Digital Health Management via IKAP Theory Improves Upper Limb Function and Psychological Adaptation in Postmastectomy Patients: A Randomized Controlled Trial.
{"title":"Digital Health Management via IKAP Theory Improves Upper Limb Function and Psychological Adaptation in Postmastectomy Patients: A Randomized Controlled Trial.","authors":"Panpan Xu, Xiaomei Zhang, Lihua Lu, Xiaofeng Chen, Yunxia Chen, Jia Chen, Xiaoling Yan, Xiaohong Jin, Yiju Li","doi":"10.1016/j.clbc.2025.08.017","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate IKAP theory-based digital health management in improving upper limb function and psychological adaptation in postmastectomy breast cancer survivors.</p><p><strong>Methods: </strong>We conducted a two-arm, parallel-group RCT with 200 postmastectomy patients at Nantong University Affiliated Hospital from July to December 2024. All patients were divided into two categories: 100 patients each in the experimental and control groups. The experimental group underwent a 12-week digital health management using IKAP theory, and the control group received routine care. We assessed all primary outcome measures, including the Information Needs Questionnaire (INQ), the Disabilities of the Arm, Shoulder and Hand (DASH) scale, the Cancer Post-Traumatic Growth Inventory (C-PTGI), the Breast Cancer Postoperative Functional Exercise Adherence Scale, and the Functional Assessment of Cancer Therapy-Breast (FACT-B) Questionnaire, at two distinct time points: before and after the intervention.</p><p><strong>Results: </strong>After 12 weeks of IKAP theory-based digital health management, breast cancer patients exhibited reduced information needs compared with the control group. Furthermore, this cohort exhibited marked improvement in upper extremity dysfunction when compared with the control cohort. The experimental group's post-traumatic growth levels, compliance with postoperative functional exercises, and quality of life were higher than the control group, respectively. The inter-group differences in all these indicators were statistically significant (P < .01).</p><p><strong>Conclusion: </strong>IKAP theory-based digital health management significantly enhanced breast cancer survivors' functional recovery and psychological adaptation.</p>","PeriodicalId":10197,"journal":{"name":"Clinical breast cancer","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical breast cancer","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.clbc.2025.08.017","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study aimed to evaluate IKAP theory-based digital health management in improving upper limb function and psychological adaptation in postmastectomy breast cancer survivors.
Methods: We conducted a two-arm, parallel-group RCT with 200 postmastectomy patients at Nantong University Affiliated Hospital from July to December 2024. All patients were divided into two categories: 100 patients each in the experimental and control groups. The experimental group underwent a 12-week digital health management using IKAP theory, and the control group received routine care. We assessed all primary outcome measures, including the Information Needs Questionnaire (INQ), the Disabilities of the Arm, Shoulder and Hand (DASH) scale, the Cancer Post-Traumatic Growth Inventory (C-PTGI), the Breast Cancer Postoperative Functional Exercise Adherence Scale, and the Functional Assessment of Cancer Therapy-Breast (FACT-B) Questionnaire, at two distinct time points: before and after the intervention.
Results: After 12 weeks of IKAP theory-based digital health management, breast cancer patients exhibited reduced information needs compared with the control group. Furthermore, this cohort exhibited marked improvement in upper extremity dysfunction when compared with the control cohort. The experimental group's post-traumatic growth levels, compliance with postoperative functional exercises, and quality of life were higher than the control group, respectively. The inter-group differences in all these indicators were statistically significant (P < .01).
Conclusion: IKAP theory-based digital health management significantly enhanced breast cancer survivors' functional recovery and psychological adaptation.
期刊介绍：
Clinical Breast Cancer is a peer-reviewed bimonthly journal that publishes original articles describing various aspects of clinical and translational research of breast cancer. Clinical Breast Cancer is devoted to articles on detection, diagnosis, prevention, and treatment of breast cancer. The main emphasis is on recent scientific developments in all areas related to breast cancer. Specific areas of interest include clinical research reports from various therapeutic modalities, cancer genetics, drug sensitivity and resistance, novel imaging, tumor genomics, biomarkers, and chemoprevention strategies.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
