Boesen, E. H., Ross, L., Frederiksen, K., Thomsen, B. L., Dahlstrøm, K., Schmidt, G., . . . Johansen, C. (2005). Psychoeducational intervention for patients with cutaneous malignant melanoma: a replication study. Journal of Clinical Oncology, 23, 1270–1277.
A psychoeducational intervention was offered between three weeks and four months postsurgery for malignant melanoma to groups of 8 to 10 patients. The intervention was organized into six sessions lasting approximately 2.5 hours each and was performed over a six-week period. The intervention consisted of health education about malignant melanoma and follow-up routines, the importance of limiting sun exposure, stress awareness, and stress management (relaxation and guided imagery). Patients were given a workbook and a CD with relaxation and imagery exercises. Psychological support was provided via the presence of a group therapist throughout all sessions and through peer support in the group setting.
Patients were undergoing the long-term follow-up phase of care.
The study was a randomized, controlled trial with a usual care control group. Fatigue was evaluated at baseline prior to the intervention and at 6 and 12 months postintervention.
Profile of Mood States (POMS)
Controlling for baseline levels of fatigue, there was a statistically significant effect of the intervention on fatigue six months postintervention. This effect was not sustained at 12-month follow-up. Sixteen patients dropped out of the intervention before it started or after one session. All patients who dropped out cited that they dropped out due to the time or the distance involved or that they felt no need for support.
Efficiencies of treatment were achieved through the group intervention modality.