Web-based Acceptance and Commitment Therapy (ACT) for adults living with cancer: A single case experimental design (SCED)

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science Pub Date : 2024-10-01 DOI:10.1016/j.jcbs.2024.100849

Hannah Taylor , Jessica Kingston , Michelle D. Taylor

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引用次数: 0

Abstract

A randomised multiple-baseline design assessed the preliminary efficacy of a low-intensity, minimally-guided, online, self-help Acceptance and Commitment Therapy (ACT) intervention for people affected by cancer on quality of life (QoL), psychological symptoms, psychological flexibility, and level of interference from pain and fatigue. Acceptability and feasibility was also assessed. Adult participants (n = 7) had either completed cancer treatment within the last 18 months or were currently receiving treatment. Participants were randomly assigned to a baseline length of 1–3 weeks prior to completing the six-week ACT intervention, followed by a one-month follow-up. At pre- and post-intervention, and one-month follow-up, cancer-specific QoL, psychological symptoms (anxiety and depression), and psychological flexibility were assessed using standardised questionnaires. Single-item daily ratings of mood, anxiety, psychological flexibility, and bother ratings of pain and fatigue were also assessed. Questionnaire data were analysed using reliable and clinically significant change. Daily measures were analysed using visual and Tau-U analysis. Participants reported less negative impact of cancer on QoL (n = 3: CancerDQoL), fewer depressive symptoms (n = 5: HADS depression), less anxiety (n = 3; HADS anxiety) and greater psychological flexibility (n = 3: MPFI) at follow-up. Daily measures showed improvements in self-reported mood (n = 3), anxiety (n = 3) and psychological flexibility (n = 5) across different phase comparisons. Most participants (n = 5) were significantly less bothered by fatigue at follow-up, and two were significantly less bothered by pain. Feedback from participants supported the acceptability of the intervention. The results provide preliminary support for the efficacy of the ACT intervention in reducing the negative impact of cancer on QoL, and improving self-reported psychological outcomes and psychological flexibility. Longitudinal studies utilising a larger sample are warranted.

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针对成人癌症患者的网络接受与承诺疗法（ACT）：单例实验设计（SCED）

该研究采用随机多基线设计，评估了针对癌症患者的低强度、微引导、在线自助式接受与承诺疗法（ACT）干预对生活质量（QoL）、心理症状、心理灵活性以及疼痛和疲劳干扰程度的初步疗效。此外，还对可接受性和可行性进行了评估。成人参与者（n = 7）在过去 18 个月内完成了癌症治疗或正在接受治疗。在完成为期六周的 ACT 干预之前，参与者被随机分配到一个为期 1-3 周的基线期，然后进行为期一个月的随访。在干预前、干预后和一个月的随访中，使用标准化问卷对癌症特异性 QoL、心理症状（焦虑和抑郁）以及心理灵活性进行了评估。此外，还对情绪、焦虑、心理灵活性的单项日常评分以及疼痛和疲劳的困扰评分进行了评估。问卷数据采用可靠且具有临床意义的变化进行分析。日常测量采用视觉和 Tau-U 分析法进行分析。在随访中，参与者报告癌症对 QoL 的负面影响较小（n = 3：CancerDQoL），抑郁症状较少（n = 5：HADS 抑郁症），焦虑较少（n = 3；HADS 焦虑症），心理灵活性较高（n = 3：MPFI）。日常测量结果显示，在不同阶段的比较中，自我报告的情绪（3 人）、焦虑（3 人）和心理灵活性（5 人）均有所改善。大多数参与者（5 人）在随访中明显感到疲劳减轻，两人明显感到疼痛减轻。参与者的反馈支持干预的可接受性。这些结果初步证明了 ACT 干预在减少癌症对 QoL 的负面影响、改善自我报告的心理结果和心理灵活性方面的有效性。有必要利用更多的样本进行纵向研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.