title: Development and initial evaluation of a telephone-delivered, behavioral activation, and problem-solving treatment program to address functional goals of breast cancer survivors.
abstract: The purpose of this research was to develop and pilot test an intervention to optimize functional recovery for breast cancer survivors. Over two studies, 31 women enrolled in a goal-setting program via telephone. All eligible women enrolled (37% of those screened) and 66% completed all study activities. Completers were highly satisfied with the intervention, using it to address, on average, four different challenging activities. The longitudinal analysis showed a main effect of time for overall quality of life (F(5, 43.1) = 5.1, p = 0.001) and improvements in active coping (F (3, 31.7) = 4.9, p = 0.007), planning (F (3, 36.0) = 4.1, p = 0.01), reframing (F (3, 29.3) = 8.5, p < 0.001), and decreases in self-blame (F (3,31.6) = 4.3, p = 0.01). The intervention is feasible and warrants further study to determine its efficacy in fostering recovery and maximizing activity engagement after cancer treatment.
authors: a Geisel School of Medicine at Dartmouth, Dartmouth College, Hanover, NH, USA; and Cancer Control Program of the Norris Cotton Cancer Center , Lebanon , NH , USA.
authors: Kathleen D
authors: KD
authors: Lyons
authors: Jay G
authors: JG
authors: Hull
authors: Peter A
authors: PA
authors: Kaufman
authors: Zhongze
authors: Z
authors: Li
authors: Janette L
authors: JL
authors: Seville
authors: Tim A
authors: TA
authors: Ahles
authors: Alice B
authors: AB
authors: Kornblith
authors: Mark T
authors: MT
authors: Hegel
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology / Q000534:rehabilitation*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006040:Goals; D006801:Humans; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D010865:Pilot Projects; D011340:Problem Solving; D016730:Program Development; D015397:Program Evaluation; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D013689:Telephone; D016896:Treatment Outcome
keywords: occupational therapy; rehabilitation; survivorship