An online randomized controlled trial, with or without problem-solving treatment, for long-term cancer survivors after hematopoietic cell transplantation

Syrjala, Karen L.; Yi, Jean C.; Artherholt, Samantha B.; Romano, Joan M.; Crouch, Marie-Laure; Fiscalini, Allison S.; Hegel, Mark T.; Flowers, Mary E. D.; Martin, Paul J.; Leisenring, Wendy M.

doi:10.1007/s11764-018-0693-9

Cited by 76Cancer survivorship and careDigital Mental Health InterventionsTelemedicine and Telehealth Implementation

An online randomized controlled trial, with or without problem-solving treatment, for long-term cancer survivors after hematopoietic cell transplantation

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Syrjala, Karen L., Yi, Jean C., Artherholt, Samantha B., Romano, Joan M., Crouch, Marie-Laure, Fiscalini, Allison S., Hegel, Mark T., Flowers, Mary E. D. +2 more·2018·Journal of Cancer Survivorship

DOI 10.1007/s11764-018-0693-9PMC PMC6054554

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Abstract

Purpose This randomized controlled trial examines the efficacy of INSPIRE, an INternet-based Survivorship Program with Information and REsources, with or without problem-solving treatment (PST) telehealth calls, for survivors after hematopoietic cell transplantation (HCT).Methods All adult survivors who met eligibility criteria were approached for consent. Participants completed patient-reported outcomes at baseline and 6 months. Those with baseline impaired scores on one or more of the outcomes were randomized to INSPIRE, INSPIRE + PST, or control with delayed INSPIRE access. Outcomes included Cancer and Treatment Distress, Symptom Checklist-90-R Depression, and Fatigue Symptom Inventory. Planned analyses compared arms for mean change in aggregated impaired outcomes and for proportion of participants improved on each outcome.Results Of 1306 eligible HCT recipients, 755 (58%) participated, and 344 (45%) had one or more impaired scores at baseline. We found no reduction in aggregated outcomes for either intervention (P > 0.3). In analyses of individual outcomes, participants randomized to INSPIRE + PST were more likely to improve in distress than controls (45 vs. 20%, RR 2.3, CI 1.0, 5.1); those randomized to INSPIRE alone were marginally more likely to improve in distress (40 vs. 20%, RR 2.0, CI 0.9, 4.5).Conclusions The INSPIRE online intervention demonstrated a marginal benefit for distress that improved with the addition of telehealth PST, particularly for those who viewed the website or were age 40 or older.Implications for cancer survivors Online and telehealth programs such as INSPIRE offer opportunities to enhance HCT survivorship outcomes, particularly for mood, though methods would benefit from strategies to improve efficacy.

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Neither of these trials included participants above a threshold for depressive symptoms.
“However, neither of these trials included participants above a threshold for depressive symptoms.”
From Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update (2023) · cites this paper as [103]
The Methods (Measures; page unavailable) define a depression-score threshold of >1.0. The Methods (Procedure) say participants with impaired depression scores were included and randomized, and the Results report outcomes for participants with impaired depression scores at baseline. Thus, the claim is contrary to what this cited trial reports; this paper does not establish anything about the other trial. (LLM, conf=0.91)
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Some studies with null effects were of lower methodological quality and/or potentially hampered by using an enhanced TAU control rather than a TAU control.
“Some studies with null effects were of lower methodological quality 103,105 and/or potentially hampered by using an enhanced TAU control rather than a TAU control.69,98”
From Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update (2023) · cites this paper as [103]
The Results (Primary Outcome Analysis; page unavailable) report no difference between arms on the aggregated outcome, supporting the reference to a null effect. But Methods (Procedure; page unavailable) describes the control as receiving delayed INSPIRE access after the six-month assessment, not as an enhanced treatment-as-usual control; the paper does not suggest that such a control hampered the results. The lower-methodological-quality clause is attached to different citations. (LLM, conf=0.87)
Experimental — accuracy not yet measured
Trials of problem-solving therapies alone or behavior change programs did not show a statistically significant benefit for depression.
