A virtual resiliency program for lymphoma survivors: helping survivors cope with post-treatment challenges.
Open accessAbstract
Objectives To adapt and test the feasibility, acceptability, and preliminary efficacy of an 8-week resiliency group program for posttreatment lymphoma survivors.Design and outcomes. This is an exploratory mixed methods study. Phase 1: We conducted qualitative interviews to inform program adaptation. Phase 2: Using a single-arm pilot design, we assessed program feasibility, acceptability, and preliminary efficacy (exploratory outcomes: stress coping, uncertainty intolerance, distress). We also examined the feasibility of collecting hair cortisol samples.Results. Phase 1: Survivors reported feeling socially isolated as they grappled with lingering symptoms that interfered with their return to normalcy. Fears about recurrence triggered bodily hypervigilance. Survivors desired wellness programs that 1) target their whole-body experience, 2) promote social connectedness, and 3) manage fear of recurrence. Phase 2: Thirty-seven survivors enrolled. Participants completed a median of 7/8 sessions, and 76.9% completed ≥6/8 sessions; 65% provided a hair sample. Survivors demonstrated improvements in stress coping (d = .67), uncertainty tolerance (d = .71), and anxiety (d = .41) at program completion.Conclusions. Findings suggest promising feasibility and efficacy of this program in addressing posttreatment survivorship challenges, particularly fears of uncertainty. A cancer care model that adopts early integration of this program posttreatment has the potential to improve survivors’ emotional, social and physical well-being.
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The burden of FCR might be higher in some survivor cohorts, such as those dealing with more aggressive, more commonly recurring cancers like lymphoma, or among younger people.
“However, the burden of FCR might be higher in some survivor cohorts, e.g. those dealing with more aggressive, more commonly recurring cancers, such as lymphoma [53], or among younger people [56].”
From Web-based interventions for fear of cancer recurrence: A scoping review with a focus on suggestions for the development and evaluation of future interventions (2024) · cites this paper as [53]
The Results (page unavailable) report chronic worry about recurrence among lymphoma survivors, and the Background says they face more post-treatment physical and emotional challenges than other survivors. The paper does not establish that fear-of-cancer-recurrence burden is higher in lymphoma survivors specifically, or that lymphoma is more aggressive or more likely to recur. The younger-people clause is cited to a different source, not this paper. (LLM, conf=0.84)
Experimental — accuracy not yet measuredQualified therapists delivered the intervention in ten reviewed studies, most often alongside website self-guided materials.
“Qualified therapists delivered the intervention in ten reviewed studies, most often alongside the website self-guided materials [37, 43–45, 53, 56, 57, 59, 61].”
From Web-based interventions for fear of cancer recurrence: A scoping review with a focus on suggestions for the development and evaluation of future interventions (2024) · cites this paper as [53]
The Results (Participants and design; page unavailable) describe one study with five virtual intervention groups meeting weekly for eight sessions, which supports the presence of guided sessions. The paper does not establish that qualified therapists delivered them, that website self-guided materials accompanied them, or that this arrangement occurred in ten reviewed studies. (LLM, conf=0.77)
Experimental — accuracy not yet measuredOnly one study had equal numbers of male and female participants.
“Only one study [53] had equal numbers of male and female participants.”
Perez et al. paper on survivorship education plan for lymphoma survivors did not have a FCR specific measure assessing more general cancer-related uncertainty.
“Perez et al. [53] paper on survivorship education plan for lymphoma survivors did not have a FCR specific measure assessing more general cancer-related uncertainty.”
Only three reviewed studies reported directly on technical difficulties encountered by participants, most often access and navigation issues.
“Interestingly, only three studies included in our review reported directly on technical difficulties encountered by participants [36, 50, 53], most often access and navigation issues.”
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- Authors
- Perez, G. K., Walsh, E. A., Quain, K., Abramson, J. S., & Park, E. R.
- Affiliations
- Harvard University (US)
- University of Miami (US)
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
- Corresponding author
- Perez, Giselle K.
- Venue
- Psychology & Health
- Publisher
- Informa UK Limited
- Published
- 2020-11-28
- Volume
- 36
- Issue
- 11
- Pages
- 1352-1367
- ISSN
- 0887-0446 (ISSN-L)
- 1476-8321
- PMC
- PMC8160021
- OpenAlex
- W3106967474
- Cited by
- 16
- References
- 38
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 3 · 2022: 9
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology and Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Cancer Society
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- lymphoma survivors, resilience, group intervention, stress coping, intolerance of uncertainty, fear of recurrence, anxiety, hair cortisol, feasibility and acceptability, social isolation, hypervigilance, survivorship care
- MeSH terms
- Adaptation, Psychological, Anxiety, Humans, Lymphoma, Pilot Projects, Quality of Life, Survivors
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