{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:04:20Z","timestamp":1790751860349,"version":"4.1.0"},"reference-count":70,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R03CA273489"],"award-info":[{"award-number":["R03CA273489"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["T32CA261787"],"award-info":[{"award-number":["T32CA261787"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Quality of life (QoL) is important for patients with metastatic breast cancer (MBC). We examined QoL in daily life among patients with MBC using ecological momentary assessment (EMA).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n From 2023 to 2024, patients with MBC were recruited from 5 Mid\u2010Atlantic sites. Eligible patients were English\u2010 or Spanish\u2010speaking, with a life expectancy >\u20096\u2009months and access to a smartphone. Participants were invited to complete 12 EMAs over 4\u2009weeks. EMAs assessed global QoL, symptom severity (depression, anxiety, pain, fatigue, slowed cognition, appetite loss, nausea, gastrointestinal distress, decreased libido), and positive affect (social connection, peace, joy). Multilevel mixed\u2010effects models analyzed the relationships between QoL and between\u2010person and within\u2010person variations in symptom severity and positive affect. We also explored associations between QoL and years since MBC diagnosis at the time of study entry.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Participants (\n N<\/jats:italic>\n \u2009=\u2009108; Mean age 57.8\u2009years) were a mean of 4.4\u2009years post\u2010diagnosis (range\u2009=\u20090.06\u201320.65\u2009years). Between\u2010person effects indicated QoL was worse among individuals reporting more nausea (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.109,\n p<\/jats:italic>\n \u2009=\u20090.035) and less joy (\n \u03b2<\/jats:italic>\n \u2009=\u20090.593,\n p<\/jats:italic>\n \u2009<\u20090.001). Within\u2010person effects indicated individuals' QoL was lower at times when they had more depression (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.177,\n p<\/jats:italic>\n \u2009<\u20090.001), anxiety (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.049,\n p<\/jats:italic>\n \u2009=\u20090.023), fatigue (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.052,\n p<\/jats:italic>\n \u2009=\u20090.009), appetite loss (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.053,\n p<\/jats:italic>\n \u2009=\u20090.028), and decreased libido (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.058,\n p<\/jats:italic>\n \u2009=\u20090.036) and less social connectedness (\n \u03b2<\/jats:italic>\n \u2009=\u20090.091,\n p<\/jats:italic>\n \u2009=\u20090.001), joy (\n \u03b2<\/jats:italic>\n \u2009=\u20090.055,\n p<\/jats:italic>\n \u2009=\u20090.047), and peace (\n \u03b2<\/jats:italic>\n \u2009=\u20090.107,\n p<\/jats:italic>\n \u2009<\u20090.001) than their personal average. QoL was not associated with years since MBC diagnosis (\n \u03b2<\/jats:italic>\n \u2009=\u20090.106,\n p<\/jats:italic>\n \u2009=\u20090.956). Age (\n \u03b2<\/jats:italic>\n \u2009=\u20090.482,\n p<\/jats:italic>\n \u2009=\u20090.013) and being partnered (\n \u03b2<\/jats:italic>\n \u2009=\u200913.356,\n p<\/jats:italic>\n \u2009=\u20090.005) at baseline were positively associated with estimated QoL at MBC diagnosis. Changes in QoL per year since MBC diagnosis were positively associated with being employed at baseline (\n \u03b2<\/jats:italic>\n \u2009=\u20092.453,\n p<\/jats:italic>\n \u2009<\u20090.001) and negatively associated with HR positive disease (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22121.334,\n p<\/jats:italic>\n \u2009=\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Both within\u2010person and between\u2010person variations in symptom severity and positive affect are associated with QoL, highlighting the need for adaptive, targeted intervention strategies to optimize QoL for all patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/cam4.72338","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:43:47Z","timestamp":1790750627000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality of Life in Adults With Metastatic Breast Cancer: The Impact of Between\u2010 and Within\u2010Person Changes in Symptoms and Positive