marginally significantP =.056
A repeated measures analysis of variance showed a marginally significant main effect of time for the health distress items ( F 1,22 =4.080; P =.056; η 2 =0.156; power=0.489), indicating that overall, participants’ scores showed less health distress (ie, discouragement, fear, worry, and frustration) in their last assessment (mean 2.01, SD 0.81) than in their first assessment (mean 2.36, SD 1.24).