“…[21][22][23][24][25] Patient outcome results indicate that participation in such a group decreases depression, anxiety, worry, and hospitalizations and increases self-care and satisfaction with the care of all health care professionals. 26 Specifically, affiliation with support and educational organizations has improved patient outcomes for those with diabetes and cancer, 27,28 those with arthritis and immune illness, 29,30 those with mental illness, [31][32][33][34] in those who have undergone amputation and other surgical therapies, [35][36][37] and in those with Alzheimer's disease and stroke. 38 -40 Studies have shown that contact with others who have managed a similar condition enhances self-esteem, helps patients master their own care, and enhances patients' sense of well-being.…”