Limitations and Strengths
cancer
CANCER
This study has some limitations. We included predominantly White, educated women; outcomes may not be generalizable to other groups. We also used an MCID developed for patients with cancer. This study also has some strengths. It used a geographically diverse sample and conservative randomization scheme; implemented a shared baseline assumption; and used the highest level of control for therapist attention, rigorous fidelity, and a QOL measure recommended by the REiNS International Collaboration.