Affect"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3343-111X","authenticated-orcid":false,"given":"Brenna","family":"Mossman","sequence":"first","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7444-4689","authenticated-orcid":false,"given":"Brent J.","family":"Small","sequence":"additional","affiliation":[{"name":"School of Nursing University of North Carolina at Chapel Hill Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5839-5485","authenticated-orcid":false,"given":"Elizabeth L.","family":"Addington","sequence":"additional","affiliation":[{"name":"Department of Medical Social Sciences, Feinberg School of Medicine Northwestern University Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith Tedlie","family":"Moskowitz","sequence":"additional","affiliation":[{"name":"Department of Medical Social Sciences, Feinberg School of Medicine Northwestern University Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikaela A.","family":"Velazquez\u2010Sosa","sequence":"additional","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer D.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aigner","family":"Bobbitt","sequence":"additional","affiliation":[{"name":"John Theurer Cancer Center Hackensack University Medical Center Hackensack New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alene","family":"Mathurin","sequence":"additional","affiliation":[{"name":"John Theurer Cancer Center Hackensack University Medical Center Hackensack New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley","family":"Glenn","sequence":"additional","affiliation":[{"name":"Patient Author, Project Life Metastatic Breast Cancer Calabasas California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shont\u00e8","family":"Drakeford","sequence":"additional","affiliation":[{"name":"Patient Author Upper Marlboro Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxana","family":"Guerra","sequence":"additional","affiliation":[{"name":"Patient Author Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9646-1260","authenticated-orcid":false,"given":"Claudine","family":"Isaacs","sequence":"additional","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ami","family":"Chitalia","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3846-5052","authenticated-orcid":false,"given":"Christopher","family":"Gallagher","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deena","family":"Graham","sequence":"additional","affiliation":[{"name":"John Theurer Cancer Center Hackensack University Medical Center Hackensack New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6857-396X","authenticated-orcid":false,"given":"Nina","family":"Kadan\u2010Lottick","sequence":"additional","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne C.","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7695-2428","authenticated-orcid":false,"given":"Claire C.","family":"Conley","sequence":"additional","affiliation":[{"name":"Lombardi Comprehensive Cancer Center Georgetown University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"issue":"5","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2026.12042","article-title":"Stage IV Breast Cancer Incidence and Survival, 2010\u20132021","volume":"9","author":"Avila J.","year":"2026","journal-title":"JAMA Network Open"},{"issue":"4","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","DOI":"10.1093\/jncics\/pkab063","article-title":"Projecting the Prevalence and Costs of Metastatic Breast Cancer From 2015 Through 2030","volume":"5","author":"Gogate A.","year":"2021","journal-title":"JNCI Cancer Spectrum"},{"issue":"9","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1200\/OP.23.00716","article-title":"Survivorship Care for People Affected by Advanced or Metastatic Cancer: MASCC\u2010ASCO Standards and Practice Recommendations","volume":"20","author":"Hart N. H.","year":"2024","journal-title":"JCO Oncology Practice"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.breast.2018.03.002","article-title":"Global Analysis of Advanced\/Metastatic Breast Cancer: Decade Report (2005\u20132015)","volume":"39","author":"Cardoso F.","year":"2018","journal-title":"Breast"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/s10549-018-4823-x","article-title":"Metastatic Breast Cancer Collateral Damage Project (MBCCD): Scale