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Cited by 1Nursing care and researchCancer survivorship and careMobile Health and mHealth Applications

Combined effects of mobile health (mHealth) psychoeducation and the Benson relaxation technique on caregiving burden among female caregivers of patients with cancer: a randomized controlled trial

Roshid, Md Marufur, Rahman, Md Moshiur, Eity, Kaniz Fateema, Okamura, Hitoshi·2026·Japanese Journal of Clinical Oncology
DOI 10.1093/jjco/hyag026
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Abstract

Background: Psychoeducational and relaxation-based interventions have been shown to reduce caregiver burden; however, limited evidence exists regarding the effectiveness of combined interventions delivered via mobile health (mHealth) in resource-limited settings. This study aimed to evaluate the combined effects of mHealth-based psychoeducation and the Benson Relaxation Technique (BRT) on caregiver burden among female informal caregivers of patients with cancer. Methods: A prospective, open-ended, randomized controlled trial (1:1 allocation) was conducted from October 2024 to March 2025. In total, 102 female caregivers were randomly assigned to either the intervention or control group. Validated Bangla versions of the Zarit Burden Interview, Hospital Anxiety and Depression Scale, and WHO – Quality of Life – Brief (WHOQOL-BREF) were administered at baseline, three months, and six months. Data were analyzed using repeated-measures analysis of variance under the intention-to-treat principle. Results: The intervention group demonstrated significant reductions in caregiver burden (F = 58.4, P < .001), anxiety (F = 34.9, P < .001), and depression (F = 34.9, P < .001) over six months, compared to the control group. Significant group × time interactions were observed for overall quality of life (QOL) (P < .001) and across physical (P < .001), psychological (P < .001), social (P = .004), and environmental (P < .001) domains. Conclusion: The combined mHealth psychoeducation and BRT intervention significantly reduced caregiver burden and psychological distress, and improved QOL among female caregivers of patients with cancer. This culturally adaptable, low-cost, technology-enabled approach offers a promising strategy to support caregiver needs in low- and middle-income countries where psychosocial services are limited.

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Crossref · 10.1093/jjco/hyag026

Cites

29 of 29 references verified0 citation errors · 0 not checkable

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Research works printed but not linked: 2

  1. PDQ Supportive and Palliative Care Editorial Board, eds, 2025, PDQ cancer information summaries
  2. Klein, 2019, Self-determination theory: basic psychological needs in motivation, development, and wellness, Sociol Cas, 55, 412

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Authors
Roshid, M. M., Rahman, M. M., Eity, K. F., & Okamura, H.
Affiliations
  • Hiroshima University (JP)
  • East Texas A&M University (US)
Corresponding author
Okamura, Hitoshi
ORCID
Venue
Japanese Journal of Clinical Oncology
Publisher
Oxford University Press (OUP)
Published
2026-02-13
Volume
56
Issue
6
Pages
748-756
ISSN
  • 0368-2811 (ISSN-L)
  • 1465-3621
DOI
10.1093/jjco/hyag026
OpenAlex
W7128797187
Semantic Scholar
0b45f3b91e356495826f5e397032ecd545e2f514
Cited by
1
References
29
Citations by year
2026: 1
FWCI
11.63
Type
journal article
Language
en
Open access
closed
Licence
academic.oup.com/pages/standard-publication-reuse-rights (vor)
Locations
  • Japanese Journal of Clinical Oncology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
mobile health, psychoeducation, Benson relaxation technique, caregiver burden, women caregivers, cancer caregiving, anxiety, depression, quality of life, psychosocial interventions, resource-limited settings, culturally tailored interventions
MeSH terms
Adult, Aged, Anxiety, Depression, Female, Humans, Middle Aged, Neoplasms, Prospective Studies, Quality of Life, Relaxation Therapy, Stress, Psychological, Caregivers, Telemedicine

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