The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.

Patient sexual distress will be measured using the 13-item Female Sexual Distress Scale-Revised (FSDS-R). Total scale scores range from 0 to 52. Higher scores indicate higher levels of sexual distress. Change in patient mean sexual distress score over time will be reported. Negative mean change scores indicate decrease in sexual distress.

Patient self-reported relationship intimacy will be measured using the 17-item Miller Social Intimacy Scale (MSIS). This scale assesses emotional intimacy, closeness and trust toward an individual's partner. Scores range from 17 to 170, with higher scores indicating higher levels of intimacy. Change in patient mean relationship intimacy score over time will be reported. Positive mean change scores indicate increase in relationship intimacy.

Partner self-reported relationship intimacy will be measured using the 17-item Miller Social Intimacy Scale (MSIS). This scale assesses emotional intimacy, closeness and trust toward an individual's partner. Scores range from 17 to 170, with higher scores indicating higher levels of intimacy. Change in patient mean relationship intimacy score over time will be reported. Positive mean change scores indicate increase in relationship intimacy.

Patient self-reported relationship quality will be measured using the 7-item Dyadic Adjustment Scale (DAS-7). Total scale scores range from 0 to 36. Higher scores indicate higher relationship quality. Change in mean relationship quality score over time will be reported. Positive mean change scores indicate increase in relationship quality.

Partner self-reported relationship quality will be measured using the 7-item Dyadic Adjustment Scale (DAS-7). Total scale scores range from 0 to 36. Higher scores indicate higher relationship quality. Change in mean relationship quality score over time will be reported. Positive mean change scores indicate increase in relationship quality.

Patients' self-reported anxiety will be measured using the 7-item Generalized Anxiety Disorder scale (GAD-7). Total scale scores range from 0 to 21. Higher scores indicate higher levels of anxiety. Change in mean anxiety score over time will be reported. Negative mean change scores indicate decrease in anxiety.

Partners' self-reported anxiety will be measured using the 7-item Generalized Anxiety Disorder scale (GAD-7). Total scale scores range from 0 to 21. Higher scores indicate higher levels of anxiety. Change in mean anxiety score over time will be reported. Negative mean change scores indicate decrease in anxiety.

Patients' self-reported depression will be measured using the 9-item Patient Health Questionnaire (PHQ-9). Total scale scores range from 0 to 27. Higher scores indicate higher levels of depression. Change in mean depression score over time will be reported. Negative mean change scores indicate decrease in depression.

Partners' self-reported depression will be measured using the 9-item Patient Health Questionnaire (PHQ-9). Total scale scores range from 0 to 27. Higher scores indicate higher levels of depression. Change in mean depression score over time will be reported. Negative mean change scores indicate decrease in depression.

Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics.

Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.

Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy.

Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.

Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics.

Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.

Total of all reporting groups

Level of sexual concerns for patients on a scale of 0-10, with 0 indicating no sexual concerns and 10 indicating severe sexual concerns. Measure administered to patients only.

Measure given to patient participants only.

Measure given to patient participants only

Measure given to patient participants only

Measure given to patient participants only

Measure given to patient participants only. One IE patient and one LHT patient did not respond to this item on the survey.

Clinical tumor stage reflects the estimated tumor size and/or amount of spread into nearby structures at diagnosis. Higher tumor stage (e.g., cT4) indicates a larger tumor or spread and is associated with worse outcomes.

Data available for patient participants only

Data available for patient participants only

Data available for patient participants only

Data available for patient participants only

Data available for patient participants only

Data available for patient participants only

Data available for patient participants only

Data available for patient participants only

Data available for patient participants only

Data available for patient participants only

Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics.

Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.

Partners' (male) self-reported sexual function will be measured using the 15-item International Index of Erectile Function (IIEF). Total scale scores range from 1 to 75, with higher scores indicating a higher level of sexual functioning. Change in mean male partner IIEF score over time will be reported. Positive mean change scores indicate increase in sexual functioning.

Only male partner participants' data were included in this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 2 were female, 3 did not return the 6-week follow-up assessment, and 1 did not have sufficient data to calculate a change score.