“Trials of problem-solving therapies alone, 103 or behavior change programs 72 did not show a statistically significant benefit for depression.”
From Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update (2023) · cites this paper as [103]
The Results (Planned Secondary Analyses of Individual Outcomes; page not supplied) report no difference from controls in depressive-symptom improvement for either intervention arm. However, this trial tested an online program alone or combined with problem-solving treatment, not problem-solving therapy alone. The separately cited behavior-change-program claim is outside this source’s attribution. (LLM, conf=0.88)
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Grossman, P., Zwahlen, D., Halter, J. P., Passweg, J. R., Steiner, C., & Kiss, A. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-014-2452-4 · Cited by 36 · cited 1× · see citing works
“quality of life, depression, and anxiety but not fatigue and did not have sustained effects [16].”
Feasibility study of a telehealth delivered, psychoeducational support group for allogeneic hematopoietic stem cell transplant patients
Lounsberry, J. J., MacRae, H., Angen, M., Hoeber, M., & Carlson, L. E. (2009) · Psycho-Oncology · doi:10.1002/pon.1617 · Cited by 35 · see citing works
Cancer and treatment distress psychometric evaluation over time: A BMT CTN 0902 secondary analysis
Syrjala, K. L., Sutton, S. K., Jim, H., Knight, J. M., Wood, W. A., Lee, S. J., Jacobsen, P. B., Abidi, M. H., & Yi, J. C. (2016) · Cancer · doi:10.1002/cncr.30454 · Cited by 33 · see citing works
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Mediators of an Internet-based psychosocial intervention for women with breast cancer.
Cleary, E. H., & Stanton, A. L. (2014) · Health Psychology · doi:10.1037/hea0000170 · Cited by 32 · see citing works
Internet-based interventions for cancer-related distress: exploring the experiences of those whose needs are not met
Gorlick, A., Bantum, E. O., & Owen, J. E. (2014) · Psycho-Oncology · doi:10.1002/pon.3443 · Cited by 30 · see citing works
Cancer Survivors’ Use of Numerous Information Sources for Cancer-Related Information: Does More Matter?
Blanch‐Hartigan, D., Blake, K. D., & Viswanath, K. (2014) · Journal of Cancer Education · doi:10.1007/s13187-014-0642-x · Cited by 29 · see citing works
Do we reach the patients with the most problems? Baseline data from the WebCan study among survivors of head-and-neck cancer, Denmark
Kjær, T. K., Johansen, C., Andersen, E., Karlsen, R. V., Nielsen, A. L., Frederiksen, K., Rørth, M. R., & Dalton, S. O. (2015) · Journal of Cancer Survivorship · doi:10.1007/s11764-015-0471-x · Cited by 24 · see citing works
Development and usability of a computer-tailored pedometer-based physical activity advice for breast cancer survivors
Cocker, K. A. D., Charlier, C., Hoof, E. V., Pauwels, E., Lechner, L., Bourgois, J., Spittaels, H., Vandelanotte, C., & Bourdeaudhuij, I. D. (2014) · European Journal of Cancer Care · doi:10.1111/ecc.12225 · Cited by 23 · see citing works
Internet-delivered cognitive-behaviour therapy for recent cancer survivors: a feasibility trial
Alberts, N. M., Hadjistavropoulos, H. D., Dear, B. F., & Titov, N. (2015) · Psycho-Oncology · doi:10.1002/pon.4032 · Cited by 21 · see citing works
Feasibility Study of an Electronic Interface Between Internet-Based Survivorship Care Plans and Electronic Medical Records
Hill‐Kayser, C. E., Jacobs, L. A., Gabriel, P. E., Palmer, S. C., Hampshire, M. K., Vachani, C. C., Edge, S. B., & Metz, J. M. (2016) · Journal of Oncology Practice · doi:10.1200/jop.2015.006841 · Cited by 21 · see citing works
Evaluation of Pillars4life: a virtual coping skills program for cancer survivors
Smith, S. K., O'Donnell, J. D., Abernethy, A. P., MacDermott, K., Staley, T., & Samsa, G. P. (2015) · Psycho-Oncology · doi:10.1002/pon.3750 · Cited by 20 · see citing works