Development and Preliminary Results of the Survey of Health, Impact, Needs, and Experiences (SHINE)","volume":"171","author":"Williamson T. J.","year":"2018","journal-title":"Breast Cancer Research and Treatment"},{"issue":"1","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/OR9.0000000000000093","article-title":"Characterizing Unique Supportive Care Needs Among Women Living With Metastatic Breast Cancer: A Qualitative Study","volume":"5","author":"Moreno P. I.","year":"2023","journal-title":"Journal of Psychosocial Oncology Research and Practice"},{"issue":"5","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"1568","DOI":"10.1007\/s11764-024-01573-8","article-title":"Survivorship Concerns Among Individuals Diagnosed With Metastatic Cancer: Findings From the Cancer Experience Registry","volume":"19","author":"Brick R. S.","year":"2025","journal-title":"Journal of Cancer Survivorship"},{"key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1007\/s11764-021-01008-8","article-title":"Current State of Funded National Institutes of Health Grants Focused on Individuals Living With Advanced and Metastatic Cancers: A Portfolio Analysis","volume":"15","author":"Mollica M. A.","year":"2021","journal-title":"Journal of Cancer Survivorship"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010025\u201001935\u2010w"},{"key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.breast.2017.08.008","article-title":"Impact of Disease Progression on Health\u2010Related Quality of Life in Patients With Metastatic Breast Cancer in the PRAEGNANT Breast Cancer Registry","volume":"37","author":"M\u00fcller V.","year":"2018","journal-title":"Breast"},{"key":"e_1_2_11_12_1","article-title":"Patient\u2010Reported Outcomes in Metastatic Breast Cancer: A Review of Industry\u2010Sponsored Clinical Trials","volume":"10","author":"Krohe M.","year":"2016","journal-title":"Breast Cancer: Basic and Clinical Research"},{"issue":"4","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1093\/annonc\/mdy012","article-title":"Impact of Palbociclib Plus Letrozole on Patient\u2010Reported Health\u2010Related Quality of Life: Results From the PALOMA\u20102 Trial","volume":"29","author":"Rugo H.","year":"2018","journal-title":"Annals of Oncology"},{"issue":"6","key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1093\/annonc\/mdw139","article-title":"Quality of Life With Palbociclib Plus Fulvestrant in Previously Treated Hormone Receptor\u2010Positive, HER2\u2010Negative Metastatic Breast Cancer: Patient\u2010Reported Outcomes From the PALOMA\u20103 Trial","volume":"27","author":"Harbeck N.","year":"2016","journal-title":"Annals of Oncology"},{"issue":"3","key":"e_1_2_11_15_1","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s10549-015-3633-7","article-title":"Health\u2010Related Quality of Life in Patients With Locally Advanced or Metastatic Breast Cancer Treated With Eribulin Mesylate or Capecitabine in an Open\u2010Label Randomized Phase 3 Trial","volume":"154","author":"Cortes J.","year":"2015","journal-title":"Breast Cancer Research and Treatment"},{"issue":"18","key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"2139","DOI":"10.1200\/JCO.23.01030","article-title":"National Estimates of the Participation of Patients With Cancer in Clinical Research Studies Based on Commission on Cancer Accreditation Data","volume":"42","author":"Unger J. M.","year":"2024","journal-title":"Journal of Clinical Oncology"},{"key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12955-020-01389-x","article-title":"Quality of Life During Chemotherapy, Hormonotherapy or antiHER2 Therapy of Patients With Advanced, Metastatic Breast Cancer in Clinical Practice","volume":"18","author":"Adamowicz K.","year":"2020","journal-title":"Health and Quality of Life Outcomes"},{"key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.breast.2020.10.005","article-title":"Eligibility of Real\u2010World Patients With Metastatic Breast Cancer for Clinical Trials","volume":"54","author":"Batra A.","year":"2020","journal-title":"Breast"},{"issue":"6","key":"e_1_2_11_19_1","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.jgo.2020.04.002","article-title":"Metastatic Breast Cancer in Older Patients: A Longitudinal Assessment of Geriatric Outcomes","volume":"11","author":"Boer