Table 1.

Challenges of Conducting Psychosocial Interventions Research with Cancer Patients Related to Recruitment, Reactivity, and Retention.

Patient Reluctance to be Part of Pyschosocial Intervention Research	Participant Disappointment Regarding their Study Group Assignment	Lack of Adherence to Treatment and Study Drop Out
Perceptions of the value of psychosocial interventions	Adverse psychological reactions	Burdens and demands of treatment
Perceptions of their need for psychosocial interventions	Low engagement in treatment	Engaging in additional    potentially therapeutic    activities
Feelings about being    involved in research and    reactions to research    procedures	Efforts to gain access to assistance offered in comparison group elsewhere	Non-randomly missing    follow-up data
Aversion to being   randomly assigned to a   treatment group