Developing an ACT-based intervention to address lung cancer stigma: Stakeholder recommendations and feasibility testing in two NCI-designated cancer centers

Deanna M. Kaplan, Heidi A. Hamann, Sarah N. Price, Timothy J. Williamson, Elizabeth S. Ver Hoeve, Mairead H. McConnell, Jennifer E. Duchschere, Linda L Garland, Jamie S. Ostroff

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)59-75
Number of pages17
JournalJournal of Psychosocial Oncology
Volume41
Issue number1
DOIs
StatePublished - 2023

Keywords

  • acceptance and commitment therapy
  • lung neoplasm
  • psycho-oncology
  • social adjustment: stakeholder-informed research

ASJC Scopus subject areas

  • Oncology
  • Applied Psychology
  • Psychiatry and Mental health

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