A. Z.","year":"2020","journal-title":"Journal of Geriatric Oncology"},{"issue":"4","key":"e_1_2_11_20_1","doi-asserted-by":"crossref","DOI":"10.2196\/25776","article-title":"Measuring the Time to Deterioration for Health\u2010Related Quality of Life in Patients With Metastatic Breast Cancer Using a Web\u2010Based Monitoring Application: Longitudinal Cohort Study","volume":"7","author":"Brusniak K.","year":"2021","journal-title":"JMIR Cancer"},{"issue":"1","key":"e_1_2_11_21_1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/s10549-020-06082-7","article-title":"A Prospective Observational Study of Patient\u2010Reported Functioning and Quality of Life in Advanced and Metastatic Breast Cancer Utilizing a Novel Mobile Application","volume":"187","author":"Richardson D.","year":"2021","journal-title":"Breast Cancer Research and Treatment"},{"issue":"6","key":"e_1_2_11_22_1","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1001\/jamaoncol.2022.0864","article-title":"Association of Quality\u2010of\u2010Life Outcomes in Cancer Drug Trials With Survival Outcomes and Drug Class","volume":"8","author":"Samuel J. N.","year":"2022","journal-title":"JAMA Oncology"},{"key":"e_1_2_11_23_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcpo.2025.100653","article-title":"Overlooked and Underreported: A Systematic Review of Quality of Life in Recent Phase III Metastatic Breast Cancer Trials","volume":"46","author":"Kalantri S.","year":"2025","journal-title":"Journal of Cancer Policy"},{"issue":"4","key":"e_1_2_11_24_1","doi-asserted-by":"crossref","DOI":"10.1007\/s11136-026-04179-y","article-title":"Assessing the Assessment: A Scoping Review of the Mode of Patient\u2010Reported Outcome Assessment in Solid Cancer Clinical Trials","volume":"35","author":"Hubel N.","year":"2026","journal-title":"Quality of Life Research"},{"issue":"3","key":"e_1_2_11_25_1","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1007\/s11136-015-1054-z","article-title":"Ambulatory and Diary Methods Can Facilitate the Measurement of Patient\u2010Reported Outcomes","volume":"25","author":"Schneider S.","year":"2016","journal-title":"Quality of Life Research"},{"issue":"4","key":"e_1_2_11_26_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00520-025-09397-7","article-title":"Exploring What Constitutes \u201cA Good Day\u201d for Individuals Living With Advanced Cancer: A Qualitative Interview Study","volume":"33","author":"Cheng S.","year":"2025","journal-title":"Supportive Care in Cancer"},{"issue":"2","key":"e_1_2_11_27_1","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/s10549-022-06518-2","article-title":"Barriers and Facilitators to Taking CDK4\/6 Inhibitors Among Patients With Metastatic Breast Cancer: A Qualitative Study","volume":"192","author":"Conley C. C.","year":"2022","journal-title":"Breast Cancer Research and Treatment"},{"issue":"8","key":"e_1_2_11_28_1","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1002\/pon.6183","article-title":"Improving Quality of Life and Symptom Experience in Patients With Metastatic Breast Cancer: A Systematic Review of Supportive Care Interventions","volume":"32","author":"Keane D.","year":"2023","journal-title":"Psycho\u2010Oncology"},{"issue":"1","key":"e_1_2_11_29_1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s10902-019-00082-1","article-title":"The Efficacy of Multi\u2010Component Positive Psychology Interventions: A Systematic Review and Meta\u2010Analysis of Randomized Controlled Trials","volume":"21","author":"Hendriks T.","year":"2020","journal-title":"Journal of Happiness Studies"},{"issue":"2","key":"e_1_2_11_30_1","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/17439760.2023.2168564","article-title":"The Evidence\u2010Base for Positive Psychology Interventions: A Mega\u2010Analysis of Meta\u2010Analyses","volume":"19","author":"Carr A.","year":"2024","journal-title":"Journal of Positive Psychology"},{"issue":"6","key":"e_1_2_11_31_1","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1080\/17439760.2020.1818807","article-title":"Effectiveness of Positive Psychology Interventions: A Systematic Review and Meta\u2010Analysis","volume":"16","author":"Carr A.","year":"2021","journal-title":"Journal of Positive Psychology"},{"key":"e_1_2_11_32_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1146\/annurev.clinpsy.3.022806.091415","article-title":"Ecological