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Effects of the "AI-TA" Mobile App With Intelligent Design on Psychological and Related Symptoms of Young Survivors of Breast Cancer: Randomized Controlled Trial.
Jiang, Lulu; Xu, Jiehui; Wu, Yanwei; Liu, Yanyan; Wang, Xiyi; Hu, Yun.
Affiliation
  • Jiang L; School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
  • Xu J; Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Wu Y; Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Liu Y; School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
  • Wang X; School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
  • Hu Y; School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
JMIR Mhealth Uhealth ; 12: e50783, 2024 Jun 04.
Article in En | MEDLINE | ID: mdl-38833298
ABSTRACT

BACKGROUND:

Young women often face substantial psychological challenges in the initial years following cancer diagnosis, leading to a comparatively lower quality of life than older survivors. While mobile apps have emerged as potential interventions, their effectiveness remains inconclusive due to the diversity in intervention types and variation in follow-up periods. Furthermore, there is a particular dearth of evidence regarding the efficacy of these apps' intelligent features in addressing psychological distress with these apps.

OBJECTIVE:

This study aims to evaluate the effectiveness of a mobile app with intelligent design called "AI-TA" on cancer-related psychological health and ongoing symptoms with a randomized controlled design.

METHODS:

Women aged 18 to 45 years diagnosed with breast cancer were randomly assigned to the intervention or control group. The intervention was AI-TA, which included 2-way web-based follow-up every 2 weeks. Both intention-to-treat (ITT) and per-protocol (PP) analyses employed repeated measurement analysis of variance. The participants' background features, primary outcomes (psychological distress and frequency, self-efficacy, and social support), and secondary outcomes (quality of life) were measured using multiple instruments at 3 time points (baseline, 1-month intervention, and 3-month intervention).

RESULTS:

A total of 124 participants were randomly allocated to the control group (n=62, 50%) or intervention group (n=62, 50%). In total, 92.7% (115/124) of the participants completed the intervention. Significant improvements in psychological symptoms (Memorial Symptom Assessment Scale-Short Form) were observed in the ITT group from baseline to 1-month intervention relative to the control group (ITT vs control 1.17 vs 1.23; P<.001), which persisted at 3-month follow-up (ITT vs control 0.68 vs 0.91; P<.001). Both the ITT and PP groups exhibited greater improvements in self-efficacy (Cancer Behavior Inventory-Brief Version) than the control group at 1-month (ITT vs PP vs control 82.83 vs 77.12 vs 65.35; P<.001) and 3-month intervention (ITT vs PP vs control 92.83 vs 89.30 vs 85.65; P<.001). However, the change in social support (Social Support Rating Scale) did not increase significantly until 3-month intervention (ITT vs control 50.09 vs 45.10; P=.002) (PP vs control 49.78 vs 45.10; P<.001). All groups also experienced beneficial effects on quality of life (Functional Assessment of Cancer Therapy-Breast), which persisted at 3-month follow-up (P<.001).

CONCLUSIONS:

The intelligent mobile app AI-TA incorporating intelligent design shows promise for reducing psychological and cancer-related symptoms among young survivors of breast cancer. TRIAL REGISTRATION Chinese Clinical Trial Registry ChiCTR2200058823; https//www.chictr.org.cn/showproj.html?proj=151195.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Quality of Life / Breast Neoplasms / Mobile Applications / Cancer Survivors Limits: Adolescent / Adult / Female / Humans / Middle aged Language: En Journal: JMIR Mhealth Uhealth Year: 2024 Document type: Article Affiliation country: China Country of publication: Canada

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Quality of Life / Breast Neoplasms / Mobile Applications / Cancer Survivors Limits: Adolescent / Adult / Female / Humans / Middle aged Language: En Journal: JMIR Mhealth Uhealth Year: 2024 Document type: Article Affiliation country: China Country of publication: Canada