Managing distress and improving well-being is critically important for optimal survivorship
care. Treatment of distress leads to better adherence to treatment, better communication,
fewer calls and visits to the oncologist's office, and avoidance of development of severe
anxiety or depression. Based on national guidelines, distress is typically managed with
pharmacologic options (i.e. benzodiazepines), support groups, individual counseling, or
chaplaincy services. To our knowledge, the role of a structured improvisational comedy
(improv) program in reducing distress and improving well-being has never been evaluated in
the oncology setting.