Trial Outcomes & Findings for Coping Together After Breast Cancer (NCT NCT03930797)

NCT ID: NCT03930797

Last Updated: 2024-07-11

Results Overview

Patients' self-reported sexual function will be measured using the 19-item Female Sexual Function Index (FSFI).Total scale scores range from 2 to 36, with higher scores indicating higher functioning. Mean change scores will be reported: positive mean change scores indicate increase in sexual functioning over time while negative mean change scores indicate decrease in sexual functioning over time.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

240 participants

Primary outcome timeframe

Baseline up to 6 weeks

Results posted on

2024-07-11

Participant Flow

All participants receive one telephone intervention or the other (IE or LHT); due to this, randomization occurs after the first telephone session is already scheduled so as not to waste randomization slots on couples who have no intention of following through with sessions. As such, participants may be "lost" prior to randomization if they complete consent/baseline but never schedule their first telephone session.

Participant milestones

Participant milestones
Measure
Intimacy Enhancement
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Overall Study
STARTED
122
118
Overall Study
COMPLETED
119
108
Overall Study
NOT COMPLETED
3
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Intimacy Enhancement
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Overall Study
Lost to Follow-up
3
10

Baseline Characteristics

Measure given to patient participants only.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patient Intimacy Enhancement
n=61 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Patient Living Healthy Together
n=59 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Partner Intimacy Enhancement
n=61 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Partner Living Healthy Together
n=59 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Total
n=240 Participants
Total of all reporting groups
Age, Continuous
50.39 years
STANDARD_DEVIATION 9.60 • n=61 Participants
51.12 years
STANDARD_DEVIATION 9.97 • n=59 Participants
52.26 years
STANDARD_DEVIATION 10.37 • n=61 Participants
52.64 years
STANDARD_DEVIATION 11.15 • n=59 Participants
51.60 years
STANDARD_DEVIATION 10.26 • n=240 Participants
Sex: Female, Male
Female
61 Participants
n=61 Participants
59 Participants
n=59 Participants
0 Participants
n=61 Participants
3 Participants
n=59 Participants
123 Participants
n=240 Participants
Sex: Female, Male
Male
0 Participants
n=61 Participants
0 Participants
n=59 Participants
61 Participants
n=61 Participants
56 Participants
n=59 Participants
117 Participants
n=240 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=61 Participants
0 Participants
n=59 Participants
1 Participants
n=61 Participants
1 Participants
n=59 Participants
3 Participants
n=240 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
60 Participants
n=61 Participants
57 Participants
n=59 Participants
60 Participants
n=61 Participants
58 Participants
n=59 Participants
235 Participants
n=240 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=61 Participants
2 Participants
n=59 Participants
0 Participants
n=61 Participants
0 Participants
n=59 Participants
2 Participants
n=240 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=61 Participants
1 Participants
n=59 Participants
0 Participants
n=61 Participants
0 Participants
n=59 Participants
1 Participants
n=240 Participants
Race (NIH/OMB)
Asian
1 Participants
n=61 Participants
1 Participants
n=59 Participants
0 Participants
n=61 Participants
1 Participants
n=59 Participants
3 Participants
n=240 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=61 Participants
0 Participants
n=59 Participants
0 Participants
n=61 Participants
0 Participants
n=59 Participants
0 Participants
n=240 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=61 Participants
7 Participants
n=59 Participants
8 Participants
n=61 Participants
8 Participants
n=59 Participants
31 Participants
n=240 Participants
Race (NIH/OMB)
White
52 Participants
n=61 Participants
48 Participants
n=59 Participants
53 Participants
n=61 Participants
48 Participants
n=59 Participants
201 Participants
n=240 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=61 Participants
2 Participants
n=59 Participants
0 Participants
n=61 Participants
2 Participants
n=59 Participants
4 Participants
n=240 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=61 Participants
0 Participants
n=59 Participants
0 Participants
n=61 Participants
0 Participants
n=59 Participants
0 Participants
n=240 Participants
Region of Enrollment
United States
61 participants
n=61 Participants
59 participants
n=59 Participants
61 participants
n=61 Participants
59 participants
n=59 Participants
240 participants
n=240 Participants
Level of Sexual Concerns
6.18 units on a scale
STANDARD_DEVIATION 1.90 • n=61 Participants • Measure given to patient participants only.
6.32 units on a scale
STANDARD_DEVIATION 1.99 • n=59 Participants • Measure given to patient participants only.
6.25 units on a scale
STANDARD_DEVIATION 1.94 • n=120 Participants • Measure given to patient participants only.
Length of Relationship (years)
21.65 years
STANDARD_DEVIATION 11.66 • n=61 Participants • Measure given to patient participants only
20.54 years
STANDARD_DEVIATION 12.29 • n=59 Participants • Measure given to patient participants only
21.10 years
STANDARD_DEVIATION 11.94 • n=120 Participants • Measure given to patient participants only
Time Since Diagnosis (months)
28.69 months
