Cited by 50Cancer survivorship and careDigital Mental Health InterventionsTelemedicine and Telehealth Implementation

Video conference vs face‐to‐face group psychotherapy for distressed cancer survivors: A randomized controlled trial

Open access
Lleras de Frutos, María, Medina, Joan Carles, Vives, Jaume, Casellas‐Grau, Anna, Marzo, Jose Luis, Borràs, Josep M., Ochoa‐Arnedo, Cristian·2020·Psycho-Oncology

Abstract

Objective: This study assesses the effectiveness of face‐to‐face group positive psychotherapy for cancer survivors (PPC) compared to its online adaptation, online group positive psychotherapy for cancer survivors (OPPC), which is held via videoconference. A two‐arm, pragmatic randomized controlled trial was conducted to examine the effects of both interventions on emotional distress, post‐traumatic stress symptoms (PTSS), and post‐traumatic growth (PTG) among cancer survivors and analyze attrition to treatment. Methods: Adult women with a range of cancer diagnoses were invited to participate if they experienced emotional distress at the end of their primary oncological treatment. Emotional distress, PTSS, and PTG were assessed at baseline, immediately after treatment, and 3 months after treatment. Intention‐to‐treat analyses were carried out using general linear mixed models to test the effect of the interventions overtime. Logistic regressions were performed to test differential adherence to treatment and retention to follow‐up. Results: A total of 269 individuals participated. The observed treatment effect was significant in both modalities, PPC and OPPC. Emotional distress (b = −2.24, 95% confidence interval [CI] = −3.15 to −1.33) and PTSS (b = −3.25, 95% CI = −4.97 to −1.53) decreased significantly over time, and PTG (b = 3.08, 95% CI = 0.38‐5.78) increased significantly. Treatment gains were sustained across outcomes and over time. Analyses revealed no significant differences between modalities of treatment, after adjusting for baseline differences, finding that OPPC is as effective and engaging as PPC. Conclusions: The OPPC treatment was found to be effective and engaging for female cancer early survivors. These results open the door for psycho‐oncology interventions via videoconference, which are likely to lead to greater accessibility and availability of psychotherapy.

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  • A recent randomized control study found similar effectiveness of both face-to-face and online psychotherapy for patients with a diagnosis of cancer with cancer distress.

    “Moreover, a recent randomized control study (59) found similar effectiveness of both face-to-face and online psychotherapy for patients with a diagnosis of cancer with cancer distress.”

    From Spanish Adaptation of Meaning-Centered Psychotherapy for Participants With Cancer: Study Protocol of a Randomized Control Trial (2022) · cites this paper as [59]

    The Discussion reports clinically significant effects in both face-to-face and videoconference psychotherapy, with no significant difference in effectiveness between arms. The study population was narrower than the claim suggests: the Methods summary describes adult women experiencing distress after primary cancer treatment, rather than patients with cancer generally. (LLM, conf=0.86)

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  • Similar treatment outcomes exist for telehealth and in-person groups.

    “Similar treatment outcomes exist for telehealth and in-person groups.14 , 15”

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  1. [1]1. Malvezzi M, Carioli G, Bertuccio P, Boffetta P, Levi F, La Vecchia C, et al. '0. Ann Oncol Off J Eur Soc Med Oncol. 2019;30(5):781-7.
  2. [21]21. Zernicke KA, Campbell TS, Speca M, McCabe-Ruff K, Flowers S, Carlson LE. A Randomized Wait-List Controlled Trial of Feasibility and Efficacy of an Online. Journals@Ovid Full TextPsychosomatic Med. 2014;76(4):257-67.
  3. [32]32. Weathers FW, Litz BT, Herman JA, Huska JA, Keane TM. The PTSD Checklist (PCL): Reliability, validity and diagnostic utility. In: 9th Annual Conference of the ISTSS. San Antonio, TX; 1993. [Internet]. (4th ed., text rev.). Washington, DC; 2000. 607-614 p. Available from: https://linkinghub.elsevier.com/retrieve/pii/B0126574103004578

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Authors
Lleras de Frutos, M., Medina, J. C., Vives, J., Casellas‐Grau, A., Marzo, J. L., Borràs, J. M., & Ochoa‐Arnedo, C.
Affiliations
  • Psycho‐Oncology Department and ICOnnecta't e‐Health Program, Institut Català d'Oncologia L'Hospitalet de Llobregat Barcelona Spain
  • Universitat Oberta de Catalunya (ES)
  • Universitat Autònoma de Barcelona (ES)
  • Universitat de Vic - Universitat Central de Catalunya (ES)
  • Universitat de Girona (ES)
  • Institut d'Investigació Biomédica de Bellvitge (ES)
Venue
Psycho-Oncology
Publisher
Wiley
Published
2020-08-07
Volume
29
Issue
12
Pages
1995-2003
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
OpenAlex
W3039361178
Cited by
50
References
42
Citations by year
2026: 5 · 2025: 13 · 2024: 7 · 2023: 11 · 2022: 9 · 2021: 5
FWCI
2.26
Type
journal article
Language
en
Open access
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • Hispana (acceptedVersion)
  • Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, other-oa)
  • Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, public-domain)
  • RIUVic (UVic-UCC) (submittedVersion, public-domain)
Funders
  • European Regional Development Fund
  • Instituto de Salud Carlos III (FIS PI15/01278)
  • Ministerio de Ciencia e Innovación (PGC2018‐100675‐B‐I00)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
cancer survivors, positive psychotherapy, group therapy, videoconferencing, online therapy, emotional distress, posttraumatic stress symptoms, posttraumatic growth, treatment discontinuation, women, medication adherence
MeSH terms
Cancer Survivors, Posttraumatic Growth, Psychological, Psychological Distress, Adult, Female, Humans, Middle Aged, Neoplasms, Psychotherapy, Psychotherapy, Group, Stress Disorders, Post-Traumatic, Treatment Outcome, Telemedicine, Videoconferencing

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