title: Can telephone counseling post-treatment improve psychosocial outcomes among early stage breast cancer survivors?
abstract: 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.
authors: AMC Cancer Research Center of the University of Colorado Cancer Center, University of Colorado, Denver, CO 80214, USA. Al.marcus@ucdenver.edu
authors: Alfred C
authors: AC
authors: Marcus
authors: Kathleen M
authors: KM
authors: Garrett
authors: David
authors: D
authors: Cella
authors: Lari
authors: L
authors: Wenzel
authors: Marianne J
authors: MJ
authors: Brady
authors: Diane
authors: D
authors: Fairclough
authors: Meredith
authors: M
authors: Pate-Willig
authors: Denise
authors: D
authors: Barnes
authors: Susan Powell
authors: SP
authors: Emsbo
authors: Brenda C
authors: BC
authors: Kluhsman
authors: Lori
authors: L
authors: Crane
authors: Scot
authors: S
authors: Sedlacek
authors: Patrick J
authors: PJ
authors: Flynn
mesh_terms: 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