Enhancing the Return to Work of Cancer Survivors: Development and Feasibility of the Nurse-Led eHealth Intervention Cancer@Work
Tamminga, S. J., van Hezel, S., de Boer, A. G. E. M., & Frings‐Dresen, M. H. W. (2016) · JMIR Research Protocols · doi:10.2196/resprot.5565 · Cited by 19 · see citing works
The design and conduct of Keep It Off: An online randomized trial of financial incentives for weight-loss maintenance
Shaw, P. A., Yancy, W. S., Wesby, L., Ulrich, V., Troxel, A. B., Huffman, D., Foster, G. D., & Volpp, K. G. M. (2016) · Clinical Trials · doi:10.1177/1740774516669679 · Cited by 16 · see citing works
Randomized trial of exercise and an online recovery tool to improve rehabilitation outcomes of cancer survivors
Schwartz, A. L., Biddle-Newberry, M., & de Heer, H. ‘. (2015) · The Physician and Sportsmedicine · doi:10.1080/00913847.2015.1005547 · Cited by 15 · see citing works
Media Use and the Cancer Communication Strategies of Cancer Survivors
Yoon, H., Sohn, M., & Jung, M. (2016) · Journal of Cancer Prevention · doi:10.15430/jcp.2016.21.3.127 · Cited by 14 · see citing works
A Population-Based Cohort Study of Late Mortality in Adult Autologous Hematopoietic Stem Cell Transplant Recipients in Australia
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Medicare program; fee schedule for payment of ambulance services and revisions to the physician certification requirements for coverage of nonemergency ambulance services. Final rule with comment period.
(2002) · PubMed · Cited by 9 · see citing works

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Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update
Andersen, B. L., Lacchetti, C., Ashing, K., Berek, J. S., Berman, B. S., Bolte, S., Dizon, D. S., Given, B., Nekhlyudov, L., Pirl, W., et al. (2023) · Journal of Clinical Oncology · doi:10.1200/jco.23.00293 · Cited by 318 · see citing works
Management of Fatigue in Adult Survivors of Cancer: ASCO–Society for Integrative Oncology Guideline Update
Bower, J. E., Lacchetti, C., Alici, Y., Barton, D. L., Bruner, D. W., Canin, B. E., Escalante, C. P., Ganz, P. A., Garland, S. N., Gupta, S., et al. (2024) · Journal of Clinical Oncology · doi:10.1200/jco.24.00541 · Cited by 314 · see citing works
Effectiveness of e‐health based self‐management to improve cancer‐related fatigue, self‐efficacy and quality of life in cancer patients: Systematic review and meta‐analysis
Xu, A., Wang, Y., & Wu, X. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14197 · Cited by 98 · see citing works
Online psychological interventions to reduce symptoms of depression, anxiety, and general distress in those with chronic health conditions: A systematic review and meta-analysis of randomized controlled trials
White, V., Linardon, J., Stone, J. E., Holmes-Truscott, E., Olive, L., Mikocka-Walus, A., Hendrieckx, C., Evans, S., & Speight, J. (2022) · Psychological Medicine · doi:10.1017/s0033291720002251 · Cited by 90 · see citing works
International Recommendations for Screening and Preventative Practices for Long-Term Survivors of Transplantation and Cellular Therapy: A 2023 Update
Rotz, S. J., Bhatt, N. S., Hamilton, B. K., Duncan, C., Aljurf, M. D., Atsuta, Y., Beebe, K. L., Buchbinder, D. K., Burkhard, P., Carpenter, P. A., et al. (2024) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2023.12.001 · Cited by 86 · see citing works
Digital Health Interventions for Adult Patients With Cancer Evaluated in Randomized Controlled Trials: Scoping Review
Lee, K., Kim, S., Kim, S. H., Yoo, S., Sung, J. H., Oh, E. G., Kim, N. W., & Lee, J. (2023) · Journal of Medical Internet Research · doi:10.2196/38333 · Cited by 79 · see citing works
Online psychosocial interventions for posttreatment cancer survivors: an international evidence review and update.
