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Expanding Rural Access: Distance Delivery of Support

Phase 2
21 Years
Not Enrolling
Breast Cancer, Stress Disorders, Post-Traumatic, Depression

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Trial Information

Expanding Rural Access: Distance Delivery of Support

Women with breast cancer in rural areas are likely exhaust their usual sources of
psychosocial support while still facing challenges posed by breast cancer, but are unlikely
to have access to professionally-led support groups. In this community-based project, we
assessed the feasibility and acceptability of providing support groups to women with breast
cancer in a large rural area using videoconferencing and a workbook journal, and we assessed
the intervention’s potential to reduce distress and increase emotional expression and
self-efficacy for coping with cancer. Twenty-seven women in the Intermountain Region of
northeastern California participated in 8-session support groups led by an oncology social
worker by going to nearby videoconferencing sites. Feasibility and acceptability were
demonstrated. Older as well as younger women were comfortable using videoconferencing and
said the groups were valuable because they promoted information sharing and emotional bonds
with other women with breast cancer. They emphasized the importance of a professional
facilitator and identified advantages of using videoconferencing for support groups. Pretest
and posttest comparisons showed significant decreases in depression and posttraumatic stress
disorder symptoms. The results suggest that the intervention has the potential to provide a
valuable service that is not readily available in rural communities.

Inclusion Criteria:

- 1) has been diagnosed with breast cancer, and 2) is a woman

Exclusion Criteria:

- 1) under 21 years of age, and 2) does not speak and read English

Type of Study:


Study Design:

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Center for Epidemiological Studies Depression Scale

Principal Investigator

Cheryl Koopman, Ph.D.

Investigator Role:

Principal Investigator

Investigator Affiliation:

Stanford University


United States: Institutional Review Board

Study ID:




Start Date:

November 2004

Completion Date:

June 2006

Related Keywords:

  • Breast Cancer
  • Stress Disorders, Post-traumatic
  • Depression
  • Breast Neoplasms
  • Depression
  • Depressive Disorder
  • Stress Disorders, Post-Traumatic
  • Stress Disorders, Traumatic



Stanford University Stanford, California  94305