Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial

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 RCT was conducted to exa...

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Authors: Lleras de Frutos, María; Medina Alcaraz, Juan Carlos; Vives Brosa, Jaume; Casellas-Grau, Anna; Marzo, J.L.; Borràs Andrés, Josep Maria; Ochoa Arnedo, Cristian
Format: Article
Status:Accepted version
Publication date:2020
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/169291
Online Access:https://hdl.handle.net/2445/169291
Access Level:Open access
Keyword:Oncologia
Psicoteràpia de grup
Videoconferències
Oncology
Group psychotherapy
Videoconferencing
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author Lleras de Frutos, María
author2 Medina Alcaraz, Juan Carlos
Vives Brosa, Jaume
Casellas-Grau, Anna
Marzo, J.L.
Borràs Andrés, Josep Maria
Ochoa Arnedo, Cristian
author2_role author
author
author
author
author
author
author_browse Borràs Andrés, Josep Maria
Casellas-Grau, Anna
Lleras de Frutos, María
Marzo, J.L.
Medina Alcaraz, Juan Carlos
Ochoa Arnedo, Cristian
Vives Brosa, Jaume
author_facet Lleras de Frutos, María
Medina Alcaraz, Juan Carlos
Vives Brosa, Jaume
Casellas-Grau, Anna
Marzo, J.L.
Borràs Andrés, Josep Maria
Ochoa Arnedo, Cristian
author_role author
collection Recercat. Dipósit de la Recerca de Catalunya
description 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 RCT was conducted to examine the effects of both interventions on emotional distress, posttraumatic stress (PTSS) and posttraumatic 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 three 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%CI = ‐3.15‐ −1.33) and PTSS (b = − 3.25, 95%CI = ‐4.97‐ −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.
eu_rights_str_mv openAccess
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institution Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
network_acronym_str ES
network_name_str España
oai_identifier_str oai:recercat.cat:2445/169291
publishDate 2020
publishDateSort 2020
publisher John Wiley & Sons
publisherStr John Wiley & Sons
reponame_str Recercat. Dipósit de la Recerca de Catalunya
spelling Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial Lleras de Frutos, María Medina Alcaraz, Juan Carlos Vives Brosa, Jaume Casellas-Grau, Anna Marzo, J.L. Borràs Andrés, Josep Maria Ochoa Arnedo, Cristian Oncologia Psicoteràpia de grup Videoconferències Oncology Group psychotherapy Videoconferencing 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 RCT was conducted to examine the effects of both interventions on emotional distress, posttraumatic stress (PTSS) and posttraumatic 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 three 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%CI = ‐3.15‐ −1.33) and PTSS (b = − 3.25, 95%CI = ‐4.97‐ −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. John Wiley & Sons https://hdl.handle.net/2445/169291
spellingShingle Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial
Lleras de Frutos, María
Oncologia
Psicoteràpia de grup
Videoconferències
Oncology
Group psychotherapy
Videoconferencing
status_str acceptedVersion
title Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial
title_full Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial
title_fullStr Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial
title_full_unstemmed Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial
title_short Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial
title_sort Video Conference vs Face‐to‐Face Group Psychotherapy for Distressed Cancer Survivors : A Randomized Controlled Trial
topic Oncologia
Psicoteràpia de grup
Videoconferències
Oncology
Group psychotherapy
Videoconferencing
topic_facet Oncologia
Psicoteràpia de grup
Videoconferències
Oncology
Group psychotherapy
Videoconferencing
url https://hdl.handle.net/2445/169291