The effect of Benson relaxation application (‘Bens app’) on reducing fatigue in patients with breast cancer undergoing chemotherapy: A quasi-experimental study


mobile health
relaxation therapy

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Cahyono, H. D., Irawaty, D., & Adam, M. (2022). The effect of Benson relaxation application (‘Bens app’) on reducing fatigue in patients with breast cancer undergoing chemotherapy: A quasi-experimental study. Belitung Nursing Journal, 8(4), 304–310.
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  • Universitas Indonesia
    Grant numbers PUTI Saintekes Universitas Indonesia (NKB-4617/UN2.RST/HKP.05.00/2020)
Accepted for publication: 2022-06-04
Peer reviewed: Yes

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Background: Fatigue is the most common symptom in patients with breast cancer undergoing chemotherapy. Benson’s relaxation technique is considered effective to reduce fatigue, but its effect in combination with smartphone technology is limited.

Objective: This study aimed to analyze and determine the effect of the Benson relaxation application (Bens app) on fatigue in patients with breast cancer undergoing chemotherapy.

Methods: A quasi-experimental design with a pretest-posttest comparison group was used. Fifty-six patients were included using consecutive sampling technique, of which 28 were assigned to the experimental group (received Benson relaxation technique using Bens app) and comparison group (obtained Benson relaxation technique using booklet). The Benson relaxation was done two times per day for seven days, and the Brief Fatigue Inventory questionnaire was used to measure the patients’ fatigue levels. Data were analyzed using paired and independent t-tests.

Results: The experimental group (p = 0.001) and the comparison group (p = 0.015) showed a significant reduction in fatigue after receiving the Benson relaxation for seven days. However, there was a statistically significant difference in fatigue between the experiment and comparison groups after the intervention (t55 = 2.481, p = 0.016).

Conclusion: Benson relaxation could reduce fatigue in patients with breast cancer using the Bens app and booklet. However, the Bens app is considered more effective than a booklet. Therefore, the Bens app can be viewed as an alternative to help patients perform Benson relaxation and integrated into the nurse palliative care program for patients with cancer.

Supporting Agencies

PUTI Saintekes Universitas Indonesia (NKB-4617/UN2.RST/HKP.05.00/2020)


Copyright (c) 2022 Hendra Dwi Cahyono, Dewi Irawaty, Muhamad Adam

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Declaration of Conflicting Interest

The authors declare no potential conflicts of interest with respect to the research, authorship, and publication of this article.


The researchers express their gratitude to the hospitals where the study was conducted, the participants in this study, and Universitas Indonesia.

Authors’ Contributions

All authors contributed substantial contributions to the study, critically reviewed and revised the manuscript, approved the version to be published, and agreed to be responsible for all aspects of the work. Specifically, study conception and design: HDC, DI, MA. Data collection: HDC, DI, MA. Data analysis and interpretation: HDC, MA. Drafting article: HDC, DI. Critically revised the article: HDC, DI, MA.

Data Availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.


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