Fig. 2

Assessment and Change in Validated Psychological Metrics. Four validated psychosocial measures were assessed in patients at study entry: Center for Epidemiologic Studies Depression Scale (CES-D) [23], Beck Anxiety Inventory (BAI) [24], Trust in Physicians/Providers Scale (TPS) [25], and Communication and Attitudinal Self-Efficacy scale for cancer (CASE-cancer) [26]. a. Change in each measure was evaluated for those patients who completed both ‘pre’ and ‘post’ assessments (n = 40 patients). Direction of change in score is indicated in color as decrease (red), increase (green), and no change (blue). Association was assessed by Wilcoxon signed rank test. b/c. Correlation between patients’ scores on each validated metric and all other assessed metrics was assessed at study entry (b;n = 58 patients) and at end of study (c; n = 40 patients). Direction correlation (Pearson’s r) is indicated by the color of each dot (positive correlation in blue, negative correlation in red) and magnitude of correlation indicated by size of each dot (higher correlation is larger size). Associations that were not statistically significant are indicated with a black ‘x’