Table 1.
Four modules of the mobile app for gynecologic cancer support program.
| Module | Multimedia channel of delivery | Notification | Main content | Targeted aspects of Mishel uncertainty in illness theory |
| Weekly topics | Text, graphics, images, videos, and emoticon pictures | Notifications on newly available information were sent to participants. |
A total of 24 topics were developed, with 1 new topic automatically uploaded each week. The 24 topics coincide with the illness’ treatment course: (1) information on cancer, (2) cancer treatments, (3) summary of treatment-induced side effects, (4) survival rates, (5) infection prevention, (6) uncertainty management, (7) emotion regulation, (8) alopecia, (9) nausea and vomiting, (10) dry mouth, (11) appetite, (12) constipation, (13) fatigue, (14) peripheral neuropathy, (15) sleep problems, (16) sweats, (17) cancer pain, (18) sexual problems, (19) exercise, (20) communication skills, (21) chemotherapy resistance, (22) information on recurrence, (23) management of recurrence, and (24) cancer survivorship. Participants could provide comments or reflections at the bottom of each topic after reading the topics. | The antecedents, appraisal, and coping uncertainty |
| Emotional care | Text, image, and audio |
Notifications on newly available information were sent to participants. |
Relaxation and distraction strategies (soothing music, lighthearted stories, and exercise plans) were provided and updated every week until week 24. | Coping uncertainty |
| Discussion center | Text and emoticon pictures | Icon of discussion center flickered when a new message was posted. | The discussion center was moderated by the researchers. Participants could share their experiences and text with others. Further, the researchers (HL, MY, and YL) read all messages each day, encouraged participants to share their experiences, and provided appropriate advice when requested. | The antecedents and coping uncertainty |
| Health consultation | Text and emoticon pictures | When a new question was posted, the icon of health consultation flickered for the health care team. When a response was posted, the icon of health consultation flickered for the woman who asked the question. | When a woman asked a health-related question, any member of the health care team could respond. Responses were sent within 24 hours. To protect privacy, the question and the response were only accessible by the individual who posted the question and the health care team. | The antecedents, appraisal, and coping uncertainty |