Developing an ACT-based intervention to address lung cancer stigma: Stakeholder recommendations and feasibility testing in two NCI-designated cancer centers Journal Article
| Authors: | Kaplan, D. M.; Hamann, H. A.; Price, S. N.; Williamson, T. J.; Ver Hoeve, E. S.; McConnell, M. H.; Duchschere, J. E.; Garland, L. L.; Ostroff, J. S. |
| Article Title: | Developing an ACT-based intervention to address lung cancer stigma: Stakeholder recommendations and feasibility testing in two NCI-designated cancer centers |
| Abstract: | Objective: Few psychosocial interventions have been tailored to meet the unique needs of patients diagnosed with lung cancer. This pilot study developed and tested a six-week intervention for reducing lung cancer stigma.Design and Subjects: Guided by qualitative interviews conducted with 9 lung cancer patients and 5 thoracic oncology care providers, Acceptance and Commitment Therapy was adapted for treatment of lung cancer stigma (ACT-LCS). In a subsequent single arm pilot study, 22 lung cancer patients reporting high levels of stigma completed the intervention.Setting: NCI-designated cancer centers in the Southwestern and Eastern United States.Results: Of 46 eligible patients, 22 provided consent, with 20 completing the intervention (10 in-person, 10 telehealth). Overall stigma decreased across timepoints, largely driven by reductions in internalized stigma. There were also significant reductions in social isolation, sleep disturbance, and fatigue.Conclusions: The ACT-LCS protocol demonstrates preliminary feasibility and acceptability. This intervention may be particularly suited for helping patients navigate feelings associated with internalized stigma. © 2022 Taylor & Francis Group, LLC. |
| Keywords: | united states; lung neoplasms; psychology; lung tumor; feasibility study; pilot study; feasibility studies; pilot projects; psycho-oncology; lung neoplasm; social stigma; humans; human; acceptance and commitment therapy; social adjustment: stakeholder-informed research |
| Journal Title: | Journal of Psychosocial Oncology |
| Volume: | 41 |
| Issue: | 1 |
| ISSN: | 0734-7332 |
| Publisher: | Taylor & Francis Group |
| Date Published: | 2023-01-01 |
| Start Page: | 59 |
| End Page: | 75 |
| Language: | English |
| DOI: | 10.1080/07347332.2022.2033377 |
| PUBMED: | 35129091 |
| PROVIDER: | scopus |
| PMCID: | PMC9356115 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Source: Scopus |
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