The DOI matches its Crossref record; 30 of the 31 references it cites were found in a registry or an index; 8 of the 18 sources its claims cite were checked for support.
Cancer during a pandemic: A psychosocial telehealth intervention for young adults
Open accessAbstract
The SARS-II COVID-19 pandemic has posed pronounced global health threats and prompted assorted transformations in societal engagement and clinical service delivery. For cancer survivors, many of whom are immune-compromised, these pandemic-related health threats pose greater challenges, warranting extra precautions within everyday living. Young adult (YA) cancer survivors already confront many unique physical and emotional challenges specific to their demographic. Already comfortable with assorted technologies, the pandemic presented an opportunity to provide telehealth intervention that targeted social isolation and distress in an effort to facilitate healthy coping. Within this context, we created an 8-week telehealth intervention for YAs (age 18-39) comprised of 60-minute sessions with interventions derived from Acceptance and Commitment Therapy and Meaning-Centered Psychotherapy. Participants reported a reduction in anxious preoccupation, helplessness/hopelessness, and psychological inflexibility and provided rich qualitative feedback on their experiences. Findings contribute new insight for an underinvestigated population navigating the dual health threats of cancer and COVID-19, provide practice recommendations with attention to the value of qualitative data capturing in group settings, and underscore participants’ preference for flexible group structure and age-related connections. © 2022 Elsevier Inc.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
22 Own result · 11 Own method · 6 Own interpretation · 5 No full text of the sources · 4 Partly supported · 3 Supported · 1 Supported so far · 1 Sources not found · 1 No basis given · accuracy not yet measured
Every source the paper cites for this claim was checked and supports it.
In the paper
“One year postdiagnosis, approximately 25% of YA survivors report significant clinical distress.2”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Supportedcites [2] Zebrack, 2014, Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis, Psychooncology source
The Conclusion reports that 27% of the study’s adolescent and young adult cancer patients had clinically significant distress at the 12-month follow-up. That supports the citing sentence’s approximate figure of 25% one year postdiagnosis. (LLM, conf=0.93)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“First, achieving large sample sizes in YA psychosocial oncology is difficult.31”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Discussion > Limitations
What the sources say
- Supportedcites [31] Lang, 2018, Does age matter? Comparing post-treatment psychosocial outcomes in young adult and older adult cancer survivors with their cancer-free peers, Psychooncology source
The Data source and population section says the authors pooled four survey cycles to improve sample size because young adult cancer survivors are relatively rare. The Conclusions section also notes documented recruitment and retention difficulties that had made these psychosocial research questions difficult to assess. (LLM, conf=0.92)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Successful outpatient telehealth services with YAs throughout the pandemic have been reported.16”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Supportedcites [16] Sansom-Daly, 2020, Grappling with the “human” problem hiding behind the technology: telehealth during and beyond COVID-19, Psychooncology source
The Key points (p. 2) explicitly report successful use of telehealth for outpatient clinical psychology services with adolescents and young adults throughout the COVID-19 pandemic. The account of the hospital-based service (p. 3) describes that outpatient use; the claim does not require telehealth to have succeeded for every patient. (LLM, conf=0.94)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Survivors presenting with COVID-19 face a higher risk of being admitted to an ICU, being placed on a ventilator, or dying compared to noncancer patients with COVID-19.6”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Partly supportedcites [6] Liang, 2020, Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China, Lancet Oncol sourceExperimental — accuracy not yet measured
The main text reports more severe events—a composite of ICU admission requiring invasive ventilation or death—among patients with cancer than among patients without cancer (39% versus 8%). It identifies 12 participants as cancer survivors, and the figure caption includes survivors, but the reported risk comparison is for the cancer group as a whole, not survivors specifically. No page number is provided in our copy. (LLM, conf=0.82)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Partly supported
The sources with a verdict support this claim; the rest weren’t checked yet, have no full text we could read, or their verdicts aren’t rated yet.
