Patricia Nguyen1, Ruth Heisey2,3, Camille Quenneville4, Elaine Goulbourne2, Rumaisa Khan2, Emma Rinaldo2, Helen Chagigiorgis4, Rebecca Shields5, Carol Townsley6. 1. Peter Gilgan Centre for Women's Cancers, Women's College Hospital, ON, Toronto, Canada. patricia.nguyen@wchospital.ca. 2. Peter Gilgan Centre for Women's Cancers, Women's College Hospital, ON, Toronto, Canada. 3. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada. 4. Canadian Mental Health Association Ontario, Toronto, ON, Canada. 5. Canadian Mental Health Association York Region and South Simcoe Branch, Newmarket, ON, Canada. 6. After Cancer Treatment Transition Program, Women's College Hospital, Toronto, ON, Canada.
Abstract
BACKGROUND: Depression, anxiety, and fear of recurrence (FOR) are prevalent among cancer survivors, and it is recommended that they have access to supportive services and resources to address psychosocial needs during follow-up care. This study examined the impact of a virtual cognitive behavioral therapy (CBT)-based telephone coaching program (BounceBack®) on depression, anxiety, and FOR. METHOD: Through the After Cancer Treatment Transition (ACTT) clinic at the Women's College Hospital (Toronto, Canada), eligible participants were identified, consented, and referred to the BounceBack® program. Program participation involved completion of self-selected online workbooks and support from trained telephone coaches. Measures of depression (PHQ-9), anxiety (GAD-7), and FOR (fear of cancer recurrence inventory, FCRI) were collected at pre-intervention (baseline) and post-intervention (6-month and 12-month time points). For each psychosocial measure, paired t-tests compared mean scores between study time points. Participant experiences and perceptions were collected through a survey. RESULTS: Measures of depression and anxiety significantly improved among participants from pre-intervention to post-intervention. Scores for PHQ-9 and GAD-7 decreased from moderate to mild levels. Measure of FOR also significantly improved, while FCRI sub-scale scores significantly improved for 5 of the 7 factors that characterize FOR (triggers, severity, psychological distress, functional impairment, insight). Participants rated the intervention a mean score of 7 (out of 10), indicating a moderate level of satisfaction and usefulness. CONCLUSION: This study suggested that a virtual CBT-based telephone coaching program can be an effective approach to managing depression, anxiety, and fear of recurrence in cancer survivors.
BACKGROUND: Depression, anxiety, and fear of recurrence (FOR) are prevalent among cancer survivors, and it is recommended that they have access to supportive services and resources to address psychosocial needs during follow-up care. This study examined the impact of a virtual cognitive behavioral therapy (CBT)-based telephone coaching program (BounceBack®) on depression, anxiety, and FOR. METHOD: Through the After Cancer Treatment Transition (ACTT) clinic at the Women's College Hospital (Toronto, Canada), eligible participants were identified, consented, and referred to the BounceBack® program. Program participation involved completion of self-selected online workbooks and support from trained telephone coaches. Measures of depression (PHQ-9), anxiety (GAD-7), and FOR (fear of cancer recurrence inventory, FCRI) were collected at pre-intervention (baseline) and post-intervention (6-month and 12-month time points). For each psychosocial measure, paired t-tests compared mean scores between study time points. Participant experiences and perceptions were collected through a survey. RESULTS: Measures of depression and anxiety significantly improved among participants from pre-intervention to post-intervention. Scores for PHQ-9 and GAD-7 decreased from moderate to mild levels. Measure of FOR also significantly improved, while FCRI sub-scale scores significantly improved for 5 of the 7 factors that characterize FOR (triggers, severity, psychological distress, functional impairment, insight). Participants rated the intervention a mean score of 7 (out of 10), indicating a moderate level of satisfaction and usefulness. CONCLUSION: This study suggested that a virtual CBT-based telephone coaching program can be an effective approach to managing depression, anxiety, and fear of recurrence in cancer survivors.
Authors: Annemarie M J Braamse; Sietze T van Turenhout; Jochim S Terhaar Sive Droste; Gerrit H de Groot; René W M van der Hulst; Michael Klemt-Kropp; Sjoerd D Kuiken; Ruud J L F Loffeld; M Tessa Uiterwaal; Chris J J Mulder; Joost Dekker Journal: Eur J Gastroenterol Hepatol Date: 2016-07 Impact factor: 2.566
Authors: Laura B Dunn; Dale J Langford; Steven M Paul; Molly B Berman; Dianne M Shumay; Kord Kober; John D Merriman; Claudia West; John M Neuhaus; Christine Miaskowski Journal: Support Care Cancer Date: 2014-12-19 Impact factor: 3.603
Authors: N Jarrett; I Scott; J Addington-Hall; Z Amir; S Brearley; L Hodges; A Richardson; M Sharpe; Z Stamataki; D Stark; C Siller; L Ziegler; C Foster Journal: Eur J Oncol Nurs Date: 2013-04-22 Impact factor: 2.398
Authors: Ellen Burke Beckjord; Kerry A Reynolds; G J van Londen; Rachel Burns; Reema Singh; Sarah R Arvey; Stephanie A Nutt; Ruth Rechis Journal: J Psychosoc Oncol Date: 2014