title: Lessons learned: Outcomes and methodology of a coping skills intervention trial comparing individual and group formats for patients with cancer.
abstract: OBJECTIVE
  Nucare, a short-term psychoeducational coping skills training intervention was evaluated in a randomized controlled clinical trial (RCT) of 225 newly diagnosed breast and colon cancer patients.
  
  
  METHODS
  Measures of psychosocial distress, well being and optimism were evaluated every four months during a one-year period. Patients were randomized to one of four arms: Nucare presented in an individual basis; Nucare presented in a group format; a non-directive supportive group; and a no-intervention control. The interventions were provided in five sessions of ninety minutes each.
  
  
  RESULTS
  Patients with breast cancer who received Nucare presented in an individual format showed more significant improvements in well-being over time compared to those in the control and group arms.
  
  
  CONCLUSIONS
  We were unable to develop functioning groups within the RCT. Partial explanations for the latter finding include the structural limitations of the RCT: the groups were small, difficult to schedule and patients indicated that they would have preferred to choose whether or not to participate in a group. The positive changes in women with breast cancer who received Nucare persisted at 12 months.
authors.affiliation: McGill University and Royal Victoria Hospital, Montreal, Quebec, Canada. <bob_linda@sympatico.ca
authors.forename: L
authors.initials: L
authors.lastname: Edgar
authors.forename: Z
authors.initials: Z
authors.lastname: Rosberger
authors.forename: J P
authors.initials: JP
authors.lastname: Collet
mesh_terms: D000223:Adaptation, Psychological; D001943:Breast Neoplasms / Q000523:psychology*; D003110:Colonic Neoplasms / Q000523:psychology*; D003865:Major Depressive Disorder / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011615:Psychotherapy, Group; D011788:Quality of Life