TY - JOUR
T1 - Developing an ACT-based intervention to address lung cancer stigma
T2 - Stakeholder recommendations and feasibility testing in two NCI-designated cancer centers
AU - Kaplan, Deanna M.
AU - Hamann, Heidi A.
AU - Price, Sarah N.
AU - Williamson, Timothy J.
AU - Ver Hoeve, Elizabeth S.
AU - McConnell, Mairead H.
AU - Duchschere, Jennifer E.
AU - Garland, Linda L
AU - Ostroff, Jamie S.
N1 - Funding Information:
This work was supported by the National Cancer Institute under grants T32CA009461 and P30CA008748; the University of Arizona Cancer Center—Cancer Center Support under grant P30CA023074-36; and a Basic/Clinical Partnership grant from the University of Arizona Cancer Center. Preparation of this manuscript was additionally supported by the National Heart Lung and Blood Institute under grant 1F32HL154751-01 (Kaplan) and the National Cancer Institute under grant K99-CA-256351 (Williamson). The authors thank all study participants for their valuable contributions to this research.
Publisher Copyright:
© 2022 Taylor & Francis Group, LLC.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - acceptance and commitment therapy
KW - lung neoplasm
KW - psycho-oncology
KW - social adjustment: stakeholder-informed research
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U2 - 10.1080/07347332.2022.2033377
DO - 10.1080/07347332.2022.2033377
M3 - Article
C2 - 35129091
AN - SCOPUS:85124363165
SN - 0734-7332
VL - 41
SP - 59
EP - 75
JO - Journal of Psychosocial Oncology
JF - Journal of Psychosocial Oncology
IS - 1
ER -