Momentary Assessment","volume":"4","author":"Shiffman S.","year":"2008","journal-title":"Annual Review of Clinical Psychology"},{"issue":"1","key":"e_1_2_11_33_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1139\/jpn.0602","article-title":"Ecological Momentary Assessment: What It Is and Why It Is a Method of the Future in Clinical Psychopharmacology","volume":"31","author":"Moskowitz D. S.","year":"2006","journal-title":"Journal of Psychiatry and Neuroscience"},{"issue":"1","key":"e_1_2_11_34_1","first-page":"12","article-title":"Cancer Statistics, 2024","volume":"74","author":"Siegel R. L.","year":"2024","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"e_1_2_11_35_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12916-017-0907-4","article-title":"How Accurate Is the \u2018Surprise Question\u2019 at Identifying Patients at the End of Life? A Systematic Review and Meta\u2010Analysis","volume":"15","author":"White N.","year":"2017","journal-title":"BMC Medicine"},{"key":"e_1_2_11_36_1","doi-asserted-by":"crossref","DOI":"10.2196\/71349","article-title":"Understanding Inequalities in Mobile Health Utilization Across Phases: Systematic Review and Meta\u2010Analysis","volume":"27","author":"Yang S.","year":"2025","journal-title":"Journal of Medical Internet Research"},{"issue":"3","key":"e_1_2_11_37_1","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1093\/iwcomp\/iwaa019","article-title":"The Design of Ecological Momentary Assessment Technologies","volume":"32","author":"Doherty K.","year":"2020","journal-title":"Interacting With Computers"},{"issue":"10","key":"e_1_2_11_38_1","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1093\/jpepsy\/jsx078","article-title":"Using Mobile\u2010Technology\u2010Based Ecological Momentary Assessment (EMA) Methods With Youth: A Systematic Review and Recommendations","volume":"42","author":"Heron K. E.","year":"2017","journal-title":"Journal of Pediatric Psychology"},{"issue":"2","key":"e_1_2_11_39_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1023\/B:QURE.0000018499.64574.1f","article-title":"Is a Single\u2010Item Visual Analogue Scale as Valid, Reliable and Responsive as Multi\u2010Item Scales in Measuring Quality of Life?","volume":"13","author":"Boer A. G.","year":"2004","journal-title":"Quality of Life Research"},{"issue":"6","key":"e_1_2_11_40_1","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1089\/jpm.2016.0218","article-title":"Measurement of Quality of Life in Palliative Care: Evidence for Criterion\u2010Oriented Validity of a Single\u2010Item Approach","volume":"20","author":"Conrad R.","year":"2017","journal-title":"Journal of Palliative Medicine"},{"issue":"6","key":"e_1_2_11_41_1","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1007\/s11764-019-00811-8","article-title":"Psychosocial Interventions for Cancer Survivors: A Meta\u2010Analysis of Effects on Positive Affect","volume":"13","author":"Salsman J. M.","year":"2019","journal-title":"Journal of Cancer Survivorship"},{"key":"e_1_2_11_42_1","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.genhosppsych.2019.11.001","article-title":"Positive Psychology and Health: Well\u2010Being Interventions in the Context of Illness","volume":"61","author":"Moskowitz J. T.","year":"2019","journal-title":"General Hospital Psychiatry"},{"issue":"6","key":"e_1_2_11_43_1","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.jpainsymman.2007.01.016","article-title":"Validation of Single\u2010Item Linear Analog Scale Assessment of Quality of Life in Neuro\u2010Oncology Patients","volume":"34","author":"Locke D. E.","year":"2007","journal-title":"Journal of Pain and Symptom Management"},{"issue":"8","key":"e_1_2_11_44_1","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1089\/jpm.2016.0027","article-title":"Quality of Life, Mood, and Prognostic Understanding in Patients With Metastatic Breast Cancer","volume":"19","author":"Shin J. A.","year":"2016","journal-title":"Journal of Palliative Medicine"},{"key":"e_1_2_11_45_1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s10549-017-4290-9","article-title":"Predictors of Distress in Female Breast Cancer Survivors: A Systematic Review","volume":"165","author":"Syrowatka A.","year":"2017","journal-title":"Breast Cancer Research and