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Objective: To evaluate the efficacy of an interactive self‐help workbook in reducing distress, and improving quality of life (QOL) and coping for women recently diagnosed with breast cancer.

Design: Randomised controlled trial comparing the use of the workbook and that of an information booklet.

Participants and setting: 49 women with Stage 0 to II breast cancer diagnosed in the previous month and recruited from 1 February 2007 to 1 February 2008, in two urban Australian public hospitals.

Main outcome measures: The primary outcome measures were depression, anxiety, and posttraumatic stress. Secondary outcomes included QOL, body image, and the coping styles helplessness/hopelessness, cognitive avoidance and anxious preoccupation.

Results: After controlling for baseline levels, interactions at 3‐month follow‐up showed that participants in the workbook group had significantly lower levels of …