Can telephone counseling post-treatment improve psychosocial outcomes among early stage breast cancer survivors?
OBJECTIVE
To determine whether a telephone counseling program can improve psychosocial outcomes among breast cancer patients post-treatment.


METHODS
A randomized trial was conducted involving 21 hospitals and medical centers, with assessments (self-administered questionnaires) at baseline, 12 and 18 months post-enrollment. Eligibility criteria included early stage diagnosis, enrollment during last treatment visit, and the ability to receive the intervention in English. Endpoints included distress (Impact of Event Scale), depression (Center for Epidemiologic Studies Depression Scale), and two study-specific measures: sexual dysfunction and personal growth. The control group (n=152) received a resource directory for breast cancer; the intervention group (n=152) also received a one-year, 16 session telephone counseling program augmented with additional print materials.


RESULTS
Significant intervention effects were found for sexual dysfunction at 12 (p=0.03) and 18 months (p=0.04) and personal growth (12 months: p=0.005; 18 months: p=0.03). No differences by group were found in mean scores for distress and depression, with both groups showing significant improvement at 12 and 18 months (all p values for within-group change from baseline were <or=0.003). However, when dichotomized at cutpoints suggestive of the need for a clinical referral, the control group showed virtually no change at 18 months, whereas the intervention group showed about a 50% reduction in both distress (p=0.07) and depression (p=0.06).


CONCLUSIONS
Telephone counseling may provide a viable method for extending psychosocial services to cancer survivors nationwide.
Marcus
Alfred C
AC
AMC Cancer Research Center of the University of Colorado Cancer Center, University of Colorado, Denver, CO 80214, USA. Al.marcus@ucdenver.edu
Garrett
Kathleen M
KM
Cella
David
D
Wenzel
Lari
L
Brady
Marianne J
MJ
Fairclough
Diane
D
Pate-Willig
Meredith
M
Barnes
Denise
D
Emsbo
Susan Powell
SP
Kluhsman
Brenda C
BC
Crane
Lori
L
Sedlacek
Scot
S
Flynn
Patrick J
PJ
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy; D003120:Colorado; D003376:Counseling / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D016730:Program Development; D015397:Program Evaluation; D011788:Quality of Life; D012944:Social Support; D017741:Survivors / Q000523:psychology*; D013689:Telephone; D016896:Treatment Outcome