STANDARD_DEVIATION 14.77 • n=61 Participants • Measure given to patient participants only
31.32 months
STANDARD_DEVIATION 13.02 • n=59 Participants • Measure given to patient participants only
29.98 months
STANDARD_DEVIATION 13.94 • n=120 Participants • Measure given to patient participants only
Time Since Treatment Completion (months)
20.40 months
STANDARD_DEVIATION 13.04 • n=61 Participants • Measure given to patient participants only
23.55 months
STANDARD_DEVIATION 12.52 • n=59 Participants • Measure given to patient participants only
21.95 months
STANDARD_DEVIATION 12.83 • n=120 Participants • Measure given to patient participants only
Education
Less than high school
0 Participants
n=61 Participants
0 Participants
n=59 Participants
1 Participants
n=61 Participants
1 Participants
n=59 Participants
2 Participants
n=240 Participants
Education
High school
6 Participants
n=61 Participants
8 Participants
n=59 Participants
13 Participants
n=61 Participants
11 Participants
n=59 Participants
38 Participants
n=240 Participants
Education
Some college
19 Participants
n=61 Participants
12 Participants
n=59 Participants
14 Participants
n=61 Participants
13 Participants
n=59 Participants
58 Participants
n=240 Participants
Education
College degree
23 Participants
n=61 Participants
18 Participants
n=59 Participants
16 Participants
n=61 Participants
21 Participants
n=59 Participants
78 Participants
n=240 Participants
Education
Graduate school
13 Participants
n=61 Participants
21 Participants
n=59 Participants
17 Participants
n=61 Participants
13 Participants
n=59 Participants
64 Participants
n=240 Participants
Employment
Employed full time/part time
42 Participants
n=61 Participants
43 Participants
n=59 Participants
48 Participants
n=61 Participants
45 Participants
n=59 Participants
178 Participants
n=240 Participants
Employment
Unemployed/on disability
15 Participants
n=61 Participants
12 Participants
n=59 Participants
5 Participants
n=61 Participants
5 Participants
n=59 Participants
37 Participants
n=240 Participants
Employment
Retired
4 Participants
n=61 Participants
4 Participants
n=59 Participants
8 Participants
n=61 Participants
9 Participants
n=59 Participants
25 Participants
n=240 Participants
Relationship Status
Married
58 Participants
n=60 Participants • Measure given to patient participants only. One IE patient and one LHT patient did not respond to this item on the survey.
49 Participants
n=58 Participants • Measure given to patient participants only. One IE patient and one LHT patient did not respond to this item on the survey.
107 Participants
n=118 Participants • Measure given to patient participants only. One IE patient and one LHT patient did not respond to this item on the survey.
Relationship Status
Cohabitating, not married
2 Participants
n=60 Participants • Measure given to patient participants only. One IE patient and one LHT patient did not respond to this item on the survey.
9 Participants
n=58 Participants • Measure given to patient participants only. One IE patient and one LHT patient did not respond to this item on the survey.
11 Participants
n=118 Participants • Measure given to patient participants only. One IE patient and one LHT patient did not respond to this item on the survey.
Sexual Orientation
Heterosexual/straight
59 Participants
n=61 Participants
56 Participants
n=59 Participants
61 Participants
n=61 Participants
55 Participants
n=59 Participants
231 Participants
n=240 Participants
Sexual Orientation
Homosexual/lesbian/gay
0 Participants
n=61 Participants
2 Participants
n=59 Participants
0 Participants
n=61 Participants
1 Participants
n=59 Participants
3 Participants
n=240 Participants
Sexual Orientation
Bisexual
2 Participants
n=61 Participants
1 Participants
n=59 Participants
0 Participants
n=61 Participants
3 Participants
n=59 Participants
6 Participants
n=240 Participants
Patient Clinical Tumor Stage
cT1
39 Participants
n=61 Participants • Data available for patient participants only
36 Participants
n=59 Participants • Data available for patient participants only
75 Participants
n=120 Participants • Data available for patient participants only
Patient Clinical Tumor Stage
cT2
16 Participants
n=61 Participants • Data available for patient participants only
15 Participants
n=59 Participants • Data available for patient participants only
31 Participants
n=120 Participants • Data available for patient participants only
Patient Clinical Tumor Stage
cT3
4 Participants
n=61 Participants • Data available for patient participants only
6 Participants
n=59 Participants • Data available for patient participants only
10 Participants
n=120 Participants • Data available for patient participants only
Patient Clinical Tumor Stage
cT4
2 Participants
n=61 Participants • Data available for patient participants only
2 Participants
n=59 Participants • Data available for patient participants only
4 Participants
n=120 Participants • Data available for patient participants only
Patient Surgery Received
Lumpectomy
24 Participants
n=61 Participants • Data available for patient participants only
25 Participants
n=59 Participants • Data available for patient participants only
49 Participants
n=120 Participants • Data available for patient participants only
Patient Surgery Received
Mastectomy with reconstruction
24 Participants
n=61 Participants • Data available for patient participants only
22 Participants
n=59 Participants • Data available for patient participants only
46 Participants
n=120 Participants • Data available for patient participants only
Patient Surgery Received
Mastectomy without reconstruction
13 Participants
n=61 Participants • Data available for patient participants only
12 Participants
