{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T02:35:00Z","timestamp":1773455700935,"version":"3.50.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T00:00:00Z","timestamp":1599782400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Japanese Ministry of Education, Culture, Science, and Technology","award":["21390207"],"award-info":[{"award-number":["21390207"]}]},{"name":"Japanese Ministry of Labor, Health, and Welfare","award":["201411002A"],"award-info":[{"award-number":["201411002A"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Our newly developed brief collaborative care intervention program has been suggested to be effective in reducing breast cancer patients\u2019 unmet needs and psychological distress; however, there has been no controlled trial to investigate its effectiveness. The purpose of this study was to examine the effectiveness of the program in relation to patients\u2019 perceived needs and other relevant outcomes for patients including quality of life, psychological distress and fear of recurrence (Clinical trial register; UMIN-CTR, Clinical registration number; R5172).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty-nine highly distressed breast cancer patients receiving adjuvant chemotherapy and\/or hormonal therapy were randomly assigned either to a treatment as usual group or to a collaborative care intervention, consisting of four sessions that mainly included assessment of the patients\u2019 perceived needs, learning skills of problem-solving treatment for coping with unmet needs and psycho-education provided by trained nurses supervised by a psycho-oncologist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Although &amp;gt;80% of the eligible patients agreed to participate, and &amp;gt;90% of participants completed the intervention, there were no significant differences with regard to patients\u2019 needs, quality of life, psychological distress and fear of recurrence, both at 1 and 3 months after intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Newly developed brief collaborative care intervention program was found to be feasible and acceptable. The trial, however, failed to show the effectiveness of the program on patients\u2019 relevant subjective outcomes. Further intervention program having both brevity and sufficient intensity should be developed in future studies.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jjco\/hyaa166","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T11:46:32Z","timestamp":1598615192000},"page":"244-251","source":"Crossref","is-referenced-by-count":7,"title":["Brief collaborative care intervention to reduce perceived unmet needs in highly distressed breast cancer patients: randomized controlled trial"],"prefix":"10.1093","volume":"51","author":[{"given":"Tatsuo","family":"Akechi","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan"},{"name":"Division of Palliative Care and Psycho-oncology, Nagoya City University Hospital, Nagoya, 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Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyasu","family":"Yoshimoto","sequence":"additional","affiliation":[{"name":"Department of Breast and Endocrine Surgery, Kariya Toyota General Hospital, Kariya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumi","family":"Wanifuchi-Endo","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Toyama","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, 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