Efficacy of acceptance and commitment therapy on psychological rehabilitation in cancer patients treated with proton and heavy ion therapy: a non-randomized controlled trial

Supportive Care in Cancer, Год журнала: 2025, Номер 33(1)

Опубликована: Янв. 1, 2025

Язык: Английский

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Statistical analysis plan for a pragmatic randomised controlled trial comparing enhanced acceptance and commitment therapy plus ( +) added to usual aftercare versus usual aftercare only, in patients living with or beyond cancer: SUrvivors' Rehabilitation Evaluation after CANcer (SURECAN) trial

Trials, Год журнала: 2025, Номер 26(1)

Опубликована: Янв. 30, 2025

The aim of the SURECAN trial is to evaluate a person-centred intervention, based on Acceptance and Commitment Therapy (ACT Plus ( +)), for people who have completed treatment cancer with curative intent, but are experiencing poor quality life. We present statistical analysis plan assessing effectiveness cost-effectiveness intervention in improving life 1 year post randomisation. multi-centre, pragmatic, two-arm, partially clustered randomised controlled superiority comparing ACT + added usual care aftercare. target sample size 344 (172 per arm), centrally 1:1 ratio. primary outcome total score Functional Assessment Cancer scale-General (FACT-G) at 52 weeks, analysed using nested mixed-effects model heteroskedastic error terms. Secondary outcomes include scores 16 weeks: FACT-G subscales; Fear Recurrence Inventory (FCR4); positive negative Impact scales (IOCv2); Hospital Anxiety Depression scale (HADS); Chalder Fatigue Scale (CFQ); physical activity, measured modified version Godin scale. Health economic analyses will determine incremental ratio (ICER) terms quality-adjusted years (QALYs) derived from Euroqol 5-Dimension 5-Level (EQ-5D-5L) compared weeks. This manuscript (SAP) evaluation trial. Any exploratory or hoc be identified as such respective report. was prospectively registered. ISRCTN67900293. Registered 09 December 2019.

Язык: Английский

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Acceptance and Commitment Therapy effectiveness for Fear of Cancer Recurrence: a systematic review and meta-analysis.

European Journal of Oncology Nursing, Год журнала: 2025, Номер unknown, С. 102862 - 102862

Опубликована: Март 1, 2025

Язык: Английский

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Help-seeking in A&E for Functional Neurological Disorder (FND): a mixed methods study of patient experiences of a war on two fronts

Psychology and Health, Год журнала: 2025, Номер unknown, С. 1 - 20

Опубликована: Апрель 14, 2025

This mixed-method study aimed to i) describe characteristics of those who attend A&E frequently (FAs) with and without Functional Neurological Disorder (FND); ii) explore patients' FND's experiences help-seeking in A&E. First, a database NHS FAs (10+ times year; n = 99) from one hospital was analysed. Next, FND (n 6) were interviewed about their help-seeking. From stage 1, 61% all female, had visited mean 16 the past 12 months been referred wide range clinics. No significant differences found between 11) non patients 88). In Stage 2, thematic analysis described four main themes: 'symptom experience'; 'feelings isolation'; iii) 'Healthcare Professional (HCP) barriers care'; iv) 'HCP perseverance'. Transcending these themes transition uncertainty judgement as eventually obtained diagnosis FND. Overarching sense war on two fronts battled both symptoms health care system. Help seeking for involves battle which may be improved by educating HCPs offering specialised clinic.

Язык: Английский

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The effects of acceptance and commitment therapy (ACT) on psychological and physical outcomes among cancer patients and survivors: An umbrella review

Journal of Contextual Behavioral Science, Год журнала: 2024, Номер 33, С. 100810 - 100810

