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Objective:  The  My Guide  smartphone application was developed to improve quality of life and symptom burden (primary outcomes) for Latina breast cancer survivors (BCS) and tested in a pilot randomized controlled trial compared to an attention-control condition ( My Health  smartphone application). This secondary analysis examined effects on breast cancer knowledge, coping, and cancer-related self-efficacy (intervention targets). Method:  Latina BCS (N = 78) were randomized to  My Guide  or  My Health  for six weeks. Linear mixed-effects modeling evaluated the effects of time and study condition on the intervention targets. Effects by engagement were explored.  Results:  Both conditions showed improved breast cancer knowledge ( p  &lt; 0.001), with a trend for greatest improvement among  My Guide  high users ( p  = 0.082).  My Guide  participants reported less self-blame overall than  My Health  participants ( p  = 0.020). There were no effects on cancer-related self-efficacy ( p s &gt; 0.05).  Conclusion:  Culturally-informed smartphone applications may enhance breast cancer knowledge and promote adaptive coping among Latina BCS.

journal of psychosocial oncology

Effects of smartphone interventions on cancer knowledge and coping among Latina breast cancer survivors: Secondary analysis of a pilot randomized controlled trial