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Randomized Controlled Trial
. 2020 Dec;29(12):1995-2003.
doi: 10.1002/pon.5457. Epub 2020 Aug 7.

Video conference vs face-to-face group psychotherapy for distressed cancer survivors: A randomized controlled trial

María Lleras de Frutos  1   2 , Joan Carles Medina  3   4 , Jaume Vives  5 , Anna Casellas-Grau  6   7 , Jose Luis Marzo  8 , Josep M Borràs  3   9 , Cristian Ochoa-Arnedo  1   2   3
Affiliations
Randomized Controlled Trial

Video conference vs face-to-face group psychotherapy for distressed cancer survivors: A randomized controlled trial

María Lleras de Frutos et al. Psychooncology. 2020 Dec.

Abstract

Objective: This study assesses the effectiveness of face-to-face group positive psychotherapy for cancer survivors (PPC) compared to its online adaptation, online group positive psychotherapy for cancer survivors (OPPC), which is held via videoconference. A two-arm, pragmatic randomized controlled trial was conducted to examine the effects of both interventions on emotional distress, post-traumatic stress symptoms (PTSS), and post-traumatic growth (PTG) among cancer survivors and analyze attrition to treatment.

Methods: Adult women with a range of cancer diagnoses were invited to participate if they experienced emotional distress at the end of their primary oncological treatment. Emotional distress, PTSS, and PTG were assessed at baseline, immediately after treatment, and 3 months after treatment. Intention-to-treat analyses were carried out using general linear mixed models to test the effect of the interventions overtime. Logistic regressions were performed to test differential adherence to treatment and retention to follow-up.

Results: A total of 269 individuals participated. The observed treatment effect was significant in both modalities, PPC and OPPC. Emotional distress (b = -2.24, 95% confidence interval [CI] = -3.15 to -1.33) and PTSS (b = -3.25, 95% CI = -4.97 to -1.53) decreased significantly over time, and PTG (b = 3.08, 95% CI = 0.38-5.78) increased significantly. Treatment gains were sustained across outcomes and over time. Analyses revealed no significant differences between modalities of treatment, after adjusting for baseline differences, finding that OPPC is as effective and engaging as PPC.

Conclusions: The OPPC treatment was found to be effective and engaging for female cancer early survivors. These results open the door for psycho-oncology interventions via videoconference, which are likely to lead to greater accessibility and availability of psychotherapy.

Trial registration: ClinicalTrials.gov NCT03010371.

Keywords: cancer; e-health; group videoconference; oncology; online group psychotherapy; positive psychotherapy; psycho-oncology intervention; survivors; videoconference.

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References

REFERENCES

    1. Malvezzi M, Carioli G, Bertuccio P, Boffetta P, Levi F, La Vecchia C, et al. European cancer mortality predictions for the year 2019 with focus on breast cancer. Ann Oncol Off J Eur Soc Med Oncol. 2019;30(5):781-787.
    1. Swartzman S, Booth JN, Munro A, Sani F. Posttraumatic stress disorder after cancer diagnosis in adults: a meta-analysis. Depress Anxiety. 2017;34(4):327-339.
    1. Hansen JA, Feuerstein M, Calvio LC, Olsen CH. Breast cancer survivors at work. J Occup Environ Med. 2008;50(7):777-784.
    1. Brown LF, Kroenke K, Theobald DE, Wu J, Tu W. The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain. Psychooncology. 2010;19(7):734-741. https://doi.org/10.1002/pon.1627.
    1. Syrowatka A, Motulsky A, Kurteva S, et al. Predictors of distress in female breast cancer survivors: a systematic review. Breast Cancer Res Treat. 2017;165:229-245.

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