In the paper
“Similar treatment outcomes exist for telehealth and in-person groups.14 , 15”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Supportedcites [14] Lleras de Frutos, 2020, Video conference vs face-to-face group psychotherapy for distressed cancer survivors: a randomized controlled trial, Psychooncology source
The Discussion reports clinically significant treatment effects in both the videoconference and face-to-face groups, with no significant difference in effectiveness between them. The finding concerns group psychotherapy for distressed cancer survivors. (LLM, conf=0.92)
- Not checked — no full text of the sourcecites [15] Gentry, 2019, Evidence for telehealth group-based treatment: a systematic review, J Telemed Telecare source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Cancer survivors, including YAs, rural or geographically distant, and economically distressed individuals, may find this modality inviting due to familiarity or enhanced access to care.9, 10, 11, 12”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Not checked — no full text of the sourcecites [9] Abrams, 2017, Practical issues in delivery of clinician-to-patient telemental health in an academic medical center, Harvard Rev Psychiat source
- Partly supportedcites [10] Moreno, 2020, How mental health care should change as a consequence of the COVID-19 pandemic, Lancet sourceExperimental — accuracy not yet measured
The Remote therapy section (page not provided) says telehealth can fill gaps in face-to-face mental health care and discusses digital services for widely dispersed populations. It does not address cancer survivors, young adults, or familiarity as a reason to welcome telehealth; it also warns that cost and technology barriers may make remote care unsuitable for poor people. (LLM, conf=0.85)
- Not checked — no full text of the sourcecites [11] Rosenbaum, 2020, The untold toll—the pandemic's effects on patients without covid-19, N Engl J Med source
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Consistent with these findings, many YAs endorse anxious and depressive symptoms, hopelessness, and loneliness related to the COVID-19 pandemic.8”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Partly supportedcites [8] Islam, 2021, Evaluating mental health–related symptoms among cancer survivors during the COVID-19 pandemic: an analysis of the COVID impact survey, J Oncol Pract sourceExperimental — accuracy not yet measured
The Results report anxiety, depression, loneliness, and hopelessness among cancer survivors during the COVID-19 pandemic. They also find that survivors aged 30–44 were more likely than those aged 60 or older to report at least one mental-health symptom. The cited findings do not establish the claim for young adults generally or show that each listed symptom was common specifically in the younger group. (LLM, conf=0.86)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Partly supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The overall effect for the Cognitive Avoidance subscale of the Mini-MAC was not significant [F(2, 6)= 3.94, P = 0.08]; however, the score dropped significantly from T1 to T2 [t(6)= 2.72, P = 0.03], indicating a decrease in using this strategy of coping with cancer.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Facilitators experienced tension between planned content and participants’ desire to deviate into salient experiences.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The overall effect for the Helplessness/Hopelessness subscale of the Mini-MAC was significant [F(2, 6)= 6.09, P = 0.04] with a significant decrease in scores from T1 to T3 [t(6)= 2.66, P = 0.04], indicating a drop in a sense of helplessness/hopelessness from baseline to the last visit.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- It may state two separate claims as one. 21
- Probably not a substantial claim. 12
- The quote only partly states this claim. 1
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Flexibility in care and age-appropriate psychoeducational materials have been found to increase autonomy and improve physical and psychological outcomes in YAs through survivorship.4”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Partly supportedcites [4] Barnett, 2016, Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): a systematic review, J Cancer Surviv sourceExperimental — accuracy not yet measured
The Abstract Conclusions and Discussion say age-appropriate, flexible care and treatment-related education can foster autonomy and improve psychological outcomes during AYA survivorship. They do not establish that these measures improve physical outcomes; the Results (Physical well-being and symptoms) report that an information-based workshop did not increase self-reported physical activity after six months. Page numbers are not available in our copy. (LLM, conf=0.88)
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Partly supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The overall effect for the Cancer Acceptance and Action Questionnaire (AAQ-C) was significant [F(2, 6)= 7.45, P = 0.02] with a significant decrease found from T1 to T3 [t(6)= 2.70, P = 0.04], indicating an increase in psychological flexibility.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The group provided a forum and collaborative structure; however, participants actively worked to make the structure their own (rather than clinician-guided).”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The overall effect for the Fighting Spirit subscale of the Mini-MAC was significant [F(2, 6)= 11.66, P = 0.01], but no pairwise comparisons were significant.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Neither overall effect nor pairwise effect(s) significant:•Coronavirus Anxiety Scale (CAS) [F(2, 10)= 2.01, P = 0.18]•Cancer Behavior Inventory- brief version (CBI-B) [F(2, 6)= 3.86, P = 0.08]•Fatalism subscale of the Mini-MAC [F(2, 6)= 4.48, P = 0.06]•UCLA Loneliness Scale [F(2, 6)= 1.73, P = 0.26)•Purpose in Life Test (PIL) [F(2, 6)= 0.15, P = 0.87)”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“YAs expressed interest in co-creating future offerings and took initiative to create a shared music file for the group after technological difficulties occurred during one session.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Although many participants were open to conversation prompts, coping strategies, and mindfulness practices, they expressed interest in connecting over shared experiences and other developmentally appropriate topics of interest.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The overall effect for the Impact of Events Scale (IES-R) was not significant [F(2, 6)= 3.93, P = 0.08]. However, there was a significant decrease in T1 vs T3 scores [t(6)= 2.76, P = 0.03], meaning that the stress level measured within patients had dropped.