Evidence mapPaperPMID 41714554Full record

ArticleJournal of cancer survivorship : research and practice2026

Effect of an integrated mHealth supportive care program on symptom burden and self-efficacy in post-treatment breast cancer survivors: a randomized controlled trial.

Yingjie Yao, Xiangyu Liu, Yuansi Huang, Andy S K Cheng, Qinqin Cheng, Huixia Wu, Ruiqiong Xiao

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Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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.

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5 · Who and what money

Authors and funding

7 authors.

Yingjie YaoXiangya School of Nursing, Central South University, Changsha, China.
Xiangyu LiuHunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China. 979596459@qq.com.
Yuansi HuangHunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Andy S K ChengDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China.
Qinqin ChengHunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Huixia WuXiangya School of Nursing, Central South University, Changsha, China.
Ruiqiong XiaoXiangya School of Nursing, Central South University, Changsha, China.

Funding

Department of Science and Technology of Hunan Province 20230802-1002Fundamental Research Funds for Central Universities of the Central South University 2025ZZTS0969High-Level Health Talents Program of the Health Commission of Hunan Province 20230222-1001High-Level Talent Support Program of Hunan Cancer Hospital 20250731-1026
6 · The paper itself

Abstract

purposeThis randomized controlled trial evaluated the efficacy of a multidisciplinary, mobile health (mHealth) supportive care program designed to alleviate symptom burden and enhance self-efficacy in post-treatment breast cancer survivors (BCS). Secondary outcomes included quality of life (QoL), coping strategies, and inflammatory biomarkers.

methodsWe conducted a single-blind, randomized controlled trial involving 108 BCS. Participants were allocated to either a 3-month mHealth intervention (n = 54) delivered via the "ThrivePath" app or a routine care control group (n = 54). The app provided structured symptom monitoring, educational resources, and personalized support. Outcomes were assessed at baseline, 3 months (post-intervention), and 6 months (follow-up) and analyzed using linear mixed models.

resultsCompared to controls, the intervention group showed a significant reduction in symptom burden (β = -9.44, p < 0.001) and a significant increase in self-efficacy (β = 5.45, p < 0.001). The program also improved QoL, enhanced confrontation coping, and led to a significant reduction of pro-inflammatory cytokines (IL-1β, IL-2, IL-6, TNF-α) while preserving anti-inflammatory IL-10 levels.

conclusionsThe "ThrivePath" mHealth program is an effective, scalable intervention for post-treatment breast cancer survivors. It significantly reduces symptom burden and modulates inflammatory processes while boosting self-efficacy, offering an evidence-based model for delivering comprehensive survivorship care. IMPLICATIONS FOR CANCER SURVIVORS: The ThrivePath program provides a practical and accessible tool for survivors to manage their health following active treatment. By facilitating access to evidence-based resources and enabling direct communication with a care team, the program can help alleviate persistent symptoms, build confidence in self-management, and improve overall quality of life during the transition to survivorship.

trial registrationChiCTR2500108128.

Indexed as

Breast cancer survivorsInflammationmHealthRandomized controlled trialSelf-efficacySymptom burden

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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 Socratic graph.