Patient and health care professional co-development of an Acceptance and Commitment Therapy intervention to support hormone therapy decision-making and well-being in women with breast cancer
Open accessAbstract
OBJECTIVES: The aim of this work was to co-develop an Acceptance and Commitment Therapy (ACT) intervention to support medication adherence and quality of life in breast cancer survivors (BCSs). The research approach was intervention co-development. METHODS: The sample consisted of BCS focus groups (n = 24), health care provider (HCP) interviews (n = 10), and a co-development workshop (BCSs, n = 12; HCPs, n = 9).We conducted 6 BCS focus groups and 10 HCP interviews to understand the acceptability of ACT. We co-designed the intervention in a workshop. RESULTS: Participants reported high acceptability of an ACT intervention. BCSs preferred ACT exercises focused on values and self-compassion. Both groups recommended face-to-face intervention delivery, by a clinical psychologist, with a mixture of individual and group sessions. BCSs requested advice on side-effect management. CONCLUSIONS: We effectively used patient and HCP co-design to configure an ACT intervention to support medication adherence and quality of life for BCSs. If feasible and efficacious, this ACT-based intervention could support breast cancer survivorship.
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The intervention was adapted for remote delivery following the COVID-19 pandemic.
“The intervention was adapted for remote delivery following the COVID -19 pandemic. 14”
From A pilot randomised controlled trial of acceptance and commitment therapy for medication decision-making and quality of life in women with breast cancer: The ACTION trial (2024) · cites this paper as [14]
The Study limitations section says the work was undertaken before the COVID-19 pandemic. The Format of the intervention and Agreeing to a final configuration sections describe a preference for face-to-face delivery and a face-to-face configuration; the paper does not report a post-pandemic adaptation for remote delivery. (LLM, conf=0.84)
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Experimental — accuracy not yet measuredTargeting a broader range of factors associated with adherence, including mood and QoL, could more effectively support AET decision-making.
“Targeting a broader range of factors associated with adherence, including mood and QoL could more effectively support AET decision -making. 14,15”
The ACTION intervention was co-designed by patients and healthcare professionals during a workshop.
“The ACTION intervention was co -designed by patients and healthcare professionals during a workshop. 14”
Our co-design approach considered cost and feasibility of delivery within NHS services.
“Our co -design approach, considered cost and feasibility of delivery within NHS services. 14”
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Eficacia de la Terapia de Aceptación y Compromiso (ACT) en pacientes con cáncer de mama
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- Authors
- Hall, L. H., Clark, J., Smith, S. G., Graham, C. D., & for the ACTION investigators
- Affiliations
- University of Leeds (GB)
- St James's University Hospital (GB)
- Queen's University Belfast (GB)
- Corresponding author
- Smith, Samuel George
- Venue
- Journal of Psychosocial Oncology
- Publisher
- Informa UK Limited
- Published
- 2021-11-26
- Volume
- 40
- Issue
- 4
- Pages
- 407-424
- ISSN
- 0734-7332 (ISSN-L)
- 1540-7586
- OpenAlex
- W3216595484
- Cited by
- 10
- References
- 37
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 1 · 2022: 3
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Psychosocial Oncology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Research Portal (Queen's University Belfast) (acceptedVersion, cc-by-nc-nd)
- Strathprints: The University of Strathclyde institutional repository (University of Strathclyde) (acceptedVersion)
- Funders
- Yorkshire Cancer Research (L417)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- acceptance and commitment therapy, breast cancer survivors, medication adherence, quality of life, self-compassion, values-based intervention, side effect management, psychological well-being
- MeSH terms
- Breast Neoplasms, Female, Health Personnel, Hormones, Humans, Quality of Life, Acceptance and Commitment Therapy
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