Treatment"},{"key":"e_1_2_11_46_1","doi-asserted-by":"crossref","first-page":"3715","DOI":"10.1007\/s00520-016-3184-4","article-title":"\u2018An Addendum to Breast Cancer\u2019: The Triple Negative Experience","volume":"24","author":"Turkman Y. E.","year":"2016","journal-title":"Supportive Care in Cancer"},{"issue":"1","key":"e_1_2_11_47_1","doi-asserted-by":"crossref","DOI":"10.1111\/ecc.12755","article-title":"Marital Status and Stage of Cancer at Diagnosis: A Systematic Review","volume":"27","author":"Buja A.","year":"2018","journal-title":"European Journal of Cancer Care"},{"key":"e_1_2_11_48_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.breast.2016.12.008","article-title":"The Effect of Marital Status on Breast Cancer\u2010Related Outcomes in Women Under 65: A SEER Database Analysis","volume":"32","author":"Hinyard L.","year":"2017","journal-title":"Breast"},{"issue":"3","key":"e_1_2_11_49_1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.psym.2018.01.007","article-title":"Anxiety and Depression in Young Women With Metastatic Breast Cancer: A Cross\u2010Sectional Study","volume":"59","author":"Park E. M.","year":"2018","journal-title":"Psychosomatics"},{"key":"e_1_2_11_50_1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.breast.2020.04.009","article-title":"Impact of Age at Diagnosis of Metastatic Breast Cancer on Overall Survival in the Real\u2010Life ESME Metastatic Breast Cancer Cohort","volume":"52","author":"Frank S.","year":"2020","journal-title":"Breast"},{"issue":"6","key":"e_1_2_11_51_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-081157","article-title":"Helping Ourselves, Helping Others: The Young Women's Breast Cancer Study (YWS)\u2014A Multisite Prospective Cohort Study to Advance the Understanding of Breast Cancer Diagnosed in Women Aged 40\u2009Years and Younger","volume":"14","author":"Rosenberg S. M.","year":"2024","journal-title":"BMJ Open"},{"issue":"1","key":"e_1_2_11_52_1","doi-asserted-by":"crossref","DOI":"10.1186\/s12912-023-01184-1","article-title":"Depression, Anxiety and Stress Among Metastatic Breast Cancer Patients on Chemotherapy in China","volume":"22","author":"Guo Y. Q.","year":"2023","journal-title":"BMC Nursing"},{"issue":"6","key":"e_1_2_11_53_1","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1002\/pon.3157","article-title":"Employment Status and Quality of Life in Recently Diagnosed Breast Cancer Survivors","volume":"22","author":"Timperi A. W.","year":"2013","journal-title":"Psycho\u2010Oncology"},{"issue":"3","key":"e_1_2_11_54_1","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1093\/jnci\/djac230","article-title":"Health\u2010Related Quality of Life by Race, Ethnicity, and Country of Origin Among Cancer Survivors","volume":"115","author":"Reeve B. B.","year":"2023","journal-title":"JNCI Journal of the National Cancer Institute"},{"issue":"5","key":"e_1_2_11_55_1","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.jpainsymman.2007.11.012","article-title":"Racial\/Ethnic Differences in the Health\u2010Related Quality of Life of Cancer Patients","volume":"36","author":"Rao D.","year":"2008","journal-title":"Journal of Pain and Symptom Management"},{"issue":"2","key":"e_1_2_11_56_1","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s11764-011-0171-0","article-title":"Quality of Life Among Latina Breast Cancer Patients: A Systematic Review of the Literature","volume":"5","author":"Yanez B.","year":"2011","journal-title":"Journal of Cancer Survivorship"},{"issue":"7","key":"e_1_2_11_57_1","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1002\/pon.1627","article-title":"The Association of Depression and Anxiety With Health\u2010Related Quality of Life in Cancer Patients With Depression and\/or Pain","volume":"19","author":"Brown L. F.","year":"2010","journal-title":"Psycho\u2010Oncology"},{"issue":"3","key":"e_1_2_11_58_1","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.7138","article-title":"Ecological Momentary Assessment in Behavioral Research: Addressing Technological and Human Participant Challenges","volume":"19","author":"Burke L. E.","year":"2017","journal-title":"Journal of Medical Internet Research"},{"issue":"12","key":"e_1_2_11_59_1","doi-asserted-by":"crossref","first-page":"3333","DOI":"10.1007\/s11136-019-02278-7","article-title":"Feasibility and