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

The 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 ( smartphone application). This secondary analysis examined effects on breast cancer knowledge, coping, and cancer-related self-efficacy (intervention targets). Latina BCS (N = 78) were randomized to or for six weeks. Linear mixed-effects modeling evaluated the effects of time and study condition on the intervention targets. Effects by engagement were explored. Both conditions showed improved breast cancer knowledge ( < 0.001), with a trend for greatest improvement among high users ( = 0.082). participants reported less self-blame overall than participants ( = 0.020). There were no effects on cancer-related self-efficacy (s > 0.05). Culturally-informed smartphone applications may enhance breast cancer knowledge and promote adaptive coping among Latina BCS.