Skrabal Ross, X., Gunn, K. M., Olver, I., Willems, R. A., Lechner, L., Mesters, I., & Bolman, C. A. W. (2020) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0000000000000478 · Cited by 42 · see citing works
Online interventions aimed at reducing psychological distress in cancer patients: evidence update and suggestions for future directions
Willems, R. A., Bolman, C. A. W., Lechner, L., Mesters, I., Gunn, K. M., Skrabal Ross, X., & Olver, I. (2020) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0000000000000483 · Cited by 41 · see citing works
Untitled work
(2020) · Deakin Research Online (Deakin University) · Cited by 41 · see citing works
Effects of internet-based cognitive behavioral therapy on anxiety and depression symptoms in cancer patients: A meta-analysis.
Liu, T.-T., Xu, J., Cheng, H., Zhang, Y.-Y., Wang, S., Lin, L., & Tian, L. (2022) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2022.09.003 · Cited by 37 · see citing works
Increasing access to allogeneic hematopoietic cell transplant: an international perspective
Rocha, V., Fatobene, G., Niederwieser, D. W., & for the Brazilian Society of Bone Marrow Transplantation and the Worldwide Network for Blood and Marrow Transplantation (2021) · Hematology · doi:10.1182/hematology.2021000258 · Cited by 40 · see citing works
The influence of telehealth-based cancer rehabilitation interventions on disability: a systematic review
Brick, R., Padgett, L., Jones, J., Wood, K. C., Pergolotti, M., Marshall, T. F., Campbell, G., Eilers, R., Keshavarzi, S., Flores, A. M., et al. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-022-01181-4 · Cited by 36 · see citing works
Are digital psychological interventions for psychological distress and quality of life in cancer patients effective? A systematic review and network meta-analysis
Zhang, T., Ren, Z., Wakefield, C. E., Hui, B. P. H., Akechi, T., Shi, C., Du, X., Chen, W., Lai, L., Zhao, C., et al. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102520 · Cited by 41 · see citing works
Digital Health Psychosocial Intervention in Adult Patients With Cancer and Their Families: Systematic Review and Meta-Analysis
Zhang, Y., Flannery, M. A., Zhang, Z., Underhill-Blazey, M. L., Bobry, M. D., Leblanc, N. M., Rodriguez, D., & Zhang, C. (2024) · JMIR Cancer · doi:10.2196/46116 · Cited by 39 · see citing works
Survivorship after Autologous Hematopoietic Cell Transplantation for Lymphoma and Multiple Myeloma: Late Effects and Quality of Life
Georges, G. E., Bar, M., Onstad, L., Yi, J. C., Shadman, M. S., Flowers, M. E. D., Carpenter, P. A., Stewart, S. K., Lee, S. J., & Holmberg, L. (2019) · Transplantation and Cellular Therapy · doi:10.1016/j.bbmt.2019.10.002 · Cited by 29 · see citing works
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Information and Communications Technology-Based Telehealth Approach for Occupational Therapy Interventions for Cancer Survivors: A Systematic Review
Hwang, N., Jung, Y., & Park, J. (2020) · Healthcare · doi:10.3390/healthcare8040355 · Cited by 27 · see citing works
Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth—the SMILe study
Leppla, L., Schmid, A., Valenta, S., Mielke, J., Beckmann, S., Ribaut, J., Teynor, A., Dobbels, F., Duerinckx, N., Zeiser, R., et al. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06328-0 · Cited by 29 · see citing works
Factors associated with social functioning among long‐term cancer survivors treated with hematopoietic stem cell transplantation as adolescents or young adults
Walsh, C., Yi, J. C., Rosenberg, A. R., Crouch, M.-L., Leisenring, W. M., & Syrjala, K. L. (2020) · Psycho-Oncology · doi:10.1002/pon.5460 · Cited by 22 · see citing works
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Driving Distance and Patient-Reported Outcomes in Hematopoietic Cell Transplantation Survivors
Banerjee, R. K., Yi, J. C., Majhail, N. S., Jim, H., Uberti, J. P., Whalen, V., Loren, A. W., & Syrjala, K. L. (2020) · Transplantation and Cellular Therapy · doi:10.1016/j.bbmt.2020.08.002 · Cited by 21 · see citing works
