Oncovox: A randomised controlled trial of a web-based acceptance and commitment therapy for breast cancer patients

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Contextual Behavioral Science Pub Date : 2024-02-23 DOI:10.1016/j.jcbs.2024.100729

Silvia Nicolescu, Eugen-Călin Secară, Nicoleta Monica Jiboc, Adriana Băban

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Abstract

Background

iACT interventions can be cost-effective and convenient for providing evidence-based care to breast cancer patients (BCPs).

Objectives

Determining the feasibility, acceptability, and efficacy of Oncovox, a guided iACT intervention designed to improve psychosocial outcomes in BCP undergoing treatment.

Methods

A parallel, two-arm, open-label, randomized controlled trial (RCT) evaluating an 8-module intervention. Participants were randomized to the iACT group (N = 75) or a waitlist group (N = 75). Primary outcomes: Quality of Life (QoL), Behavioral Activation (BA), Symptom Interference (SI) and Reward Noticing (RN). Secondary outcomes: anxiety and depression symptoms and psychological flexibility (PF). Measurements were made pre- and post-intervention, twice during the intervention, and at 1- and 2-month follow-up.

Results

SI, anxiety and depression, and PF improved significantly, with further improvement at follow-up. QoL, BA and RN improved moderately, but only when imputed data were analyzed.

Conclusions

Oncovox has good dissemination potential and could be appropriately implemented in stepped care.

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Oncovox：针对乳腺癌患者的网络接受与承诺疗法随机对照试验

背景iACT干预措施在为乳腺癌患者（BCP）提供循证护理方面既经济又方便。目标确定Oncovox的可行性、可接受性和疗效，Oncovox是一种指导性iACT干预措施，旨在改善接受治疗的BCP的社会心理结果。参与者被随机分配到 iACT 组（75 人）或候补名单组（75 人）。主要结果生活质量 (QoL)、行为激活 (BA)、症状干扰 (SI) 和奖赏注意 (RN)。次要结果：焦虑和抑郁症状以及心理灵活性 (PF)。结果SI、焦虑和抑郁症状以及心理灵活性显著改善，并在随访中得到进一步改善。结论Oncovox具有良好的推广潜力，可在阶梯式护理中适当实施。

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.