n=59 Participants • Data available for patient participants only
25 Participants
n=120 Participants • Data available for patient participants only
Patient Radiotherapy Received
Radiotherapy received
48 Participants
n=61 Participants • Data available for patient participants only
45 Participants
n=59 Participants • Data available for patient participants only
93 Participants
n=120 Participants • Data available for patient participants only
Patient Radiotherapy Received
Radiotherapy not received
13 Participants
n=61 Participants • Data available for patient participants only
14 Participants
n=59 Participants • Data available for patient participants only
27 Participants
n=120 Participants • Data available for patient participants only
Patient Chemotherapy Received
Chemotherapy received
40 Participants
n=61 Participants • Data available for patient participants only
31 Participants
n=59 Participants • Data available for patient participants only
71 Participants
n=120 Participants • Data available for patient participants only
Patient Chemotherapy Received
Chemotherapy not received
21 Participants
n=61 Participants • Data available for patient participants only
28 Participants
n=59 Participants • Data available for patient participants only
49 Participants
n=120 Participants • Data available for patient participants only
Patient Immunotherapy Received
Immunotherapy received
13 Participants
n=61 Participants • Data available for patient participants only
12 Participants
n=59 Participants • Data available for patient participants only
25 Participants
n=120 Participants • Data available for patient participants only
Patient Immunotherapy Received
Immunotherapy not received
48 Participants
n=61 Participants • Data available for patient participants only
47 Participants
n=59 Participants • Data available for patient participants only
95 Participants
n=120 Participants • Data available for patient participants only
Patient Endocrine Therapy Received
Endocrine therapy received
44 Participants
n=61 Participants • Data available for patient participants only
48 Participants
n=59 Participants • Data available for patient participants only
92 Participants
n=120 Participants • Data available for patient participants only
Patient Endocrine Therapy Received
Endocrine therapy not received
17 Participants
n=61 Participants • Data available for patient participants only
11 Participants
n=59 Participants • Data available for patient participants only
28 Participants
n=120 Participants • Data available for patient participants only
Patient Ovarian Suppression therapy Received
Ovarian suppression received
14 Participants
n=61 Participants • Data available for patient participants only
11 Participants
n=59 Participants • Data available for patient participants only
25 Participants
n=120 Participants • Data available for patient participants only
Patient Ovarian Suppression therapy Received
Ovarian suppression not received
47 Participants
n=61 Participants • Data available for patient participants only
48 Participants
n=59 Participants • Data available for patient participants only
95 Participants
n=120 Participants • Data available for patient participants only
Patient Currently Receiving Endocrine/Ovarian Suppression Therapy
Currently receiving endocrine/ovarian suppression therapy
45 Participants
n=61 Participants • Data available for patient participants only
43 Participants
n=59 Participants • Data available for patient participants only
88 Participants
n=120 Participants • Data available for patient participants only
Patient Currently Receiving Endocrine/Ovarian Suppression Therapy
Not currently receiving endocrine/ovarian suppression therapy
16 Participants
n=61 Participants • Data available for patient participants only
16 Participants
n=59 Participants • Data available for patient participants only
32 Participants
n=120 Participants • Data available for patient participants only
Patient Gynecologic Surgeries
Oophorectomy
18 Participants
n=61 Participants • Data available for patient participants only
11 Participants
n=59 Participants • Data available for patient participants only
29 Participants
n=120 Participants • Data available for patient participants only
Patient Gynecologic Surgeries
Hysterectomy
15 Participants
n=61 Participants • Data available for patient participants only
9 Participants
n=59 Participants • Data available for patient participants only
24 Participants
n=120 Participants • Data available for patient participants only
Patient Gynecologic Surgeries
No gynecologic surgery
28 Participants
n=61 Participants • Data available for patient participants only
39 Participants
n=59 Participants • Data available for patient participants only
67 Participants
n=120 Participants • Data available for patient participants only
Patient Menopausal Status
Post-menopausal
46 Participants
n=61 Participants • Data available for patient participants only
34 Participants
n=59 Participants • Data available for patient participants only
80 Participants
n=120 Participants • Data available for patient participants only
Patient Menopausal Status
Pre-menopausal
13 Participants
n=61 Participants • Data available for patient participants only
16 Participants
n=59 Participants • Data available for patient participants only
29 Participants
n=120 Participants • Data available for patient participants only
Patient Menopausal Status
Peri-menopausal
2 Participants
n=61 Participants • Data available for patient participants only
9 Participants
n=59 Participants • Data available for patient participants only
11 Participants
n=120 Participants • Data available for patient participants only

PRIMARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only patient participants' data was analyzed for this aim. Of 61 IE patients, one did not return the 6-week follow-up assessment. Of 59 LHT patients, 4 did not return the 6-week follow-up assessment

Patients' self-reported sexual function will be measured using the 19-item Female Sexual Function Index (FSFI).Total scale scores range from 2 to 36, with higher scores indicating higher functioning. Mean change scores will be reported: positive mean change scores indicate increase in sexual functioning over time while negative mean change scores indicate decrease in sexual functioning over time.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Self-Reported Patient Sexual Function
6.41 score on a scale
Standard Deviation 7.35
0.90 score on a scale
Standard Deviation 6.99

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only male partner participants' data were included in this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 2 were female, 3 did not return the 6-week follow-up assessment, and 1 did not have sufficient data to calculate a change score.

Partners' (male) self-reported sexual function will be measured using the 15-item International Index of Erectile Function (IIEF). Total scale scores range from 1 to 75, with higher scores indicating a higher level of sexual functioning. Change in mean male partner IIEF score over time will be reported. Positive mean change scores indicate increase in sexual functioning.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=53 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Self-Reported Partner Sexual Function
2.48 score on a scale
Standard Deviation 12.92
1.00 score on a scale
Standard Deviation 12.19

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Patient sexual distress will be measured using the 13-item Female Sexual Distress Scale-Revised (FSDS-R). Total scale scores range from 0 to 52. Higher scores indicate higher levels of sexual distress. Change in patient mean sexual distress score over time will be reported. Negative mean change scores indicate decrease in sexual distress.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Self-Reported Patient Sexual Distress
-7.82 score on a scale
Standard Deviation 9.49
-4.40 score on a scale
Standard Deviation 8.98

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Patient self-reported relationship intimacy will be measured using the 17-item Miller Social Intimacy Scale (MSIS). This scale assesses emotional intimacy, closeness and trust toward an individual's partner. Scores range from 17 to 170, with higher scores indicating higher levels of intimacy. Change in patient mean relationship intimacy score over time will be reported. Positive mean change scores indicate increase in relationship intimacy.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Patients' Self-Reported Relationship Intimacy
7.58 score on a scale
Standard Deviation 15.96
5.85 score on a scale
Standard Deviation 12.63

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only partner participants' data were used for this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 4 did not complete the 6-week follow-up assessment.

