The Effect of Stress Management on the Tolerance of Breast Cancer Treatment

[ WESEF 2024 ] Future of Medicine Award

Abstract

The American Cancer Society predicts 40,000 deaths from breast cancer among American women in 2014.  In desperate need to increase the chance of survival, women seek adjuvant therapy after surgery such as chemotherapy, radiation and/or hormone therapy.  Yet, not all women complete their treatment due to negative side effects.  Though stress management seems to alleviate some side effects, limited research has not determined the association between stress management and the side effects of breast cancer treatment.  Therefore, this research aimed to study the above association and the trend among breast cancer women who practiced stress management(s), with focus on motivating factors.  Based on information that certain stress management activity is frequently recommended, it was hypothesized that there will be a strong association between the most practiced stress management and the most alleviated side effect.  Out of 438 women, 184 practiced stress management during breast cancer treatment.  The result using odds ratio showed strong association between aromatherapy, a stress management not frequently practiced, and the alleviation of multiple side effects such as headache, skin irritation, nerve pain, sore mouth and lymphedema.  Thus, the analysis concluded that it was not the most practiced stress management that alleviated the most side effects.  Furthermore, strong association was found between stress management practice and fellow cancer patient support and counseling support, weak association between family support, and no association between financial status which may indicate that stress management awareness may be the motivating factor to practicing stress management, an important key to cancer survival.   

The Problem

The previous campaign lacked engagement and visibility. The ask was broad: create an experience that encourages healthy eating while educating users about nutrition.

To deliver on this, we faced two major challenges: a tight three-month timeline, and the requirement to host the challenge on the existing GWC platform, despite it being a separate initiative. This raised the risk of user confusion and design constraints.

As the UI Designer

  • Translated a broad concept into clear, actionable features

  • Designed the UI, flow, and custom graphics in Figma

  • Collaborated with a nutritionist to ensure content accuracy

  • Supported development with iterations, handoff, and testing

Solutions & Outcomes

Previous campaigns lacked engagement and didn’t feel interactive

Key Design Solutions

Challenges

Design Solutions




Outcome

  • Delivered a polished, nutrition-focused challenge experience — from concept to UI — in under three months and ahead of schedule

  • Created a clear user experience on a platform not originally designed for this purpose

  • 4,500+ participants engaged in the pilot experience

  • Built momentum for future seasonal challenges by proving the platform's flexibility

Hosting the challenge on the Global Wellness Challenge (GWC) platform created confusion

Designed a distinct visual style and contextual cues to clearly differentiate the experience from GWC yet kept the familiarity of the GWC challenge excitement

Broad, undefined concept with shifting ideas

Translated the vague ask into focused, actionable features centered on user motivation and education

Introduced a daily trivia feature along with weekly nutrition missions to encourage return visits and spark curiosity

Reflection

This project taught me to advocate not only for users, but also for our engineers. With a tight three-month timeline and shifting feature requests, I helped communicate technical limits and pushed back when changes risked derailing delivery. Starting from a broad concept, I worked to define key features, guide users through a repurposed platform, and support marketing through our team newsletter. This project helped me grow not just as a designer, but as a collaborator who can jump in wherever I can to make the experience successful.

"Satoko’s work was instrumental in the Nutrition Challenge project, taking a broad idea and turning it into high-fidelity wireframes that guided development. Thanks to her strong ownership and attention to detail, we were able to complete the design and implementation phase ahead of schedule. Her work positioned the team for a smooth and successful delivery in 2025."

— Former Manager, Engineering Lead

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