A randomized trial comparing live and telemedicine deliveries of an imagery-based behavioral intervention for breast cancer survivors: reducing symptoms and barriers to care.

摘要: Objective This multi-site randomized trial evaluates the quality of life (QOL) benefits an imagery-based group intervention titled ‘Envision Rhythms Life’(ERL). Methods Breast cancer survivors >6 weeks post-treatment were to attend five weekly 4-h sessions at a community center with therapist present (live delivery (LD), n = 48), streamed via telemedicine (telemedicine (TD), n = 23), or waitlist control (WL) (n = 47). Weekly individual phone calls encourage at-home practice began session one and continued until 3-month follow-up. Seven self-report measures QOL examined baseline, 1-month post-treatments including health-related breast cancer-specific QOL, fatigue, cognitive function, spirituality, distress, sleep. Results The Bonferroni method was used correct for multiple comparisons, alpha adjusted 0.01. Linear multilevel modeling analyses revealed less dysfunction, sleep disturbance LD TD compared WL across follow-up (p's < 0.01). Changes in disturbance, cancer-related clinically significant. There no differences between TD. Conclusions Both live delivered ERL resulted improvements domains WL. Further, there significant TD, suggesting may represent effective viable option remote areas. Copyright © 2014 John Wiley & Sons, Ltd.