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BackgroundWomen with breast cancer undergoing chemotherapy experience difficulty in accessing adequate cancer care in China. Mobile apps have the potential to provide easily accessible support for these women. However, there remains a paucity of randomized controlled trials to evaluate the effectiveness of app-based programs targeting specifically women with breast cancer undergoing chemotherapy. Moreover, women’s perceptions and experiences related to using and interacting within the app-based program have rarely been reported. Therefore, an app-based Breast Cancer e-Support program was developed and evaluated using a randomized controlled trial. Based on the incorporation of Bandura’s self-efficacy and social exchange theory, Breast Cancer e-Support program lasted for 12 weeks covering 4 cycles of chemotherapy and had 4 components: (1) a Learning forum, (2) a Discussion forum, (3) an Ask-the-Expert forum, and (4) a Personal Stories forum. ObjectiveAs a part of the randomized controlled trial, the aim of this study was to explore the participants’ perception of Breast Cancer e-Support program, its strengths and weaknesses, and suggestions to improve the program. MethodsA descriptive qualitative study was employed. Thirteen women with breast cancer from 2 university-affiliated hospitals in China, who were randomly allocated to the Breast Cancer e-Support program in the randomized controlled trial, were interviewed from November 2016 to February 2017. Purposive sampling was used based on women’s scores of self-efficacy after the completion of the intervention. Inductive content analysis was used to analyze the transcripts, allowing the categories and subcategories to flow from the data. ResultsThe qualitative interviews revealed that participants perceived the Breast Cancer e-Support program to be helpful in enhancing knowledge, improving confidence level, and promoting emotional well-being. Women also identified access to tailored advice from experts and convenience as the benefits of this program. Physical or psychological health status, stigma related with breast cancer, and app instability were mentioned as the challenges to engagement. Suggestions for improvement included adding message reminders to prompt instant communication and search engine to locate information quickly, supplementing more interesting and practical knowledge, updating the information more often, and quickening the responses to women’s questions. The participants recommended the Breast Cancer e-Support program to be incorporated as routine care to support women during chemotherapy. ConclusionsThis study demonstrates the potential of the Breast Cancer e-Support program to support women during chemotherapy. Future app-based programs should apply a family-centered approach and provide more support on stigma associated with the disease to encourage engagement with the app. Suggestions of improvement regarding the design, content, and operation of the app-based intervention should be addressed in future studies. It is promising to incorporate the Breast Cancer e-Support program into routine care to generalize the benefits. Trial RegistrationAustralian New Zealand Clinical Trials Registry ACTRN12616000639426; http://www.ANZCTR.org.au/ ACTRN12616000639426.aspx (Archived by WebCite at http://www.webcitation.org/6v1n9hGZq)

This study presents a methodology for constructing a quasi-geoid model with millimeter-level accuracy over the Shangyu area in China, following the guidelines of the International Association of Geodesy Joint Working Group 2.2.2, known as "The 1 cm geoid experiment". Our approach combines two steps to ensure exceptional accuracy. First, we employ Molodensky's theory to model the gravity field, accounting for non-level surfaces and considering complex terrain effects. Through an exhaustive analysis of these influential factors, we implement a comprehensive suite of applicable formulae within Molodensky's series solution, enabling a thorough assessment of their impacts on height anomalies within the gravimetric quasi-geoid model. Second, we utilize a hybrid method that involves a multi-surface function using the least-squares method and a robust estimation technique. This approach enables the interpolation of quasi-geoid heights by incorporating ellipsoidal and leveling normal heights, as well as gravimetric quasi-geoid data. Through a numerical example, we demonstrate the efficiency of our solution concept, achieving an accuracy of 0.79 cm compared to independent global navigation satellite system (GNSS)/leveling measurements. By developing this methodology, our study contributes to the advancement of geodesy research and provides a valuable methodology for creating highly precise quasi-geoid models in geodetic applications. [ABSTRACT FROM AUTHOR]