Significant intervention effects were observed for posttraumatic growth at 6 ( 7.5 , p < 0.001 ) and 12months ( 4.1 , p = 0.033 ) , spirituality at 6months ( 1.8 , p = 0.011 ) , acceptance at 6months ( 0.2 , p = 0.005 ) , and quality of life at 6 ( 0.8 , p = 0.049 ) and 12months ( 0.9 , p = 0.037 ) .