Telephone-based coping skills training for patients awaiting lung transplantation
Abstract
Impaired quality of life is associated with increased mortality in patients with advanced lung disease. Using a randomized controlled trial with allocation concealment and blinded outcome assessment at 2 tertiary care teaching hospitals, the authors randomly assigned 328 patients with end-stage lung disease awaiting lung transplantation to 12 weeks of telephone-based coping skills training (CST) or to usual medical care (UMC). Patients completed a battery of quality of life instruments and were followed for up to 3.4 years to assess all-cause mortality. Compared with UMC, CST produced lower scores on perceived stress, anxiety, depressive symptoms, and negative affect and improved scores on mental health functioning, optimism, vitality, and perceived social support. There were 29 deaths (9%) over a mean follow-up period of 1.1 year. Survival analyses revealed that there was no difference in survival between the 2 groups. The authors conclude that a telephone-based CST intervention can be effectively delivered to patients awaiting lung transplantation. Despite the severity of pulmonary disease in this patient population, significant improvements in quality of life, but not somatic measures or survival to transplant, were achieved.
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Psychological interventions in the area of organ donation and transplantation are a novelty, with some exceptions.
“salvo algunas excepciones (por ejemplo, Blumenthal et al., 2006; Taylor et al., 2008), este tipo de intervenciones en el área de la donación y del trasplante de órganos sí que constituyen una novedad”
From Conviviendo con la incertidumbre: intervención psicológica en una mujer con un problema de adaptación en lista de espera para trasplante de pulmón (2015) · cites this paper as Blumenthal et al., 2006
Se ha constatado la eficacia de intervenciones cognitivo-conductuales dirigidas a desarrollar un afrontamiento más adaptativo del difícil proceso de trasplante, si bien habitualmente se han desarrollado de manera telemática.
“es destacable que se ha constatado la eficacia de intervenciones cognitivo-conductuales dirigidas a desarrollar un afrontamiento más adaptativo de este difícil proceso (Blumenthal et al., 2006; Taylor et al., 2008), si bien habitualmente se han desarrollado de manera telemática.”
From Conviviendo con la incertidumbre: intervención psicológica en una mujer con un problema de adaptación en lista de espera para trasplante de pulmón (2015) · cites this paper as Blumenthal et al., 2006
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- Authors
- Blumenthal, J. A., Babyak, M. A., Carney, R. M., Keefe, F. J., Davis, R. D., LaCaille, R. A., Parekh, P. I., Freedland, K. E., Trulock, E., & Palmer, S. M.
- Affiliations
- Duke University (US)
- Duke Medical Center (US)
- Washington University in St. Louis (US)
- ORCID
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2006-06
- Volume
- 74
- Issue
- 3
- Pages
- 535-544
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2089460090
- Cited by
- 82
- References
- 57
- Citations by year
- 2025: 7 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 5 · 2019: 6 · 2018: 4 · 2017: 5 · 2016: 8 · 2015: 3 · 2014: 4 · 2013: 7 · 2012: 5
- FWCI
- 3.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (HL 065503)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- lung transplantation, end-stage lung disease, quality of life, perceived stress, anxiety, depressive symptoms, negative affect, mental health, optimism, vitality, perceived social support, all-cause mortality, psychological intervention
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Depression, Follow-Up Studies, Health Status, Humans, Lung Diseases, Quality of Life, Surveys and Questionnaires, Survival, Teaching, Telephone, Waiting Lists, Lung Transplantation
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