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Free of malignancy but not of fears: A closer look at Damocles syndrome in survivors of hematologic malignancies
Alabdaljabar, M. S., Muhsen, I. N., Knight, J. M., Syrjala, K. L., & Hashmi, S. K. (2020) · Blood Reviews · doi:10.1016/j.blre.2020.100783 · Cited by 21 · see citing works
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Social support as a moderator of healthcare adherence and distress in long-term hematopoietic cell transplantation survivors
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International recommendations for screening and preventative practices for long-term survivors of transplantation and cellular therapy: a 2023 update
Rotz, S. J., Bhatt, N. S., Hamilton, B. K., Duncan, C., Aljurf, M. D., Atsuta, Y., Beebe, K. L., Buchbinder, D. K., Burkhard, P., Carpenter, P. A., et al. (2024) · Bone Marrow Transplantation · doi:10.1038/s41409-023-02190-2 · Cited by 20 · see citing works
Social media–based interventions for patients with cancer: a meta-analysis and meta-regression of randomised controlled trials
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Health information technology to support cancer survivorship care planning: A systematic review
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A Positive Psychology Intervention in Allogeneic Hematopoietic Stem Cell Transplantation Survivors (PATH): A Pilot Randomized Clinical Trial
Amonoo, H. L., Daskalakis, E. P., Wolfe, E. D., Guo, M., Celano, C. M., Healy, B. C., Cutler, C. S., Antin, J. H., Pirl, W. F., Park, E. R., et al. (2024) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2023.7117 · Cited by 19 · see citing works
Engagement with INSPIRE, an Online Program for Hematopoietic Cell Transplantation Survivors
Syrjala, K. L., Crouch, M.-L., Leisenring, W. M., Flowers, M. E. D., Artherholt, S. B., Fiscalini, A. S., Romano, E. M., Romano, J. M., Martin, P. J., & Yi, J. C. (2018) · Transplantation and Cellular Therapy · doi:10.1016/j.bbmt.2018.05.004 · Cited by 19 · see citing works
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Impact of connected health interventions on psychological wellbeing and quality of life in patients with cancer: A systematic review and meta‐analysis
Gitonga, I., Desmond, D. M., Duda, N., & Maguire, R. (2022) · Psycho-Oncology · doi:10.1002/pon.6019 · Cited by 17 · see citing works
Psychosocial and financial issues after hematopoietic cell transplantation
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Telemedicine in Hematopoietic Cell Transplantation and Chimeric Antigen Receptor-T Cell Therapy
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A systematic review to explore the effectiveness of physical health and psychosocial interventions on anxiety, depression and quality of life in people living with blood cancer
Waddington, F., Amerikanou, M., Brett, J., Watson, E. K., Abbots, V., Dawson, P., & Henshall, C. L. (2023) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2023.2228309 · Cited by 16 · see citing works
Managing Survivorship after Hematopoietic Cell Transplantation
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Systematic review and meta-analysis of digital interventions for mental health in cancer patients and survivors
Nezenega, Z. S., Aychiluhm, S. B., Ross, A. G., Kassa, Z. Y., Bore, M. G., Leshargie, C. T., Allan, J., Thapa, S., Astawesegn, F. H., Mahmood, S., et al. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-02266-x · Cited by 13 · see citing works
Self-Efficacy for Symptom Management in Long-Term Adult Hematopoietic Stem Cell Survivors
Farhadfar, N., Weaver, M. T., Al‐Mansour, Z., Yi, J. C., Jim, H., Loren, A. W., Majhail, N. S., Whalen, V., Uberti, J. P., Wingard, J. R., et al. (2022) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2022.05.035 · Cited by 13 · see citing works
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Feasibility of a Digital Storytelling Intervention for Hematopoietic Cell Transplant Patients
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Depression in patients with hematologic malignancies: The current landscape and future directions.
