{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T22:26:31Z","timestamp":1788560791416,"version":"build-2803163510"},"reference-count":51,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,2,26]],"date-time":"2014-02-26T00:00:00Z","timestamp":1393372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["PF-09-154-01"],"award-info":[{"award-number":["PF-09-154-01"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We previously developed and piloted a telephone\u2010based intimacy enhancement (IE) intervention addressing sexual concerns of colorectal cancer patients and their partners in an uncontrolled study. The current study tested the feasibility, acceptability, and preliminary efficacy of the IE intervention in a randomized, controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010three couples were randomized to either the four\u2010session IE condition or to a wait list control condition and completed sexual and relationship outcomes measures. The IE intervention teaches skills for coping with sexual concerns and improving intimacy. Feasibility and acceptability were assessed through enrollment and post\u2010treatment program evaluations, respectively. Effect sizes were calculated by comparing differences in average pre\/post change scores across completers in the two groups (<jats:italic>n<\/jats:italic>\u2009=\u200918 couples).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Recruitment and attrition data supported feasibility. Program evaluations for process (e.g., ease of participation) and content (e.g., relevance) demonstrated acceptability. Engaging in intimacy\u2010building activities and communication were the skills rated as most commonly practiced and most helpful. For patients, positive effects of the IE intervention were found for female and male sexual function, medical impact on sexual function, and self\u2010efficacy for enjoying intimacy (\u2265.58); no effects were found on sexual distress or intimacy and small negative effects for sexual communication, and two self\u2010efficacy items. For partners, positive IE effects were found for all outcomes; the largest were for sexual distress (.69), male sexual function (1.76), communication (.97), and two self\u2010efficacy items (\u2265.87).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The telephone\u2010based IE intervention shows promise for couples facing colorectal cancer. Larger multi\u2010site intervention studies are necessary to replicate findings. Copyright \u00a9 2014 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.3508","type":"journal-article","created":{"date-parts":[[2014,2,26]],"date-time":"2014-02-26T12:20:50Z","timestamp":1393417250000},"page":"1005-1013","source":"Crossref","is-referenced-by-count":74,"title":["A randomized pilot trial of a telephone\u2010based couples intervention for physical intimacy and sexual concerns in colorectal cancer"],"prefix":"10.1002","volume":"23","author":[{"given":"Jennifer Barsky","family":"Reese","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura S.","family":"Porter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University Medical Center  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn R.","family":"Regan","sequence":"additional","affiliation":[{"name":"Widener Center for Sexual Studies Widener University  Chester PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis J.","family":"Keefe","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University Medical Center  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilofer S.","family":"Azad","sequence":"additional","affiliation":[{"name":"Department of Oncology Johns Hopkins Sidney Kimmel Comprehensive Cancer Center  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Luis A.","family":"Diaz","sequence":"additional","affiliation":[{"name":"Department of Oncology Johns Hopkins Sidney Kimmel Comprehensive Cancer Center  Baltimore MD USA"},{"name":"The Swim Across America Laboratory and The Ludwig Center for Cancer Genetics and Therapeutics Johns Hopkins  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph M.","family":"Herman","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Johns Hopkins Hospital  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Haythornthwaite","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,2,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.41.7915"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdr133"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(00)00327-5"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0822-6"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20910"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000171299.43954.ce"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01357.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-004-0711-4"},{"key":"e_1_2_7_10_1","first-page":"1","article-title":"The association between psychosocial and medical factors with long\u2010term sexual dysfunction after treatment for colorectal cancer","volume":"21","author":"Milbury K","year":"2012","journal-title":"Support Care Cancer"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.1090b1013e31823d32606"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1188\/11.ONF.587-596"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e3182686213"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.11.051"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/01614576.2001.11074413"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e318197551e"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2012.02938.x"},{"key":"e_1_2_7_18_1","first-page":"8","article-title":"The concerns of patients and spouses after the diagnosis of colon cancer: a qualitative analysis","volume":"26","author":"Northouse LL","year":"1999","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-010-0132-z"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2011.606886"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21537"},{"key":"e_1_2_7_22_1","unstructured":"EpsteinNB BaucomDH.Enhanced cognitive behavioral therapy for couples: a contextual approach. 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