Acceptability of Intensive Longitudinal Data Collection of Activity and Patient\u2010Reported Outcomes During Chemotherapy for Breast Cancer","volume":"28","author":"Solk P.","year":"2019","journal-title":"Quality of Life Research"},{"issue":"4","key":"e_1_2_11_60_1","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1007\/s11764-020-00948-x","article-title":"Sedentary Behavior Among Breast Cancer Survivors: A Longitudinal Study Using Ecological Momentary Assessments","volume":"15","author":"Pinto B. M.","year":"2021","journal-title":"Journal of Cancer Survivorship"},{"issue":"6","key":"e_1_2_11_61_1","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1007\/s12160-016-9830-8","article-title":"Just\u2010In\u2010Time Adaptive Interventions (JITAIs) in Mobile Health: Key Components and Design Principles for Ongoing Health Behavior Support","volume":"52","author":"Nahum\u2010Shani I.","year":"2018","journal-title":"Annals of Behavioral Medicine"},{"key":"e_1_2_11_62_1","article-title":"Adherence to CDK4\/6 Inhibitors Among Patients With Metastatic Breast Cancer: A Multilevel Perspective","volume":"53","author":"O'Neill S. C.","year":"2019","journal-title":"Annals of Behavioral Medicine"},{"key":"e_1_2_11_63_1","article-title":"Psychological Interventions for Women With Metastatic Breast Cancer","volume":"6","author":"Mustafa M.","year":"2013","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"7","key":"e_1_2_11_64_1","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1002\/pon.5103","article-title":"Psychosocial Interventions for Advanced Cancer Patients: A Systematic Review","volume":"28","author":"Teo I.","year":"2019","journal-title":"Psycho\u2010Oncology"},{"issue":"1","key":"e_1_2_11_65_1","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1002\/pon.4445","article-title":"A Systematic Review of Psychotherapeutic Interventions for Women With Metastatic Breast Cancer: Context Matters","volume":"27","author":"Beatty L.","year":"2018","journal-title":"Psycho\u2010Oncology"},{"issue":"8","key":"e_1_2_11_66_1","doi-asserted-by":"crossref","first-page":"2531","DOI":"10.1002\/cam4.3794","article-title":"Symptom Clusters Experienced by Breast Cancer Patients at Various Treatment Stages: A Systematic Review","volume":"10","author":"So W. K. W.","year":"2021","journal-title":"Cancer Medicine"},{"issue":"12","key":"e_1_2_11_67_1","doi-asserted-by":"crossref","first-page":"2101","DOI":"10.1002\/pon.4312","article-title":"A Randomized Pilot Trial of a Positive Affect Skill Intervention (Lessons in Linking Affect and Coping) for Women With Metastatic Breast Cancer","volume":"26","author":"Cheung E. O.","year":"2017","journal-title":"Psycho\u2010Oncology"},{"issue":"5","key":"e_1_2_11_68_1","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1200\/OP.21.00384","article-title":"Clinical Review on the Management of Hormone Receptor\u2013Positive Metastatic Breast Cancer","volume":"18","author":"McAndrew N. P.","year":"2022","journal-title":"JCO Oncology Practice"},{"issue":"3","key":"e_1_2_11_69_1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1159\/000477404","article-title":"Optimizing Quality of Life in Patients With Hormone Receptor\u2010Positive Metastatic Breast Cancer: Treatment Options and Considerations","volume":"93","author":"Chalasani P.","year":"2017","journal-title":"Oncology"},{"key":"e_1_2_11_70_1","doi-asserted-by":"publisher","DOI":"10.1080\/08959420.2025.2587364"},{"key":"e_1_2_11_71_1","doi-asserted-by":"crossref","first-page":"2809","DOI":"10.1007\/978-94-007-0753-5_951","volume-title":"Encyclopedia of Quality of Life and Well\u2010Being Research","author":"Cesnales N. I.","year":"2014"}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.72338","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cam4.72338","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.72338","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:43:59Z","timestamp":1790750639000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.72338"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":70,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/cam4.72338"],"URL":"https:\/\/doi.org\/10.1002\/cam4.72338","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"assertion":[{"value":"2026-07-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72338"}}