Kuczmarski, T., Roemer, L., & Odejide, O. (2024) · Blood reviews · doi:10.1016/j.blre.2024.101182 · Cited by 11 · see citing works
Racial and Socioeconomic Disparities in Long-Term Outcomes in ≥1 Year Allogeneic Hematopoietic Cell Transplantation Survivors: A CIBMTR Analysis
Blue, B. J., Brazauskas, R., Chen, K., Patel, J., Zeidan, A. M., Steinberg, A. S., Ballen, K. K., Kwok, J., Rotz, S. J., Díaz, M. Á., et al. (2023) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2023.07.013 · Cited by 11 · see citing works
Engaging hematopoietic cell transplantation patients and caregivers in the design of print and mobile application individualized survivorship care plan tools
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Health-Related Quality of Life in Young Adult Survivors of Hematopoietic Cell Transplantation
Rotz, S. J., Yi, J. C., Hamilton, B. K., Wei, W., Preussler, J. M., Černý, J., Deol, A., Jim, H., Khera, N., Hahn, T., et al. (2022) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2022.07.018 · Cited by 9 · see citing works
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Potential benefits of a virtual, home-based combined exercise and mindfulness training program for HSC transplant survivors: a single-arm pilot study
Ma, D. D. F., Fennessy, K., & Kliman, D. S. (2022) · BMC Sports Science Medicine and Rehabilitation · doi:10.1186/s13102-022-00554-7 · Cited by 8 · see citing works
Use of Telehealth Among Cancer Survivors: A Scoping Review
Irurita-Morales, P., Soto‐Ruiz, N., Martín‐Rodríguez, L. S., Escalada‐Hernández, P., & García‐Vivar, C. (2022) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2022.0351 · Cited by 8 · see citing works
Understanding the Needs and Lived Experiences of Patients With Graft-Versus-Host Disease: Real-World European Public Social Media Listening Study
Perić, Z., Basak, G. W., Koenecke, C., Moiseev, I., Chauhan, J., Aasaithambi, S., Sagkriotis, A., Güneş, S., & Penack, O. (2023) · JMIR Cancer · doi:10.2196/42905 · Cited by 8 · see citing works
Who Enrolls in an Online Cancer Survivorship Program? Reach of the INSPIRE Randomized Controlled Trial for Hematopoietic Cell Transplantation Survivors
Yi, J. C., Sullivan, B., Leisenring, W. M., Majhail, N. S., Jim, H., Loren, A. W., Uberti, J. P., Whalen, V., Flowers, M. E. D., Lee, S. J., et al. (2020) · Transplantation and Cellular Therapy · doi:10.1016/j.bbmt.2020.06.017 · Cited by 8 · see citing works
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The Landscape of Connected Cancer Symptom Management in Rural America
Chih, M., Mccowan, A., Whittaker, S., Krakow, M., Ahern, D. K., Aronoff-Spencer, E. S., Hesse, B. W., Mullett, T. W., & Vanderpool, R. C. (2020) · PubMed Central · doi:10.13023/jah.0204.08 · Cited by 7 · see citing works
Providing Telephone-Based Support for Patients With Haematological Malignancies: A Qualitative Investigation of Expert Nurses
Liptrott, S. J., Bee, P., & Lovell, K. (2021) · Canadian Journal of Nursing Research · doi:10.1177/08445621211013231 · Cited by 7 · see citing works
Social Support, Coping, and Cancer-Related Health Burden in Long-term Survivors Treated with Hematopoietic Stem Cell Transplantation as Adolescents or Young Adults
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Home-based self-management multimodal cancer interventions & cardiotoxicity: a scoping review
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Effect of non-pharmacological interventions on symptoms and quality of life in patients with hematological malignancies – A systematic review
