 14.

resultsForty-four caregivers consented to participate, N = 36 completed Week 4 surveys (82% retention) and N = 31 completed Week 14 surveys (70% retention). Our post-intervention acceptability benchmark was achieved at Week 14 with 78.9% (n = 15) endorsing at least moderate satisfaction. Additionally, most reported CaDC-C enhanced their knowledge of PTSD and caregiving (84.2%, n = 16), explained their symptoms (78.9%, n = 15), and provided practical solutions to their problems (68.4%, n = 13). At Week 4, 81% (n = 13) reported a clinically meaningful reduction in PTSD symptoms (≥ 5 decrease in PCL-5 score). CaDC-C participants also demonstrated a significant reduction in anxiety symptoms at Week 4 (p = 0.02). DISCUSSION: This pilot demonstrates the feasibility, acceptability, and preliminary efficacy of CaDC-C as a first-line intervention for PTSD symptoms in cancer caregivers. Future research should evaluate outcomes from higher-intensity interventions and determine the efficacy of CaDC-C in larger, more diverse samples.

Indexed as

CaregiversHematopoietic Stem Cell TransplantationMobile ApplicationsNeoplasmsStress Disorders, Post-TraumaticStress, PsychologicalAdultAgedFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsCaDC‐Ccancer caregivercancer distress CoachPTSDtelehealth

Identifiers

PMID41116260
PMCPMC12880602

What OpenQuestion holds

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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.