Cancer
Conditions
Keywords
Cancer survivors
Brief summary
This randomized clinical trial compares group acceptance and commitment therapy (ACT) to usual care for cancer survivors experiencing anxiety following the end of cancer treatment.
Interventions
A 7-session Acceptance and Commitment Therapy (ACT) group intervention
BEHAVIORALUsual Care
Check in with clinical social worker at oncology care site and obtain list of supportive resources
Sponsors
American Cancer Society, Inc.
Rocky Mountain Cancer Centers
University of California, Los Angeles
University of Colorado, Boulder
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
Note: 139 individuals enrolled. 4 dropped out after consent, before baseline data collection, leaving 135 individuals with data.
Eligibility
Sex/Gender
ALL
Age
21 Years to 95 Years
Healthy volunteers
Yes
Inclusion criteria
1. Adults in the Greater Boulder/ Denver, Colorado area who had cancer and completed primary cancer treatment (surgery, chemotherapy, and/or radiation) within the previous 18 months 2. For solid tumor cancers: Show no current evidence of disease for solid-tumor cancers (of any cancer type or initial stage). For lymphoproliferative disorders such as chronic lymphocytic leukemia and indolent non-Hodgkin's lymphoma: In remission or asymptomatic after initial treatment and are followed with active surveillance. 3. Screen positive for anxiety symptoms on the study screener 4. Able to speak, read, and write English fluently 5. Willing and able to participate in an ACT group once a week for 7 weeks 6. Willing and able to complete online questionnaires and phone interviews at designated assessment points
Exclusion criteria
1. Current moderate to high suicide risk 2. History of chronic untreated trauma (unrelated to their cancer) 3. Psychiatric hospitalization or suicide attempt in the past 5 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety symptoms | Baseline to Post and (3- and 6-month) Follow Up | Method of assessment: questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Medical resource use | Baseline to Post and (3- and 6-month) Follow Up | Method of assessment: survey of medical care use |
| Fear of cancer recurrence | Baseline to Post and (3- and 6-month) Follow Up | Method of assessment: questionnaire |
| Depressive symptoms | Baseline to Post and (3- and 6-month) Follow Up | Method of assessment: questionnaire |
| Fatigue / Vitality | Baseline to Post and (3- and 6-month) Follow Up | Method of assessment: questionnaire |
| Anxiety disorder severity | Baseline to Post and 6-month Follow Up | Method of assessment: diagnostic interview |
| Sense of life meaning | Baseline to Post and (3- and 6-month) Follow Up | Method of assessment: questionnaire |
Countries
United States
Outcome results
None listed