Effectiveness and Cost-Effectiveness of an App-Based Mindfulness Breast Care Program for Reducing Body Image Distress and Stigma Among Survivors of Breast Cancer: Randomized Controlled Trial

Huicong Lin   ^{1 *} , MSc ;   Yujing Zhong   ^{2 *} , MSc ;   Shuang Zheng   ^{2, 3 *} , MSc ;   Xiaoying Jiang   ^{4 *} , BSc ;   Yun Xu   ^{5, 6 *} , MSc ;   Sally Chan   ⁷ , PhD ;   Shengjie Liu   ^{2, 8} , MSc ;   Ka Ming Chow   ⁹ , PhD ;   Qingmo Yang   ¹⁰ , PhD ;   Wenhe Huang   ^{11, 12} , BSc ;   Jiemin Zhu   ¹³ , PhD

¹ Department of Obstetrics and Gynecology, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, China

² School of Medicine, Xiamen University, Xiamen, China

³ Department of Nuclear Medicine, General Hospital of Central Theater Command, Wuhan, China

⁴ School of Nursing, Fujian Medical University, Fuzhou, China

⁵ School of Social and Behavioral Sciences, Nanjing University, Nanjing, China

⁶ Center for Mental Health Education and Research, Nanjing University, Nanjing, China

⁷ President Office, Tung Wah College, Hong Kong, China

⁸ Department of Thyroid and Breast Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, China

⁹ The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China

¹⁰ Department of Breast Surgery, The First Affiliated Hospital, Xiamen University, Xiamen, China

¹¹ Cancer Centre and Department of Breast and Thyroid Surgery, Xiang’an Hospital, Xiamen University, Xiamen, China

¹² Xiamen Research Centre of Clinical Medicine in Breast & Thyroid Cancers, Xiamen University, Xiamen, China

¹³ Department of Nursing, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, China

*these authors contributed equally