Annals of Behavioral Medicine

, Volume 30, Issue 1, pp 54–64 | Cite as

Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer

  • Jason E. Owen
  • Joshua C. Klapow
  • David L. Roth
  • John L. Shuster
  • Jeff Bellis
  • Ron Meredith
  • Diane C. Tucker


Background: Internet-based methods for provision of psychological support and intervention to cancer survivors hold promise for increasing the public impact of such treatments.Purpose: The goal of this controlled pilot study was to examine the effect and potential mechanisms of action of a self-guided, Internet-based coping-skills training group on quality of life outcomes in women with early-stage breast cancer.Methods: Sixty-two women completed baseline evaluations and were randomized into either a small online coping group or a waiting-list control condition.Results: No main effects for treatment were observed at the 12-week follow up. However, there was a significant interaction between baseline self-reported health status and treatment, such that women with poorer self-perceived health status showed greater improvement in perceived health over time when assigned to the treatment condition. Linguistic analyses revealed that positive changes across quality of life variables were associated with greater expression of negative emotions such as sadness and anxiety, greater cognitive processing, and lower expression of health-related concerns.Conclusions: These results demonstrate the potential efficacy of self-guided Internet coping groups while highlighting the limitations of such groups.


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Copyright information

© The Society of Behavioral Medicine 2005

Authors and Affiliations

  • Jason E. Owen
    • 1
  • Joshua C. Klapow
    • 2
  • David L. Roth
    • 3
  • John L. Shuster
    • 4
  • Jeff Bellis
    • 5
  • Ron Meredith
    • 2
  • Diane C. Tucker
    • 2
  1. 1.Department of PsychologyLoma Linda UniversityLoma Linda
  2. 2.Department of Psychology Department of Health Care Organization and Policy Center for Outcomes and Effectiveness Research and EducationUniversity of AlabamaBirmingham
  3. 3.Department of BiostatisticsUniversity of AlabamaBirmingham
  4. 4.Department of PsychiatryUniversity of Alabama School of MedicineUSA
  5. 5.Department of Health BehaviorUniversity of AlabamaBirmingham

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