Опубликована: Июль 1, 2024

Acceptance and Commitment Therapy (ACT) is a promising approach in psycho-oncology that has led to an increasing number of studies reviews. This systematic umbrella review provides comprehensive overview the results existing reviews meta-analyses investigate trans-symptomatic (i.e., psychological physical symptoms) efficacy ACT context cancer. The study addresses both outcomes, aiming identify research gaps delineate potential focal points for future exploring application psycho-oncological settings. A literature search was conducted Pubmed, Ebsco Host Academic Search Complete (incl. APA PsycInfo), Web Science, Cochrane Library, website Association Contextual Behavioral Science (ACBS), Prospero. To be included, had meet following criteria: 1) and/or meta-analysis focusing on its impact outcomes cancer patients or survivors; 2) include only with oncological conditions; 3) published English. quality assessed using AMSTAR 2 criteria. We included eight our synthesis. Results indicate interventions increase health-related life (HRQoL) flexibility, reduce depression, anxiety, distress survivors. best evidence exists regarding HRQoL. these concerning other outcome measures (e.g., fear progression/recurrence, hope) biological parameters not yet been well investigated. Moderator analyses revealed larger effects younger patients, individuals from Eastern countries (Iran, China), after longer intervention durations. suggest differential based stage. According criteria, low critically low. Recent suggests are effective evidence-based treatment HRQoL reducing However, should interpreted caution, as generally Our synthesis highlights need more high-quality randomized controlled trials, reviews, meta-analyses, mediator this area.

Язык: Английский

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Cancer and Stress: Understanding the Connections and Interventions

American Journal of Lifestyle Medicine, Год журнала: 2024, Номер unknown

Опубликована: Дек. 6, 2024

Stress is ubiquitous in our modern society and contributes to many disease states. This narrative review describes the effect of stress/distress on cancer development progression. Seminal randomized controlled trials, systematic reviews/meta-analyses, distress management guidelines from National Comprehensive Cancer Network (NCCN), American Society Clinical Oncology (ASCO), for Integrative LinearOncology (SIO) are highlighted. We describe physiological effects distress, assessment, management. Psychological treatments summarized. Evidence-based lifestyle modifications integrative therapies reviewed detail, including mindfulness-based techniques, yoga, guided imagery, breathing hypnosis, exercise, music therapy, qigong/Tai Chi, eye movement desensitization reprocessing, improving sleep heart rate variability. Recognition treatment can improve quality life. More research needed determine managing outcomes, as well best type duration intervention, noting that benefits interventions may be specific patients with different types.

Язык: Английский

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Assessing Psychological Flexibility in Chronic Illness

The Psychological Record, Год журнала: 2023, Номер 73(4), С. 565 - 574

Опубликована: Ноя. 29, 2023

Язык: Английский

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Peace, equanimity and acceptance in the cancer experience: validation of the German version (PEACE-G) and associations with mental health, health-related quality of life and psychological constructs

BMC Psychology, Год журнала: 2024, Номер 12(1)

Опубликована: Сен. 27, 2024

Язык: Английский

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Efficacy of acceptance and commitment therapy on psychological rehabilitation in cancer patients treated with proton and heavy ion therapy:a non-randomized controlled trial

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Март 29, 2024

Objective To develop an appropriate intervention utilizing acceptance and commitment therapy (ACT) tailored specifically for cancer patients undergoing radiotherapy, to investigate its impact on hope, psychological resilience, flexibility, distress among receiving proton heavy ion therapy. Methods 80 participants were allocated into either group (n=40) or a control based their admission time. Both the groups underwent 3-week health education program, with additionally participating in 3-week, 6-session intervention. Discrepancies hope levels, between two assessed at baseline, post-intervention, 3-month follow-up using linear mixed-effects analysis (LMM). Results LMM analyses revealed that end of intervention, scores Hope Psychological Resilience higher compared (P=0.025, P=0.003 respectively), while Flexibility lower (P=0.001). Furthermore, follow-up, HHI remained (P=0.025), Distress (P=0.001, P=0.001 respectively). These differences persisted even after adjusting baseline values. Conclusion A program ACT model treatment helps promote recovery radiotherapy. Evidence is provided effectiveness positive clinical interventions. Trial registration: ChiCTR2300068349

Язык: Английский

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A digital, coach-assisted intervention to address the psychosocial needs of young adult cancer survivors: Randomized controlled trial protocol and intervention adaptation process

Contemporary Clinical Trials, Год журнала: 2024, Номер 141, С. 107545 - 107545

Опубликована: Апрель 23, 2024

Язык: Английский

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