Pedersen, M., Engedal, M. S., Tolver, A., Larsen, M. T., Kornblit, B. T., Lomborg, K. E., & Jarden, M. (2024) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2024.104327 · Cited by 6 · see citing works
Telehealth in hematopoietic cell transplantation: perspective from patients at a public hospital in Brazil
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Health-Related Quality of Life Outcomes in Older Hematopoietic Cell Transplantation Survivors
Hong, S., Zhao, J., Wang, S., Wang, H., Lee, J., Farhadfar, N., McGuirk, J. P., Savani, B. N., Shahrukh, H. K., Stiff, P. J., et al. (2022) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2022.11.016 · Cited by 6 · see citing works
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A multimodal interdisciplinary rehabilitation programme (HAPPY) for patients undergoing allogeneic non-myeloablative haematopoietic stem cell transplantation: A feasibility study
Lindman, A., Handberg, C., Olesen, G., & Duijts, S. F. A. (2023) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2023.102339 · Cited by 6 · see citing works
INteractive survivorship program to improve health care REsources [INSPIRE]: A study protocol testing a digital intervention with stepped care telehealth to improve outcomes for adolescent and young adult survivors
Yi, J. C., Ballard, S., Walsh, C., Friedman, D. N., Ganz, P. A., Jacobs, L. A., Partridge, A. H., Mitchell, S. A., Leisenring, W. M., Syrjala, K. L., et al. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107745 · Cited by 5 · see citing works
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Hematopoietic Cell Transplantation Patient-Caregiver Dyad Perspectives on Participation in a Digital Storytelling Intervention: A Qualitative Approach
Kim, S. W., Langer, S. L., Ahern, M., Larkey, L., Todd, M. W., Martin, D. A., Weihs, K. L., & Khera, N. (2023) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2023.04.021 · Cited by 5 · see citing works
Methodological approaches and author-reported limitations in evaluation studies of digital health technologies (DHT): A scoping review of DHT interventions for cancer, diabetes mellitus, and cardiovascular diseases
Gityamwi, N., Armes, J., Harris, J., Ream, E., Green, R., Ahankari, A. S., Callwood, A., Ip, A., Cockle‐Hearne, J., Grosvenor, W., et al. (2025) · PLOS Digital Health · doi:10.1371/journal.pdig.0000806 · Cited by 4 · see citing works
COVID19 in hematological patients and telemedicine: lessons learned across Europe and the US
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Patients’ reflections on undergoing non-myeloablative allogeneic haematopoietic stem cell transplantation and participating in a multimodal interdisciplinary rehabilitation programme: A qualitative study
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Health‐related quality of life in adult and pediatric survivors
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Efficacy of a cognitive-behavioral digital therapeutic on psychosocial outcomes in cancer patients: A randomized controlled trial
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Protocol of a Multisite Randomized Controlled Trial of Bright IDEAS-Young Adults: Problem-Solving Skills Training to Reduce Distress among Young Adults with Cancer
Devine, K. A., Ohman‐Strickland, P., Barnett, M. E., Donovan, K. A., Thompson, L. M. A., Manne, S. L., Kearney, J. A., Levonyan‐Radloff, K., Díaz, D. B., Dugad, S., et al. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107656 · Cited by 2 · see citing works
Efficacy of two psychological interventions on pain, distress, and post-traumatic growth in breast cancer survivors: A 2-year follow-up of two randomized controlled trials.
