We propose to investigate the 5-year effects of breast cancer and its
treatment in a cohort of women diagnosed at age 50 or younger who where
originally identified through the SEER tumor registry in the San
Francisco Bay Area. In Phase I, we will resurvey eligible women from
the original cohort of 336 (80 percent response) to assess change in
social, emotional and physical concerns and functioning. These findings
will inform our proposed Phase II eight session psychoeducation group
intervention. We anticipate a sample of 434 women to be randomly
assigned to intervention or control. In the intervention arm,
participants in each of the 22 groups will learn the latest scientific
information about topical issues of relevance to breast cancer. As part
of this strategy, the woman will learn (or be re-exposed) to coping
skills training and have opportunities to practice these skills. The
effect of the intervention will be evaluated using a pre-post-test
design. Pre-test in-person interviews will assess health behaviors,
physical and mental health, and improved mood; post-test interviews will
be conducted by telephone. Because the two samples for the proposed
study are population-based, they are representative not only of younger
breast cancer survivors, but also the multi-ethnic population of this
region of the country.
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