Systematic review on the effectiveness of mobile health applications on mental health of breast cancer survivors
Open accessAbstract
Purpose: Breast cancer survivors are more likely to report psychological distress and unmet need for support compared to healthy controls. Psychological mobile health interventions might be used in follow-up care of breast cancer patients to improve their mental health. Methods: We searched MEDLINE, PsychINFO, Cochrane and PROSPERO for articles on controlled trials examining the effectiveness of psychological mobile health interventions compared to routine care regarding mental health outcomes of adult breast cancer survivors. This review followed the PRISMA statement and was registered on PROSPERO (CRD42022312972). Two researchers independently reviewed publications, extracted data and assessed risk of bias. Results: After screening 204 abstracts published from 2005 to February 2023, eleven randomised trials involving 2249 patients with a mean age between 43.9 and 56.2 years met the inclusion criteria. All interventions used components of cognitive behavioural therapy. Most studies applied self-guided interventions. Five studies reported percentages of patients never started (range = 3–15%) or discontinued the intervention earlier (range = 3–36%). No long-term effect > 3 months post intervention was reported. Three of seven studies reported a significant short-term intervention effect for distress. Only one study each showed an effect for depression (1/5), anxiety (1/5), fear of recurrence (1/4) and self-efficacy (1/3) compared to a control group. Conclusions: A wide variance of interventions was used. Future studies should follow guidelines in developing and reporting their mobile interventions and conduct long-term follow-up to achieve reliable and comparable results. Implications for cancer survivors: No clear effect of psychological mobile health interventions on patients’ mental health could be shown. Registration: PROSPERO ID 312972.
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Existing self-management health apps for breast cancer survivors often include features such as survivor education, social networking, and symptom tracking, but studies on their effectiveness are rare and results inconclusive.
“Existing self-management health apps for breast cancer survivors often include features such as survivor education, social networking, and symptom tracking, but studies on their effectiveness are rare and results inconclusive [33–36].”
From The BrEasT cancer afTER-CARE (BETTER-CARE) programme to improve breast cancer follow-up: design and feasibility study results of a cluster-randomised complex intervention trial (2024) · cites this paper as [36]
The Conclusion (page unavailable) says that few trials studied psychological mHealth interventions specifically for breast cancer survivors, and the Discussion > Main findings describes their results as inconclusive. The Results > General characteristics of selected studies lists one app with education and a symptom diary, but our copy does not establish that survivor education, social networking, and symptom tracking are common features of these apps; it does not substantiate social networking as a feature. (LLM, conf=0.87)
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- Authors
- Schäfer, A., Jírů-Hillmann, S., Widmann, J., Montellano, F. A., Salmen, J., Pryss, R., Wöckel, A., & Heuschmann, P. U.
- Affiliations
- University of Würzburg (DE)
- Universitätsklinikum Würzburg (DE)
- Corresponding author
- Jírů-Hillmann, Steffi
- Widmann, Jonas
- Montellano, Felipe A.
- Salmen, Jessica
- Pryss, Rüdiger
- Wöckel, Achim
- Heuschmann, Peter U.
- ORCID
- Venue
- Journal of Cancer Survivorship
- Published
- 2023-10-31
- Volume
- 19
- Issue
- 1
- Pages
- 1-17
- ISSN
- 1932-2259 (ISSN-L)
- 1932-2267
- PMC
- PMC11814032
- OpenAlex
- W4388084315
- Cited by
- 23
- References
- 60
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 5
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Cancer Survivorship (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Julius-Maximilians-Universität Würzburg
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- breast cancer survivors, mobile health intervention, psychological distress, depression, anxiety, fear of recurrence, self-efficacy, cognitive behavioral therapy, self-guided intervention, cancer follow-up care, mental health
- MeSH terms
- Cancer Survivors, Breast Neoplasms, Female, Humans, Mental Health, Telemedicine, Mobile Applications
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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