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The quote only partly states this claim.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“They also expressed their dislike of homework.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Participants found the Intervention helpful in offering support, facilitating connection, and learning mindfulness skills.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The overall effect for the Anxious Preoccupation subscale of the Mini-Mental Adjustment to Cancer (Mini-MAC) was significant [F(2, 6)= 16.05, P = <0.01]. There was a significant decrease in scores from T1 to T3 [t(6)= 3.58, P = 0.01] as well as T2 to T3 [t(6)= 5.66, P = <0.01], showing a movement towards less anxiety measured compared to baseline.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“YAs reported feeling confident that they could cope with cancer (8.2/10 at midpoint; 8.6/10 final evaluation) and the pandemic (10/10 at both time points).”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Group participants also referred to specific aspects of the intervention they found useful, including mindfulness practices, guided meditations, and a self-care legacy project.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Accustomed to social isolation and delays in developmental milestones, many YAs expressed that they had already learned to isolate to protect themselves prepandemic; hence their self-reported confidence in navigating the pandemic.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The social connection and shared meaning making pieces were key, exhibited by questions from present members about the health status of absent members.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“There is great interest on the part of YAs to engage in collective experiences; yet they desire loose structure and the ability to co-construct those experiences.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Conclusions
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Group members continued to reinforce that the pandemic was a nuisance; yet cancer remained their biggest stressor.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In short, this study's attempt to co-construct a safe space to process, share, and mutually learn new skills was not adequately captured by these outcome measures even though we noted statistically significant movement in several constructs.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Discussion > Limitations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The statistically significant improvement in anxious avoidance and decrease in helplessness/hopelessness suggests participants benefited from group experience and exercises.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Discussion
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The different phases of survivorship within the group likely affected the dynamics of the conversation and relationship of the content discussed.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Discussion > Limitations
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“They also highlight the limitations of strictly quantitative analysis, when qualitative data provide rich understanding of individual experiences and growth.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Conclusions
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Second, telehealth modalities work well with this population but introduce new challenges to facilitation, such as lack of nonverbal cues.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Discussion
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Once enrolled, we experienced mailing delays due to COVID-19 (at minimum, one week to send and one week to return), thereby slowing both the consent and enrollment processes and connection with the intervention.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Discussion > Limitations
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Commonly reported mental health concerns during a pandemic include anxiety, depression, and posttraumatic stress disorder.7”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Not checked — no full text of the sourcecites [7] Pfefferbaum, 2020, Mental health and the COVID-19 pandemic, N Engl J Med source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Regarding group process, facilitators were appropriately trained in the ethics, technological, and logistical issues related to providing telehealth interventions but were limited in their ability to assess nonverbal cues on a telehealth platform.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Body image concerns, unpleasant emotions, social isolation, and problems at school or work are common 2 years after diagnosis.3”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Introduction
What the sources say
- Not checked — no full text of the sourcecites [3] Mattsson, 2007, Positive and negative consequences with regard to cancer during adolescence. Experiences two years after diagnosis, Psychooncology source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Seven participants completed instruments at T1, 6 at T2 and T3.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Psychosocial outcomes
plainn = 7- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Second, COVID-19 precautions at the time of the study reduced our already small clinical team from 6 to 4 clinicians, creating longer hours and larger caseloads than prepandemic figures for the facilitators.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Discussion > Limitations
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“Psychotherapy groups are typically comprised of 7-10 participants.17”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Material and methods > Recruitment
What the sources say
- Not matchedcites [17] 2007
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The study was approved by the institutional review board.”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Material and methods > Recruitment
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“Investigators used thematic analysis to identify themes within the qualitative data, adhering to Braun & Clarke's28 systematic framework of analysis.29”
§ Cancer during a pandemic: A psychosocial telehealth intervention for young adults > Results > Participant feedback and facilitator observations
What the sources say
- Not checked — no full text of the sourcecites [28] Braun, 2006, Using thematic analysis in psychology, Qual Res Psychol source
- Not checked — no full text of the sourcecites [29] Maguire, 2017, Doing a thematic analysis: a practical, step-by-step guide for learning and teaching scholars, All Irel J High Educ (AISHE-J). source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
The paper relies on this without support.
