Wing Lam Tock, Christine Maheu, Sophie Blondin, Virginia Lee, Sabine Neuman, Sarkis Meterissian
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Life coaching is a strengths-based, goal-directed approach that may promote adjustment and recovery after cancer.</p><p><strong>Aim: </strong>This randomized controlled trial evaluated the effects of a life coaching intervention on post-traumatic growth (PTG), fear of cancer recurrence (FCR), and quality of life (QoL) in breast cancer survivors post-treatment.</p><p><strong>Methods: </strong>In a three-arm randomized controlled trial at a single site, 90 women with stage I-III breast cancer were randomized to three study arms: (1) group + individual coaching, (2) group coaching only, or (3) control group receiving routine care. Coaching was delivered virtually over 15-18 weeks. The three study outcomes (PTG, FCR, QoL) were assessed at baseline, post-group coaching (T1), end of intervention (T2), and 3-month follow-up (T3). Analyses included generalized estimating equations and analysis of covariance models.</p><p><strong>Results: </strong>Across the three study outcomes, no sustained or broad statistically significant improvements were observed for either experimental arms compared with control. At T2, arm 1 participants reported higher scores on the post-traumatic growth inventory \"new possibilities\" subscale compared with control (OR = 1.078, 95% CI [1.00, 1.16], p = 0.0382), and arm 2 participants reported lower FCR scores than control (p = 0.0159); however, neither effect was maintained at T3. Significant differences were also observed for three QoL domains (ability to participate in social roles, fatigue, and pain interference). No significant differences were found for the remaining post-traumatic growth inventory subscales or QoL domains.</p><p><strong>Conclusions: </strong>This first randomized controlled trial of life coaching in cancer survivorship found no sustained improvements in post-traumatic growth, fear of cancer recurrence, or quality of life. Limited short-term benefits suggest the intervention, in its current form, is unlikely to yield lasting psychosocial gains, underscoring the need to refine both content and outcome measures in future research.</p><p><strong>Trial registration: </strong>Clinical Trial Registry (NCT05020561).</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 10","pages":"e70295"},"PeriodicalIF":3.5000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of Life Coaching on Post-Traumatic Growth and Well-Being in Breast Cancer Survivors: A Randomized Controlled Trial.\",\"authors\":\"Wing Lam Tock, Christine Maheu, Sophie Blondin, Virginia Lee, Sabine Neuman, Sarkis Meterissian\",\"doi\":\"10.1002/pon.70295\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Breast cancer survivors often experience psychosocial challenges, including fear of cancer recurrence, diminished quality of life, and are less aware of the potential for post-traumatic growth. Life coaching is a strengths-based, goal-directed approach that may promote adjustment and recovery after cancer.</p><p><strong>Aim: </strong>This randomized controlled trial evaluated the effects of a life coaching intervention on post-traumatic growth (PTG), fear of cancer recurrence (FCR), and quality of life (QoL) in breast cancer survivors post-treatment.</p><p><strong>Methods: </strong>In a three-arm randomized controlled trial at a single site, 90 women with stage I-III breast cancer were randomized to three study arms: (1) group + individual coaching, (2) group coaching only, or (3) control group receiving routine care. Coaching was delivered virtually over 15-18 weeks. The three study outcomes (PTG, FCR, QoL) were assessed at baseline, post-group coaching (T1), end of intervention (T2), and 3-month follow-up (T3). 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引用次数: 0
摘要
背景：乳腺癌幸存者经常经历心理社会挑战，包括对癌症复发的恐惧，生活质量下降，以及对创伤后生长潜力的认识较少。生活指导是一种以优势为基础，目标为导向的方法，可以促进癌症后的调整和恢复。目的：本随机对照试验评估生活指导干预对乳腺癌幸存者治疗后创伤后生长（PTG）、癌症复发恐惧（FCR）和生活质量（QoL）的影响。方法：在一项单地点的三组随机对照试验中，90名I-III期乳腺癌妇女被随机分为三个研究组：(1)组+个人指导，(2)组仅指导，或(3)对照组接受常规护理。培训实际上持续了15-18周。三个研究结果（PTG、FCR、QoL）分别在基线、组后辅导（T1）、干预结束（T2）和3个月随访（T3）进行评估。分析包括广义估计方程和协方差模型分析。结果：在三个研究结果中，与对照组相比，两个实验组均未观察到持续或广泛的统计学显著改善。T2时，组1受试者在创伤后成长量表“新可能性”分量表上的得分高于对照组（OR = 1.078, 95% CI [1.00, 1.16], p = 0.0382），组2受试者报告的FCR得分低于对照组（p = 0.0159）；然而，这两种效果在T3时均未维持。在三个生活质量领域（参与社会角色的能力、疲劳和疼痛干扰）中也观察到显著差异。其余创伤后生长量表或生活质量域未发现显著差异。结论：这是第一个癌症幸存者生活指导的随机对照试验，在创伤后生长、癌症复发恐惧或生活质量方面没有持续的改善。有限的短期效益表明，以目前的形式，干预不太可能产生持久的心理社会收益，强调需要在未来的研究中完善内容和结果测量。试验注册：临床试验注册中心（NCT05020561）。
The Effect of Life Coaching on Post-Traumatic Growth and Well-Being in Breast Cancer Survivors: A Randomized Controlled Trial.
Background: Breast cancer survivors often experience psychosocial challenges, including fear of cancer recurrence, diminished quality of life, and are less aware of the potential for post-traumatic growth. Life coaching is a strengths-based, goal-directed approach that may promote adjustment and recovery after cancer.
Aim: This randomized controlled trial evaluated the effects of a life coaching intervention on post-traumatic growth (PTG), fear of cancer recurrence (FCR), and quality of life (QoL) in breast cancer survivors post-treatment.
Methods: In a three-arm randomized controlled trial at a single site, 90 women with stage I-III breast cancer were randomized to three study arms: (1) group + individual coaching, (2) group coaching only, or (3) control group receiving routine care. Coaching was delivered virtually over 15-18 weeks. The three study outcomes (PTG, FCR, QoL) were assessed at baseline, post-group coaching (T1), end of intervention (T2), and 3-month follow-up (T3). Analyses included generalized estimating equations and analysis of covariance models.
Results: Across the three study outcomes, no sustained or broad statistically significant improvements were observed for either experimental arms compared with control. At T2, arm 1 participants reported higher scores on the post-traumatic growth inventory "new possibilities" subscale compared with control (OR = 1.078, 95% CI [1.00, 1.16], p = 0.0382), and arm 2 participants reported lower FCR scores than control (p = 0.0159); however, neither effect was maintained at T3. Significant differences were also observed for three QoL domains (ability to participate in social roles, fatigue, and pain interference). No significant differences were found for the remaining post-traumatic growth inventory subscales or QoL domains.
Conclusions: This first randomized controlled trial of life coaching in cancer survivorship found no sustained improvements in post-traumatic growth, fear of cancer recurrence, or quality of life. Limited short-term benefits suggest the intervention, in its current form, is unlikely to yield lasting psychosocial gains, underscoring the need to refine both content and outcome measures in future research.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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