Can telephone counseling post‐treatment improve psychosocial outcomes among early stage breast cancer survivors?
Open accessAbstract
Objective: To determine whether a telephone counseling program can improve psychosocial outcomes among breast cancer patients post‐treatment. Methods: A randomized trial was conducted involving 21 hospitals and medical centers, with assessments (self‐administered questionnaires) at baseline, 12 and 18 months post‐enrollment. Eligibility criteria included early stage diagnosis, enrollment during last treatment visit, and the ability to receive the intervention in English. Endpoints included distress (Impact of Event Scale), depression (Center for Epidemiologic Studies Depression Scale), and two study‐specific measures: sexual dysfunction and personal growth. The control group (n=152) received a resource directory for breast cancer; the intervention group (n=152) also received a one‐year, 16 session telephone counseling program augmented with additional print materials. Results: Significant intervention effects were found for sexual dysfunction at 12 (p=0.03) and 18 months (p=0.04) and personal growth (12 months: p=0.005; 18 months: p=0.03). No differences by group were found in mean scores for distress and depression, with both groups showing significant improvement at 12 and 18 months (all p values for within‐group change from baseline were ⩽0.003). However, when dichotomized at cutpoints suggestive of the need for a clinical referral, the control group showed virtually no change at 18 months, whereas the intervention group showed about a 50% reduction in both distress (p=0.07) and depression (p=0.06). Conclusions: Telephone counseling may provide a viable method for extending psychosocial services to cancer survivors nationwide. Copyright © 2010 John Wiley & Sons, Ltd.
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Except for a single study targeting distressed re-entry phase cancer survivors, interventions developed for re-entry phase cancer survivors target general cancer survivors rather than anxious or distressed survivors most in need of help.
“Yet except for a single study targeting distressed re-entry phase cancer survivors [38], the interventions developed for re-entry phase cancer survivors [39–48] target general cancer survivors rather than the anxious or distressed survivors most in need of help.”
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- Authors
- Marcus, A. C., Garrett, K. M., Cella, D., Wenzel, L., Brady, M. J., Fairclough, D., Pate‐Willig, M., Barnes, D., Powell Emsbo, S., Kluhsman, B. C., Crane, L., Sedlacek, S., & Flynn, P. J.
- Affiliations
- University of Colorado Cancer Center (US)
- Northwestern University (US)
- University of California, Irvine (US)
- Iron Mountain (United States) (US)
- University of Colorado Denver (US)
- Pennsylvania State University (US)
- Rocky Mountain Cancer Centers (US)
- Metro-Minnesota Community Oncology Research Consortium (US)
- Corresponding author
- Marcus, Alfred C.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2009-11-25
- Volume
- 19
- Issue
- 9
- Pages
- 923-932
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- PMC
- PMC2891611
- OpenAlex
- W2083006778
- Cited by
- 115
- References
- 69
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 6 · 2020: 13 · 2019: 7 · 2018: 4 · 2017: 12 · 2016: 4 · 2015: 12 · 2014: 12 · 2013: 9 · 2012: 11
- FWCI
- 3.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA063009, CA-63009, P30CA062203)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- telephone counseling, breast cancer survivors, early breast cancer, psychosocial outcomes, distress, depression, sexual dysfunction, personal growth, post-treatment support, psychosocial services
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Breast Neoplasms, Colorado, Counseling, Female, Follow-Up Studies, Humans, Middle Aged, Patient Education as Topic, Quality of Life, Social Support, Telephone, Program Evaluation, Program Development, Treatment Outcome, Survivors
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