Online group-based cognitive-behavioural therapy for adolescents and young adults after cancer treatment: A multicenter randomised controlled trial of Recapture Life-AYA
Open accessAbstract
BACKGROUND: A cancer diagnosis is 2.9 times more likely to occur during the adolescent and young adult years than in younger children. This spike in incidence coincides with a life stage characterised by psychological vulnerability as young people strive to attain numerous, critical developmental milestones. The distress young people experience after cancer treatment seriously jeopardises their ability to move into well-functioning adulthood. METHODS/DESIGN: This article presents the protocol of the Recapture Life study, a phase II three-arm randomised controlled trial designed to evaluate the feasibility and efficacy of a new intervention in reducing distress and improving quality of life for adolescent and young adult cancer survivors. The novel intervention, "ReCaPTure LiFe" will be compared to a both a wait-list, and a peer-support group control. Ninety young people aged 15-25 years who have completed cancer treatment in the past 1-6 months will be recruited from hospitals around Australia. Those randomised to receive Recapture Life will participate in six, weekly, 90-minute online group sessions led by a psychologist, involving peer-discussion around cognitive-behavioural coping skills (including: behavioural activation, thought challenging, communication and assertiveness skills training, problem-solving and goal-setting). Participants randomised to the peer-support group control will receive non-directive peer support delivered in an identical manner. Participants will complete psychosocial measures at baseline, post-intervention, and 12-months post-intervention. The primary outcome will be quality of life. Secondary outcomes will include depression, anxiety, stress, family functioning, coping, and cancer-related identity. DISCUSSION: This article reviews the empirical rationale for using group-based, online cognitive-behavioural therapy in young people after cancer treatment. The potential challenges of delivering skills-based programs in an online modality are highlighted, and the role of both peer and caregiver support in enhancing the effectiveness of this skills-based intervention is also discussed. The innovative videoconferencing delivery method Recapture Life uses has the potential to address the geographic and psychological isolation of adolescents and young adults as they move toward cancer survivorship. It is expected that teaching AYAs coping skills as they resume their normal lives after cancer may have long-term implications for their quality of life. TRIAL REGISTRATION: ACTRN12610000717055.
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Videoconferencing is an efficacious mode of delivering treatment for a wide range of mental and physical conditions, and a variety of different interventions have been delivered including cognitive behavioral, supportive, and educational.
“Videoconferencing is an efficacious mode of delivering treatment for a wide range of mental and physical conditions, and a variety of different interventions have been delivered including cognitive behavioral, supportive, and educational [41–45].”
From Novel patient-reported outcomes (PROs) used in a pilot and feasibility study of a Cognitive Behavioral Coping Skills (CBCS) group intervention for patients with chronic hepatitis C (2018) · cites this paper as [44]
The Discussion (page not specified) describes videoconferencing as promising for treating some disorders and says CBT techniques may translate well to it. The Methods/Design section describes a videoconferenced CBT intervention, but the paper does not establish efficacy across a wide range of mental and physical conditions or document videoconferenced supportive and educational treatments. (LLM, conf=0.85)
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- Authors
- Sansom-Daly, U. M., Wakefield, C. E., Bryant, R. A., Butow, P., Sawyer, S., Patterson, P., Anazodo, A., Thompson, K., & Cohn, R. J.
- Affiliations
- Sydney Children's Hospital (AU)
- UNSW Sydney (AU)
- The University of Sydney (AU)
- Royal Children's Hospital (AU)
- Canteen (AU)
- Prince of Wales Hospital (AU)
- Peter MacCallum Cancer Centre (AU)
- ORCID
- Venue
- BMC Cancer
- Published
- 2012-08-03
- Volume
- 12
- Issue
- 1
- Pages
- 339-339
- ISSN
- 1471-2407 (ISSN-L)
- PMC
- PMC3503656
- OpenAlex
- W2097753890
- Cited by
- 94
- References
- 88
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 13 · 2020: 7 · 2019: 7 · 2018: 12 · 2017: 7 · 2016: 10 · 2015: 8 · 2014: 3 · 2013: 3
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Cancer (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- The Sydney eScholarship Repository (The University of Sydney) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Funders
- Cancer Australia
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- adolescent and young adult cancer survivors, peer support, quality of life, psychological distress, depression, anxiety, stress, behavioral activation, coping skills training, videoconferencing, family functioning, caregiver support
- MeSH terms
- Adaptation, Psychological, Adolescent, Counseling, Humans, Neoplasms, Peer Group, Quality of Life, Cognitive Behavioral Therapy, Survivors, Internet, Young Adult
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