Development and initial evaluation of a telephone-delivered, behavioral activation, and problem-solving treatment program to address functional goals of breast cancer survivors
Open accessAbstract
The purpose of this research was to develop and pilot test an intervention to optimize functional recovery for breast cancer survivors. Over two studies, 31 women enrolled in a goal-setting program via telephone. All eligible women enrolled (37% of those screened) and 66% completed all study activities. Completers were highly satisfied with the intervention, using it to address, on average, four different challenging activities. The longitudinal analysis showed a main effect of time for overall quality of life (F(5, 43.1) = 5.1, p = 0.001) and improvements in active coping (F (3, 31.7) = 4.9, p = 0.007), planning (F (3, 36.0) = 4.1, p = 0.01), reframing (F (3, 29.3) = 8.5, p < 0.001), and decreases in self-blame (F (3,31.6) = 4.3, p = 0.01). The intervention is feasible and warrants further study to determine its efficacy in fostering recovery and maximizing activity engagement after cancer treatment.
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Coping styles are not correlated with changes in quality of life, depression, or anxiety.
“Lyons and colleagues [73] found that coping styles were not correlated with changes in quality of life, depression, or anxiety.”
From The Role of Emotion-Related Abilities in the Quality of Life of Breast Cancer Survivors: A Systematic Review (2022) · cites this paper as [73]
In Results > Potential Efficacy (page not provided), the paper says changes in active coping, planning, and reframing were not correlated with changes in quality of life, depression, or anxiety. The claim overgeneralizes to all coping styles: the same passage reports that reduced self-blame was associated with reduced depression and anxiety. (LLM, conf=0.90)
Experimental — accuracy not yet measuredOne study, Lyons et al. (2015), was an outlier for the association between acceptance of cancer and depressive symptoms.
“Based on stem-and-leaf plots, one study (Lyons et al., 2015) was identified as an outlier for the association between acceptance of cancer and depressive symptoms.”
From The relationship between acceptance of cancer and distress: A meta-analytic review (2019) · cites this paper as Lyons et al., 2015
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The relationship between acceptance of cancer and distress: A meta-analytic review
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“Based on stem-and-leaf plots, one study (Lyons et al., 2015) was identified as an outlier for the association between acceptance of cancer and depressive symptoms.”
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“…social support; only the total score was used) - Medical Outcome Study Short Form-36 (MOS SF-36) (multiple scales with multiple response types on different areas related to patient reported outcomes; higher scores in a given area indicate higher issues for the patient) Lyons et al., 2015 [73] -”
BackgroundMethodInfluential
- Authors
- Lyons, K. D., Hull, J. G., Kaufman, P. A., Li, Z., Seville, J. L., Ahles, T. A., Kornblith, A. B., & Hegel, M. T.
- Affiliations
- Dartmouth College (US)
- Dartmouth Cancer Center (US)
- Memorial Sloan Kettering Cancer Center (US)
- Dana-Farber Cancer Institute (US)
- Corresponding author
- Lyons, Kathleen D.
- Venue
- Journal of Psychosocial Oncology
- Publisher
- Informa UK Limited
- Published
- 2015-02-10
- Volume
- 33
- Issue
- 2
- Pages
- 199-218
- ISSN
- 0734-7332 (ISSN-L)
- 1540-7586
- PMC
- PMC4409506
- OpenAlex
- W1992770977
- Semantic Scholar
- a81f3750bc62fa3ae646af06a4b1c775cd0665a3
- Cited by
- 42
- References
- 30
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 1 · 2020: 4 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 2 · 2015: 2
- FWCI
- 1.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychosocial Oncology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r21ca140849-02)
- National Cancer Institute (R21 CA140849, 1 R21 CA140849-01, P30CA008748, P30CA023108)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- breast cancer survivors, telephone-delivered intervention, behavioral activation, problem-solving therapy, goal setting, functional recovery, quality of life, active coping, self-blame, reframing, feasibility
- MeSH terms
- Activities of Daily Living, Adult, Breast Neoplasms, Feasibility Studies, Female, Follow-Up Studies, Goals, Humans, Middle Aged, Occupational Therapy, Pilot Projects, Problem Solving, Telephone, Program Evaluation, Program Development, Treatment Outcome, Survivors
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