"Live Fully With Cancer": Assessing the Impact of an Acceptance and Commitment Therapy and Compassion-Based Virtual Group Intervention for Diverse Cancer Patients
Summary
This clinical trial tests how well acceptance and commitment therapy and compassion based virtual group therapy works to improve psychological wellbeing, such as compassion, understanding, and flexibility, in patients with cancer. Receiving a cancer diagnosis, undergoing cancer treatment, and living with cancer- or treatment-related symptoms have often been found to be associated with elevated distress and decreased quality of life for individuals, even when the disease is stable or in remission. Acceptance and Commitment Therapy (ACT) has demonstrated considerable benefits on individuals' quality of life, psychological flexibility, and amelioration of psychological distress following a cancer diagnosis and in the face of uncertainty, loss, and challenges associated with cancer.
Detailed description
PRIMARY OBJECTIVES: I. To assess if participants perceive compassion and understanding by the provider who facilitates the virtual group intervention. II. To assess if participation in the ACT-based group intervention is associated with increases in patients' self-reported psychological flexibility as well as amelioration in psychological and physical distress. SECONDARY OBJECTIVE: I. To assess if participation in the ACT-based group intervention is associated with increases in patients' self-reported mindfulness, self-compassion, meaning and purpose, and posttraumatic growth. OUTLINE: Patients attend acceptance and commitment virtual group therapy sessions over 1.5 hours each, once a week for 6 weeks. After completion of study treatment, patients are followed up at 1 month.
Arms & interventions
- BehavioralBehavioral Intervention: Group Therapy Session
Attend virtual group therapy sessions
- OtherSurvey Administration
Ancillary study
Outcome measures
Primary
Participant perceived compassion and understanding by the group therapy provider - SCQ
Will be assessed based on average scores using the 5-item Sinclair Compassion Questionnaire (SCQ), answered using a 5-point scale (strongly disagree, disagree, neutral, agree, strongly agree)
Time frame: From baseline to 1 month post session 6
Patients' self-reported psychological flexibility - COMPACT-15
Will be assessed using the 15-item Comprehensive Assessment of Acceptance and Commitment Therapy Processes (COMPACT-15). Questions are answered on a scale of 0-6 (strongly disagree, moderately disagree, slightly disagree, neither agree nor disagree, slightly agree, moderately agree, strongly agree).
Time frame: From baseline to 1 month post session 6
Patients' self-reported psychological flexibility - Psy-Flex
Will be assessed using the 6-item Psy-Flex scale. Questions are answered on a 5-point scale (very often, often, from time to time, seldom, very seldom) based on experiences over the past 7 days.
Time frame: From baseline to 1 month post session 6
Physician and psychological distress - PROMIS-29
Will be assessed using the Patient Reported Outcomes Measurement Information System (PROMIS)-29 v2.0 Profile, which assesses pain intensity using a 0-10 numeric rating scale across seven health domains (physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance), with four items per domain.
Time frame: From baseline to 1 month post session 6
Secondary
Self reported mindfulness
Time frame: Baseline; 1 month post session 6 (not assessed at mid-group to reduce patient survey burden)
Self-compassion
Time frame: Baseline; 1 month post session 6 (not assessed at mid-group to reduce patient survey burden)
Meaning and purpose
Time frame: Baseline; 1 month post session 6 (not assessed at mid-group to reduce patient survey burden)
Posttraumatic growth
Time frame: Baseline; 1 month post session 6 (not assessed at mid-group to reduce patient survey burden)
Eligibility criteria
Study locations (1)
Mayo Clinic in Arizona
Scottsdale, Arizona, 85259