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27.08.2018 | Original Article | Ausgabe 5/2019

Supportive Care in Cancer 5/2019

Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors

Supportive Care in Cancer > Ausgabe 5/2019
S. K. Smith, K. MacDermott, S. Amarasekara, W. Pan, D. Mayer, M. Hockenberry
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s00520-018-4431-7) contains supplementary material, which is available to authorized users.
Depression and fatigue are common effects resulting from the breast cancer experience. Results indicate that an online symptom self-management curriculum, Reimagine, has an effect on these key outcomes, but future research with larger and more diverse samples is needed.



Chronic pain, depression, and fatigue are common effects resulting from the cancer experience; new interventions are needed. This study examined the effect of Reimagine, an online symptom self-management curriculum that teaches coping skills, on key outcomes.


Adult breast cancer survivors with chronic pain were recruited from the Army of Women volunteer registry for this randomized controlled trial and randomized 1:1 to Reimagine or usual care conditions. Electronic surveys collected demographic, clinical, and outcome data at baseline and 18 weeks post-intervention.


Participants (N = 89) were mean age 56.7 ± 8.7 years; 67% married; 58% employed; mean years since diagnosis 8.2 ± 6.6; and 89% were in remission or cured of their breast cancer. There was a significant difference in the change in depression scores for treatment (M = − 1.7, SD = 4.5) and usual care (M = 0.3, SD = 3.8) conditions; t(85) = − 2.3, p = .03. Difference in the change in fatigue scores was significant for treatment (M = 4.8, SD = 9.0) and usual care (M = 1.2, SD = 6.6) conditions; t(87) = 2.2, p = .03. Most Reimagine users (94%) would recommend the curriculum to others.


These results suggest that Reimagine has an effect on depression and fatigue symptoms for breast cancer survivors. Online programs can be a feasible and effective alternative to in-person support. Additional research is recommended with larger and more diverse samples.

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