Evidence map›Paper›PMID 42133893›Full record

Observational studyPsycho-oncology2026

Disentangling Positive Affect Heterogeneity in a Digital Physical Activity Intervention for Young Adult Cancer Survivors: A Group-Based Multi-Trajectory Modeling Approach.

Susanna M Choi, Erik A Willis, Andrew B Smitherman, Stephanie L Martin, Deborah F Tate, Carmina G Valle

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Psycho-oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03569605 (Promoting Physical Activity in Young Adult Cancer Survivors Using mHealth and Adaptive Tailored Feedback Strategies), which is 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.

NCT03569605 nacompletednot on this map

Promoting Physical Activity in Young Adult Cancer Survivors Using mHealth and Adaptive Tailored Feedback Strategies

TypeinterventionalSponsorUNC Lineberger Comprehensive Cancer CenterRan2018 to 2021Enrolled280ConditionsPhysical Activity, Neoplasms, Neoplasms by Site, CancerArmsSelf-help, Intervention
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

6 authors.

Susanna M ChoiDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0001-5595-6702
Erik A WillisLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-0114-1660
Andrew B SmithermanLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-1059-3853
Stephanie L MartinDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-0378-802X
Deborah F TateDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-4915-5308
Carmina G ValleDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0003-1985-2409

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
NUTRITION TRAINING PROGRAMT32DK007686 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BECK, MELINDA A., MAYER-DAVIS, ELIZABETH J · 1992 to 2022
$4.3M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
Promoting Physical Activity in Young Adult Cancer Survivors Using mHealth and Adaptive Tailored Feedback StrategiesR01CA204965 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VALLE, CARMINA G · 2017 to 2020
$2.2M
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel HillNCATS NIH HHS UL1TR002489NCATS NIH HHS UM1 TR004406NCI NIH HHS P30 CA16086NCI NIH HHS R01CA204965NCI NIH HHS T32 CA057726NCI NIH HHS T32CA057726NIDDK NIH HHS P30 DK56350NIDDK NIH HHS T32DK007686
6 · The paper itself

Abstract

backgroundAs research on behavioral interventions for young adult cancer survivors (YACS) progresses, understanding heterogeneity in positive affect experienced with health behaviors is essential to enhancing intervention effectiveness and improving survivorship outcomes.

methodsGroup-based multi-trajectory modeling was conducted on data from the 6-month intervention phase of the IMproving Physical Activity after Cancer Treatment (IMPACT) study to uncover trajectories of positive affect related to physical activity (PA) (PA enjoyment, mood after PA) among intervention participants (n = 140). Differences in baseline predictors were assessed using ANOVA and χ

resultsThree trajectories were identified: Low-Affect (n = 57), Mid-Affect (n = 58), and High-Affect (n = 22). Participants in Mid-Affect and High-Affect reported higher levels of being partnered and incomes > $60,000, while those in Low-Affect reported worse baseline psychosocial and health-related quality of life factors (p < 0.05). By 6 months, MVPA goal adherence for Low-Affect and Mid-Affect groups declined to 53% (SE = 13%) and 65% (SE = 13%), respectively, whereas participants in High-Affect achieved the intervention's target of 150 MVPA min/week and sustained nearly 100% goal adherence. Increases in MVPA min/week over 6-months were largest among those in High-Affect (+32.3 [SE = 11.5]) compared to those in Low-Affect (+18.9 [SE = 7.6]) and Mid-Affect (+26.1 [SE = 7.3]), with no between-group differences (p > 0.05).

conclusionsThese findings highlight variation in positive affect trajectories, their baseline predictors, and how they relate to MVPA goal adherence. Interventions that foster positive affect related to PA and offer support based on positive affect trajectory may improve MVPA and survivorship outcomes for YACS. CLINICAL

trial registrationClinicalTrials.gov ID: NCT03569605, https://clinicaltrials.gov/study/NCT03569605.

Indexed as

AffectCancer SurvivorsExerciseHealth BehaviorNeoplasmsAdolescentAdultFemaleHumansMaleQuality of LifeRandomized Controlled Trials as TopicSurvivorsTreatment Effect HeterogeneityYoung Adultbehavior changecancer survivorsdigital healthgroup‐based multi‐trajectory modelingheterogeneityinterventionsphysical activitypositive affectpositive psychologyyoung adults

Identifiers

PMID42133893
PMCPMC13175545

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.