Data on young adults are sparse, particularly related to these constructs, thereby limiting comparisons.
“Data on YAs are sparse, particularly related to these constructs, thereby limiting comparisons.”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- ConsistentF(2, 6) = 7.45reported p = .02 · recomputed p = .024
“F(2, 6)= 7.45, p = .02”
- Consistentt(6) = 2.7reported p = .04 · recomputed p = .036
“t(6)= 2.70, p = .04”
- Consistentt(6) = 3.58reported p = .01 · recomputed p = .012
“t(6)= 3.58, p = .01”
- ConsistentF(2, 6) = 6.09reported p = .04 · recomputed p = .036
“F(2, 6)= 6.09, p = .04”
- Consistentt(6) = 2.66reported p = .04 · recomputed p = .038
“t(6)= 2.66, p = .04”
- ConsistentF(2, 6) = 3.94reported p = .08 · recomputed p = .081
“F(2, 6)= 3.94, p = .08”
- Consistentt(6) = 2.72reported p = .03 · recomputed p = .035
“t(6)= 2.72, p = .03”
- ConsistentF(2, 6) = 11.66reported p = .01 · recomputed p = .009
“F(2, 6)= 11.66, p = .01”
- ConsistentF(2, 6) = 3.93reported p = .08 · recomputed p = .081
“F(2, 6)= 3.93, p = .08”
- Consistentt(6) = 2.76reported p = .03 · recomputed p = .033
“t(6)= 2.76, p = .03”
- ConsistentF(2, 10) = 2.01reported p = .18 · recomputed p = .185
“F(2, 10)= 2.01, p = .18”
- ConsistentF(2, 6) = 3.86reported p = .08 · recomputed p = .084
“F(2, 6)= 3.86, p = .08”
- ConsistentF(2, 6) = 4.48reported p = .06 · recomputed p = .065
“F(2, 6)= 4.48, p = .06”
- ConsistentF(2, 6) = 1.73reported p = .26 · recomputed p = .255
“F(2, 6)= 1.73, p = .26”
- ConsistentF(2, 6) = 0.15reported p = .87 · recomputed p = .864
“F(2, 6)= 0.15, p = .87”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Self-check results appear here once an independent check has confirmed them.
Citations
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414
UCLA loneliness scale (version 3): reliability, validity, and factor structure
Russell, D. W. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6601_2 · Cited by 5,800
Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China
Liang, W., Guan, W., Chen, R., Wang, W., Li, J., Xu, K., Li, C., Ai, Q., Lu, W., Liang, H., et al. (2020) · The Lancet Oncology · doi:10.1016/s1470-2045(20)30096-6 · Cited by 4,384
Mental health and the COVID-19 pandemic
Pfefferbaum, B., & North, C. S. (2020) · New England Journal of Medicine · doi:10.1056/nejmp2008017 · Cited by 4,378
Doing a thematic analysis: A practical, step-by-step guide for learning and teaching scholars.