Partner self-reported relationship intimacy will be measured using the 17-item Miller Social Intimacy Scale (MSIS). This scale assesses emotional intimacy, closeness and trust toward an individual's partner. Scores range from 17 to 170, with higher scores indicating higher levels of intimacy. Change in patient mean relationship intimacy score over time will be reported. Positive mean change scores indicate increase in relationship intimacy.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Partners' Self-Reported Relationship Intimacy
6.35 score on a scale
Standard Deviation 13.80
5.77 score on a scale
Standard Deviation 14.37

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Patient self-reported relationship quality will be measured using the 7-item Dyadic Adjustment Scale (DAS-7). Total scale scores range from 0 to 36. Higher scores indicate higher relationship quality. Change in mean relationship quality score over time will be reported. Positive mean change scores indicate increase in relationship quality.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Patients' Self-Reported Relationship Quality
1.20 score on a scale
Standard Deviation 4.34
2.49 score on a scale
Standard Deviation 4.59

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only partner participants' data were used for this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 4 did not complete the 6-week follow-up assessment.

Partner self-reported relationship quality will be measured using the 7-item Dyadic Adjustment Scale (DAS-7). Total scale scores range from 0 to 36. Higher scores indicate higher relationship quality. Change in mean relationship quality score over time will be reported. Positive mean change scores indicate increase in relationship quality.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Partners' Self-Reported Relationship Quality
1.65 score on a scale
Standard Deviation 4.26
1.27 score on a scale
Standard Deviation 3.69

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Patients' self-reported anxiety will be measured using the 7-item Generalized Anxiety Disorder scale (GAD-7). Total scale scores range from 0 to 21. Higher scores indicate higher levels of anxiety. Change in mean anxiety score over time will be reported. Negative mean change scores indicate decrease in anxiety.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Patients' Self-Reported Anxiety
-0.70 score on a scale
Standard Deviation 3.25
0.07 score on a scale
Standard Deviation 3.83

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only partner participants' data were used for this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 4 did not complete the 6-week follow-up assessment.

Partners' self-reported anxiety will be measured using the 7-item Generalized Anxiety Disorder scale (GAD-7). Total scale scores range from 0 to 21. Higher scores indicate higher levels of anxiety. Change in mean anxiety score over time will be reported. Negative mean change scores indicate decrease in anxiety.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Partners' Self-Reported Anxiety
-0.98 score on a scale
Standard Deviation 2.95
0.27 score on a scale
Standard Deviation 2.80

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Patients' self-reported depression will be measured using the 9-item Patient Health Questionnaire (PHQ-9). Total scale scores range from 0 to 27. Higher scores indicate higher levels of depression. Change in mean depression score over time will be reported. Negative mean change scores indicate decrease in depression.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Patients' Self-Reported Depressive Symptoms
-0.99 score on a scale
Standard Deviation 4.36
-0.74 score on a scale
Standard Deviation 3.31

SECONDARY outcome

Timeframe: Baseline up to 6 weeks

Population: Only partner participants' data were used for this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 4 did not complete the 6-week follow-up assessment.

Partners' self-reported depression will be measured using the 9-item Patient Health Questionnaire (PHQ-9). Total scale scores range from 0 to 27. Higher scores indicate higher levels of depression. Change in mean depression score over time will be reported. Negative mean change scores indicate decrease in depression.

Outcome measures

Outcome measures
Measure
Intimacy Enhancement
n=60 Participants
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together
n=55 Participants
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Change in Partners' Self-Reported Depressive Symptoms
-0.61 score on a scale
Standard Deviation 2.47
-0.16 score on a scale
Standard Deviation 4.10

Adverse Events

Intimacy Enhancement Patients

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Living Healthy Together Patients

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Intimacy Enhancement Partners

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Living Healthy Together Partners

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Intimacy Enhancement Patients
n=61 participants at risk
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together Patients
n=59 participants at risk
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Intimacy Enhancement Partners
n=61 participants at risk
Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy. Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.
Living Healthy Together Partners
n=59 participants at risk
Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics. Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.
Psychiatric disorders
Self-reported distress
4.9%
3/61 • Adverse events were tracked over the course of study participation (6 months).
10.2%
6/59 • Adverse events were tracked over the course of study participation (6 months).
3.3%
2/61 • Adverse events were tracked over the course of study participation (6 months).
6.8%
4/59 • Adverse events were tracked over the course of study participation (6 months).

Additional Information

Dr. Jennifer Reese, Associate Professor

Fox Chase Cancer Center

Phone: 215-214-3223

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place