Improvements in Health Might Contradict Adherence to Mobile Health Interventions: Findings from a Self-Care Cancer App Study

Background: Cancer patients often suffer from high levels of distress. Mobile health (mHealth) applications might be an innovative way to deliver mindfulness and relaxation interventions for cancer patients. However, data about the implementation apps in care are lacking. Adherence mHealth is important indicator a successful needed maximize treatment effects. decrease distress reduce motivation engage such self-care tools long run. Therefore, aim this analysis was investigate association between course over time adherence app Methods: We developed (CanRelax) 83 who participated prospective observational study used at least once. The evaluation guided by RE-AIM framework, focused on app. Patients were grouped into five subgroups according their 10 weeks (Distress Thermometer). These compared with each other identify different user groups. Findings: About half adherent weeks. associated lower intervention, whereas moderate or increase showed more adherence. Conclusion: intervention also driven patients' level. A continue intervention. interplay outcomes should explored upcoming trials get better understanding interventions. Encouraging major challenge integrative medicine if they delivered digitally. Clinical Trial Registration number: DRKS00010481.