Arefian, M. (2026) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2026.103099 · Cited by 1 · see citing works
The efficacy of information interventions for patients undergoing hematopoietic stem cell transplantation: A systematic review of randomized trials
Kiropoulou, A., Katsareli, M., Vasileiadis, I., & Nanas, S. (2023) · Health & Research Journal · doi:10.12681/healthresj.33473 · Cited by 1 · see citing works
Intervention Development to Promote Medical Adherence After Stem Cell Transplant
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Additional file 1 of Potential benefits of a virtual, home-based combined exercise and mindfulness training program for HSC transplant survivors: a single-arm pilot study
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Additional file 2 of Potential benefits of a virtual, home-based combined exercise and mindfulness training program for HSC transplant survivors: a single-arm pilot study
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Additional file 3 of Potential benefits of a virtual, home-based combined exercise and mindfulness training program for HSC transplant survivors: a single-arm pilot study
Ma, D. D. F., Fennessy, K., & Kliman, D. S. (2022) · Figshare · doi:10.6084/m9.figshare.20968121
Additional file 4 of Potential benefits of a virtual, home-based combined exercise and mindfulness training program for HSC transplant survivors: a single-arm pilot study
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Development and implementation of an Internet-based survivorship care program for cancer survivors treated with hematopoietic stem cell transplantation
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Randomized Controlled Trial of a Virtually Delivered Exercise and Stress Management Program to Improve Physical Performance of Hematopoietic Cell Transplant Survivors
Ma, D. D. F., Liu, Z., Au, K., Tran, M. J., Artuz, C. M., Greenwood, M. J., Bilmon, I., & Kliman, D. S. (2024) · Journal of Clinical Oncology · doi:10.1200/jco.24.00333 · Cited by 11 · see citing works

Authors: Syrjala, K. L., Yi, J. C., Artherholt, S. B., Romano, J. M., Crouch, M.-L., Fiscalini, A. S., Hegel, M. T., Flowers, M. E. D., Martin, P. J., & Leisenring, W. M.
Affiliations: University of Washington (US)
Fred Hutch Cancer Center (US)
University of California, San Francisco (US)
Dartmouth College (US)
Corresponding author: Syrjala, Karen L.
ORCID: Syrjala, Karen L.
Yi, Jean C.
Romano, Joan M.
Crouch, Marie-Laure
Fiscalini, Allison S.
Hegel, Mark T.
Flowers, Mary E. D.
Martin, Paul J.
Leisenring, Wendy M.
Venue: Journal of Cancer Survivorship
Publisher: Springer Science and Business Media LLC
Published: 2018-05-05
Volume: 12
Issue: 4
Pages: 560-570
ISSN: 1932-2259 (ISSN-L)
1932-2267
DOI: 10.1007/s11764-018-0693-9
PMC: PMC6054554
OpenAlex: W2801232690
Cited by: 76
References: 84
Citations by year: 2026: 6 · 2025: 5 · 2024: 11 · 2023: 13 · 2022: 17 · 2021: 10 · 2020: 8 · 2019: 5 · 2018: 1
FWCI: 2.25
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Journal of Cancer Survivorship (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Cancer Institute (R01 CA112631, R01 CA160684, R01 CA215134)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords: cancer survivors, hematopoietic stem cell transplantation, online intervention, problem-solving therapy, telemedicine, cancer-related distress, depression, fatigue, survivorship care, patient-reported outcomes
MeSH terms: Cancer Survivors, Survivorship, Adolescent, Adult, Aged, Depression, Fatigue, Female, Humans, Male, Middle Aged, Problem Solving, Cognitive Behavioral Therapy, Telemedicine, Hematopoietic Stem Cell Transplantation, Hematologic Neoplasms, Internet, Young Adult

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An online randomized controlled trial, with or without problem-solving treatment, for long-term cancer survivors after hematopoietic cell transplantation

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