Patient sexual distress will be measured using the 13-item Female Sexual Distress Scale-Revised (FSDS-R). Total scale scores range from 0 to 52. Higher scores indicate higher levels of sexual distress. Change in patient mean sexual distress score over time will be reported. Negative mean change scores indicate decrease in sexual distress.

Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Patient self-reported relationship intimacy will be measured using the 17-item Miller Social Intimacy Scale (MSIS). This scale assesses emotional intimacy, closeness and trust toward an individual's partner. Scores range from 17 to 170, with higher scores indicating higher levels of intimacy. Change in patient mean relationship intimacy score over time will be reported. Positive mean change scores indicate increase in relationship intimacy.

Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Partner self-reported relationship intimacy will be measured using the 17-item Miller Social Intimacy Scale (MSIS). This scale assesses emotional intimacy, closeness and trust toward an individual's partner. Scores range from 17 to 170, with higher scores indicating higher levels of intimacy. Change in patient mean relationship intimacy score over time will be reported. Positive mean change scores indicate increase in relationship intimacy.

Only partner participants' data were used for this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 4 did not complete the 6-week follow-up assessment.

Patient self-reported relationship quality will be measured using the 7-item Dyadic Adjustment Scale (DAS-7). Total scale scores range from 0 to 36. Higher scores indicate higher relationship quality. Change in mean relationship quality score over time will be reported. Positive mean change scores indicate increase in relationship quality.

Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Partner self-reported relationship quality will be measured using the 7-item Dyadic Adjustment Scale (DAS-7). Total scale scores range from 0 to 36. Higher scores indicate higher relationship quality. Change in mean relationship quality score over time will be reported. Positive mean change scores indicate increase in relationship quality.

Only partner participants' data were used for this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 4 did not complete the 6-week follow-up assessment.

Patients' self-reported anxiety will be measured using the 7-item Generalized Anxiety Disorder scale (GAD-7). Total scale scores range from 0 to 21. Higher scores indicate higher levels of anxiety. Change in mean anxiety score over time will be reported. Negative mean change scores indicate decrease in anxiety.

Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Partners' self-reported anxiety will be measured using the 7-item Generalized Anxiety Disorder scale (GAD-7). Total scale scores range from 0 to 21. Higher scores indicate higher levels of anxiety. Change in mean anxiety score over time will be reported. Negative mean change scores indicate decrease in anxiety.

Only partner participants' data were used for this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 4 did not complete the 6-week follow-up assessment.

Patients' self-reported depression will be measured using the 9-item Patient Health Questionnaire (PHQ-9). Total scale scores range from 0 to 27. Higher scores indicate higher levels of depression. Change in mean depression score over time will be reported. Negative mean change scores indicate decrease in depression.

Only patient participants' data were used for this analysis. Of 61 IE patients, one did not complete the 6-week follow-up assessment. Of 59 LHT patients, 4 did not complete the 6-week follow-up assessment.

Partners' self-reported depression will be measured using the 9-item Patient Health Questionnaire (PHQ-9). Total scale scores range from 0 to 27. Higher scores indicate higher levels of depression. Change in mean depression score over time will be reported. Negative mean change scores indicate decrease in depression.

Only partner participants' data were used for this analysis. Of 61 IE partners, one did not complete the 6-week follow-up assessment. Of 59 LHT partners, 4 did not complete the 6-week follow-up assessment.

Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics.

Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.

Participants attend four sessions (60-75 minutes) consisting of education and skills training to enhance physical and emotional intimacy.

Intimacy Enhancement: The IE intervention is grounded in cognitive behavioral couple therapy and sex therapy, and includes education and skills training with a focus on the following major topics: understanding effects of breast cancer on sex and intimacy; goal-setting; communication skills; problem-solving and engaging in activities to build intimacy; identifying and restructuring negative or inflexible thoughts; and planning ahead and preparing for challenges. Participants will be asked to participate in written and behavioral activities at home between sessions to strengthen skills acquisition.

Participants attend four sessions (60-75 minutes) consisting of information and support across a range of breast cancer-related topics.

Living Healthy Together: The Living Healthy Together (LHT) intervention focuses on delivering education and support to breast cancer survivors and their partners across a range of topics including social support, sleep and fatigue, stress and stress management, nutrition, and physical activity. Participants will be asked to engage actively with the material and to review readings and intervention material between sessions.