Effects of WeChat-based EPIC training on health-related quality of life, attribution and life attitude in women newly diagnosed with breast cancer: a clinical randomized controlled trial.
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| Title: | Effects of WeChat-based EPIC training on health-related quality of life, attribution and life attitude in women newly diagnosed with breast cancer: a clinical randomized controlled trial. |
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| Authors: | Zhou, Kaina (AUTHOR), Wang, Xiao (AUTHOR), Wang, Yan (AUTHOR), Liu, Ailan (AUTHOR) |
| Source: | Quality of Life Research. Jul2025, Vol. 34 Issue 7, p1979-1993. 15p. |
| Subjects: | Quality of life, Breast cancer, Clinical health psychology, WeChat (Web resource), Attribution (Social psychology), Psychological resilience, Clinical trials, Females |
| Abstract: | Purpose: When confronted with healthy functional impairments, the attribution of disease-induced distress plays a key role in the prognosis of health outcomes. This study examined the effects of an attribution-related intervention, namely WeChat-based EPIC (enter, practice, intensify, consolidate) training, on health-related quality of life (HRQoL), attribution, and life attitude in women newly diagnosed with breast cancer. Methods: Eligible patients were recruited using convenience sampling and randomly assigned to the intervention or control group via stratified block randomization. The former received WeChat-based EPIC training plus routine nursing care for 6 months. The latter received only routine nursing care. HRQoL (primary indicator), attribution and life attitude (secondary indicators) were measured using the Functional Assessment of Cancer Therapy-Breast version 4.0 (FACT-Bv4.0), Attributional Style Questionnaire (ASQ) and Life Attitude Self-rating Questionnaire for Breast Cancer (LASQ-BC), respectively. A linear mixed model was used to examine the score fluctuations at the 1-, 3-, and 6-month intervals relative to the baseline. Results: After 6 months, the intervention group (n = 84) showed statistically significant higher total scores in the FACT-Bv4.0 [mean difference: − 15.01; 95% confidence interval: − 17.96, − 12.07; p < 0.001], ASQ [− 4.16 (− 4.45, − 3.86); p < 0.001], and LASQ-BC [− 6.77 (− 8.27, − 5.27); p < 0.001] than that of the control group (n = 82). The total scores of the three indicators also showed significant group, time, and group-by-time interaction effects (p < 0.001). Conclusion: The WeChat-based EPIC training was an effective intervention for improving HRQoL and psychological health in women newly diagnosed with breast cancer. Trial registration: Chinese Clinical Trial Registry www.chictr.org.cn, prospectively registered on 11 April 2020, ChiCTR2000031827. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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