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Study 2 characterized participant engagement with IE sessions, home practice completion, and post\u2010intervention IE skills use. More versus less engaged survivors\/partners (interventionist\u2010rated) were compared on variables as in Study 1 and on at\u2010home\/post\u2010intervention engagement measures using Chi\u2010square or\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 233 study\u2010eligible survivors, 120 enrolled (52%). Lack of partner interest was the most common reason for declining. Compared to participants, study decliners were in longer relationships and more identified as being from a racial minority group. Decliners reported generally low levels of interest in any sexual support. Engagement in IE activities, including session and homework completion, was high among patients and partners. Younger survivor age was associated with lower interventionist\u2010rated in\u2010session engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggest strong overall interest in and engagement with the IE intervention and suggest the importance of understanding how to increase uptake of sexual support to survivors across diverse backgrounds and preferences. The methods used in examining study\u2010eligible candidates' preferences and intervention participants' engagement could have broader relevance for psycho\u2010oncology research design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70428","type":"journal-article","created":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T16:29:29Z","timestamp":1773505769000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding Engagement With a Couple\u2010Based Intimacy Enhancement Intervention for Breast Cancer Survivors: An In\u2010Depth Examination of Recruitment and On\u2010Trial Engagement"],"prefix":"10.1002","volume":"35","author":[{"given":"Jennifer B.","family":"Reese","sequence":"first","affiliation":[{"name":"Cancer Prevention and Control Program Fox Chase Cancer Center  Philadelphia Pennsylvania USA"},{"name":"Department of Social and Behavioral Sciences College of Public Health Temple University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J.","family":"Lepore","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control Program Fox Chase Cancer Center  Philadelphia Pennsylvania USA"},{"name":"Department of Social and Behavioral Sciences College of Public Health Temple University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren A.","family":"Zimmaro","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology Department of Medicine University of Colorado School of Medicine  Aurora Colorado USA"},{"name":"University of Colorado Cancer Center  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen A.","family":"Sorice","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control Program Fox Chase Cancer Center  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2962-2378","authenticated-orcid":false,"given":"Laura S.","family":"Porter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences Duke University Medical Center  Durham North Carolina 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