Maguire, M., & Delahunt, B. (2017) · All Ireland Journal of Higher Education · doi:10.62707/aishej.v9i3.335 · Cited by 2,099
How mental health care should change as a consequence of the COVID-19 pandemic
Moreno, C., Wykes, T., Galderisi, S., Nordentoft, M., Crossley, N., Jones, N., Cannon, M., Correll, C. U., Byrne, L., Carr, S., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30307-2 · Cited by 1,840 · cited 1×
“• Coronavirus Anxiety Scale (CAS) [F(2, 10) = 2.”
Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety
Lee, S. A. (2020) · Death Studies · doi:10.1080/07481187.2020.1748481 · Cited by 1,649
Doing a Thematic Analysis: A Practical, Step-by-Step Guide for Learning and Teaching Scholars
Delahunt, M. A. (2017) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.5828312 · Cited by 1,367
Assessing psychological trauma and PTSD
Wilson, J.-P., & Keane, T. (1997) · Choice Reviews Online · doi:10.5860/choice.34-5966 · Cited by 1,274
Cited by
Sorted by citations
Wurz, A. J., McLaughlin, E., Hughes, K., Ellis, K. M., Chen, A., Cowley, L., Molina, H., Duchek, D., Eisele, M., & Culos-Reed, S. N. (2023) · Pilot and Feasibility Studies · doi:10.1186/s40814-023-01244-y · Cited by 20
“This was a somewhat surprising finding as young adults affected by cancer have reported social isolation in the context of COVID-19 [65, 66] and desiring opportunities to connect with other young adults [67].”
BackgroundDSCA-Net: Double-stage Codec Attention Network for automatic nuclear segmentation
Ye, Z., Hu, B., Sui, H., Mei, M., Mei, L., & Zhou, R. (2023) · Biomedical Signal Processing and Control · doi:10.1016/j.bspc.2023.105569 · Cited by 14
Wolfe, K. R., Martinez, A., & Dains, J. E. (2023) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2023.0072 · Cited by 8
Mostafa, M., Chae, Y.-G., Bland, K. A., & McTaggart-Cowan, H. M. (2025) · Cancers · doi:10.3390/cancers17050736 · Cited by 7
“(Lichiello et al. (2022) [36]|Facilitated Virtual Psychosocial Telehealth Intervention) Positive psychology helped with feelings of competency, positive body image and a sense of autonomy among the AYAs with cancer [31,40,41,51,52].”
InfluentialÇalı, Z., & Dönmez, E. (2025) · Karya Journal of Health Science · doi:10.52831/kjhs.1556251 · Cited by 2
Metadata
- Authors
- Lichiello, S., Rainwater, L., Russell, G. B., Pulgar, C., Clark, J., Daniel, S., McCall, M. H., Bentley, P., & Duckworth, K. E.
- Affiliations
- Atrium Health Wake Forest Baptist (US)
- Corresponding author
- Duckworth, Katie E.
- ORCID
- Venue
- Current Problems in Cancer
- Publisher
- Elsevier BV
- Published
- 2022-08
- Volume
- 46
- Issue
- 4
- Pages
- 100865
- ISSN
- 0147-0272 (ISSN-L)
- PMC
- PMC9106397
- OpenAlex
- W4280494242
- Cited by
- 18
- References
- 31
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 8
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Current Problems in Cancer (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (P30CA012197)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- young adult cancer survivors, COVID-19 pandemic, telehealth intervention, psychosocial interventions, social isolation, psychological distress, coping, acceptance and commitment therapy, meaning-centered therapy, anxious preoccupation, psychological inflexibility, group therapy, qualitative feedback
- MeSH terms
- COVID-19, Adolescent, Adult, Humans, Neoplasms, Telemedicine, Young Adult, Pandemics, Acceptance and Commitment Therapy
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.
A language model drew the claims from the paper on 2026-09-28, under version 3 of the claim definition (prompt extract-v3).
A second model labelled each claim on 2026-09-28 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Cited sources are checked with a language model’s help (gpt-6-sol).
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 ›
Are you an author, or do you see a problem with this page? Request a review