Smartphone‐based Ecological Momentary Assessment to study "scanxiety" among Adolescent and Young Adult survivors of childhood cancer: A feasibility study.

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Title: Smartphone‐based Ecological Momentary Assessment to study "scanxiety" among Adolescent and Young Adult survivors of childhood cancer: A feasibility study.
Authors: Heathcote, Lauren C. (AUTHOR), Cunningham, Sarah J. (AUTHOR), Webster, Sarah N. (AUTHOR), Tanna, Vivek (AUTHOR), Mattke, Elia (AUTHOR), Loecher, Nele (AUTHOR), Spunt, Sheri L. (AUTHOR), Simon, Pamela (AUTHOR), Dahl, Gary (AUTHOR), Walentynowicz, Marta (AUTHOR), Murnane, Elizabeth (AUTHOR), Tutelman, Perri R. (AUTHOR), Schapira, Lidia (AUTHOR), Simons, Laura E. (AUTHOR), Mueller, Claudia (AUTHOR)
Source: Psycho-Oncology. Aug2022, Vol. 31 Issue 8, p1322-1330. 9p.
Subjects: Ecological momentary assessments (Clinical psychology), Cancer survivors, Test anxiety, Cancer relapse, Psychological distress, Feasibility studies, Mobile apps
Abstract: Objective: Scan‐related anxiety ("scanxiety") refers to the fear, stress, and anxiety in anticipation of tests and scans in follow‐up cancer care. This study assessed the feasibility of Ecological Momentary Assessment (EMA) for real‐world, real‐time capture of scanxiety using patients' personal smartphone. Methods: Adolescent and Young Adult survivors of childhood cancer were prompted to complete EMA surveys on a smartphone app three times per day for 11 days (33 surveys total) around their routine surveillance scans. Participants provided structured feedback on the EMA protocol. Results: Thirty out of 46 contacted survivors (65%) enrolled, exceeding the preregistered feasibility cutoff of 55%. The survey completion rate (83%) greatly exceeded the preregistered feasibility cutoff of 65%. Participants generally found the smartphone app easy and enjoyable to use and reported low levels of distress from answering surveys. Participants reported significantly more daily fear of cancer recurrence (FCR) and negative affect in the days before compared to the days after surveillance scans, aligning with the expected trajectory of scanxiety. Participants who reported greater FCR and scanxiety using comprehensive measures at baseline also reported significantly more daily FCR around their surveillance scans, indicating validity of EMA items. Bodily threat monitoring was prospectively and concurrently associated with daily FCR, thus warranting further investigation as a risk factor for scanxiety. Conclusions: Findings indicate the feasibility, acceptability, and validity of EMA as a research tool to capture the dynamics and potential risk factors for scanxiety. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Smartphone‐based Ecological Momentary Assessment to study "scanxiety" among Adolescent and Young Adult survivors of childhood cancer: A feasibility study.
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  Data: <searchLink fieldCode="AR" term="%22Heathcote%2C+Lauren+C%2E%22">Heathcote, Lauren C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cunningham%2C+Sarah+J%2E%22">Cunningham, Sarah J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Webster%2C+Sarah+N%2E%22">Webster, Sarah N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tanna%2C+Vivek%22">Tanna, Vivek</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mattke%2C+Elia%22">Mattke, Elia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Loecher%2C+Nele%22">Loecher, Nele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Spunt%2C+Sheri+L%2E%22">Spunt, Sheri L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Simon%2C+Pamela%22">Simon, Pamela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dahl%2C+Gary%22">Dahl, Gary</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Walentynowicz%2C+Marta%22">Walentynowicz, Marta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murnane%2C+Elizabeth%22">Murnane, Elizabeth</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tutelman%2C+Perri+R%2E%22">Tutelman, Perri R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schapira%2C+Lidia%22">Schapira, Lidia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Simons%2C+Laura+E%2E%22">Simons, Laura E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mueller%2C+Claudia%22">Mueller, Claudia</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Aug2022, Vol. 31 Issue 8, p1322-1330. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Ecological+momentary+assessments+%28Clinical+psychology%29%22">Ecological momentary assessments (Clinical psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+survivors%22">Cancer survivors</searchLink><br /><searchLink fieldCode="DE" term="%22Test+anxiety%22">Test anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+relapse%22">Cancer relapse</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Feasibility+studies%22">Feasibility studies</searchLink><br /><searchLink fieldCode="DE" term="%22Mobile+apps%22">Mobile apps</searchLink>
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  Label: Abstract
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  Data: Objective: Scan‐related anxiety ("scanxiety") refers to the fear, stress, and anxiety in anticipation of tests and scans in follow‐up cancer care. This study assessed the feasibility of Ecological Momentary Assessment (EMA) for real‐world, real‐time capture of scanxiety using patients' personal smartphone. Methods: Adolescent and Young Adult survivors of childhood cancer were prompted to complete EMA surveys on a smartphone app three times per day for 11 days (33 surveys total) around their routine surveillance scans. Participants provided structured feedback on the EMA protocol. Results: Thirty out of 46 contacted survivors (65%) enrolled, exceeding the preregistered feasibility cutoff of 55%. The survey completion rate (83%) greatly exceeded the preregistered feasibility cutoff of 65%. Participants generally found the smartphone app easy and enjoyable to use and reported low levels of distress from answering surveys. Participants reported significantly more daily fear of cancer recurrence (FCR) and negative affect in the days before compared to the days after surveillance scans, aligning with the expected trajectory of scanxiety. Participants who reported greater FCR and scanxiety using comprehensive measures at baseline also reported significantly more daily FCR around their surveillance scans, indicating validity of EMA items. Bodily threat monitoring was prospectively and concurrently associated with daily FCR, thus warranting further investigation as a risk factor for scanxiety. Conclusions: Findings indicate the feasibility, acceptability, and validity of EMA as a research tool to capture the dynamics and potential risk factors for scanxiety. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.5935
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 1322
    Subjects:
      – SubjectFull: Ecological momentary assessments (Clinical psychology)
        Type: general
      – SubjectFull: Cancer survivors
        Type: general
      – SubjectFull: Test anxiety
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      – SubjectFull: Cancer relapse
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      – SubjectFull: Psychological distress
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      – SubjectFull: Feasibility studies
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      – SubjectFull: Mobile apps
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              Text: Aug2022
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