{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T17:03:23Z","timestamp":1791047003731,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer survivors often experience psychosocial challenges, including fear of cancer recurrence, diminished quality of life, and are less aware of the potential for post\u2010traumatic growth. Life coaching is a strengths\u2010based, goal\u2010directed approach that may promote adjustment and recovery after cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This randomized controlled trial evaluated the effects of a life coaching intervention on\u00a0post\u2010traumatic growth (PTG), fear of cancer recurrence (FCR), and quality of life (QoL) in breast cancer survivors post\u2010treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a three\u2010arm randomized controlled trial at a single site, 90 women with stage I\u2013III breast cancer were randomized to three study arms: (1) group\u00a0+\u00a0individual coaching, (2) group coaching only, or (3) control group receiving routine care. Coaching was delivered virtually over 15\u201318\u00a0weeks. The three study outcomes (PTG, FCR, QoL) were assessed at baseline, post\u2010group coaching (T1), end of intervention (T2), and 3\u2010month follow\u2010up (T3). Analyses included generalized estimating equations and analysis of covariance models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Across the three study outcomes, no sustained or broad statistically significant improvements were observed for either experimental arms compared with control. At T2, arm 1 participants reported higher scores on the post\u2010traumatic growth inventory \u201cnew possibilities\u201d subscale compared with control (OR\u00a0=\u00a01.078, 95% CI [1.00, 1.16],\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0382), and arm 2 participants reported lower FCR scores than control (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0159); however, neither effect was maintained at T3. Significant differences were also observed for three QoL domains (ability to participate in social roles, fatigue, and pain interference). No significant differences were found for the remaining post\u2010traumatic growth inventory\u00a0subscales or QoL domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This first randomized controlled trial of life coaching in cancer survivorship found no sustained improvements in post\u2010traumatic growth, fear of cancer recurrence, or quality of life. Limited short\u2010term benefits suggest the intervention, in its current form, is unlikely to yield lasting psychosocial gains, underscoring the need to refine both content and outcome measures in future research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>Clinical Trial Registry (NCT05020561).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70295","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T02:39:57Z","timestamp":1760063997000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Effect of Life Coaching on Post\u2010Traumatic Growth and Well\u2010Being in Breast Cancer Survivors: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1614-3770","authenticated-orcid":false,"given":"Wing Lam","family":"Tock","sequence":"first","affiliation":[{"name":"Centre de recherche du Centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al  Montr\u00e9al QC Canada"},{"name":"Department of Social and Preventive Medicine \u00c9cole de sant\u00e9 publique Universit\u00e9 de Montr\u00e9al  Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8704-8207","authenticated-orcid":false,"given":"Christine","family":"Maheu","sequence":"additional","affiliation":[{"name":"Ingram School of Nursing Faculty of Medicine and Health Sciences McGill University &amp; Research Institute, McGill University Health Centre  Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Blondin","sequence":"additional","affiliation":[{"name":"Clinique M\u00e9no\u2010Joie  Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Lee","sequence":"additional","affiliation":[{"name":"Ingram School of Nursing Faculty of Medicine and Health Sciences McGill University &amp; Research Institute, McGill University Health Centre  Montr\u00e9al QC Canada"},{"name":"Supportive &amp; Palliative Care Programs and Services Department of Nursing McGill University Health Centre  Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Neuman","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris 1 Panth\u00e9on\u2010Sorbonne  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarkis","family":"Meterissian","sequence":"additional","affiliation":[{"name":"Department of Surgery McGill University Health Centre  Montr\u00e9al QC Canada"},{"name":"Department of Oncology McGill University Health Centre  Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Canadian Cancer Society.Breast cancer statistics(2024)."},{"key":"e_1_2_10_3_1","unstructured":"Canadian Cancer Society. 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