The Development and Process Evaluation of a 3-Day Acceptance and Commitment Therapy Group Program for Adolescent Cancer Survivors

被引:14
作者
Clarke, Kristina [1 ]
Patterson, Pandora [1 ,2 ]
McDonald, Fiona E. J. [1 ,2 ]
Wakefield, Claire E. [3 ,4 ]
Sansom-Daly, Ursula [3 ,4 ]
Zebrack, Brad [5 ]
机构
[1] CanTeen Australia, GPOB 3821, Sydney, NSW 2001, Australia
[2] Univ Sydney, Canc Nursing Res Unit, Sydney, NSW, Australia
[3] UNSW, Sch Womens & Childrens Hlth, Sydney, NSW, Australia
[4] Sydney Childrens Hosp, Kids Canc Ctr, Sydney, NSW, Australia
[5] Univ Michigan, Sch Social Work, Ann Arbor, MI 48109 USA
基金
英国医学研究理事会;
关键词
Acceptance and commitment therapy; Adolescent and young adult; Cancer; Cancer survivorship; Intervention; YOUNG-ADULT SURVIVORS; IMPLEMENTATION FIDELITY; POSTTRAUMATIC GROWTH; HELP ADOLESCENTS; INTERVENTIONS; FRAMEWORK; OUTCOMES; SUPPORT; EXPERIENCES; CHILDREN;
D O I
10.1007/s10566-020-09571-4
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Background Adolescents diagnosed with cancer experience unique psychosocial concerns that persist beyond treatment completion into longer-term survivorship. Camp-based, group Acceptance and Commitment Therapy (ACT) programs are a potential model for providing evidence-informed psychological and peer support to adolescent cancer survivors. Objective This paper describes the development and exploration of the feasibility and acceptability of such a program,Places You'll Go.This manualised program incorporates five 90-min group ACT sessions within a 3-day camp, teaching ACT strategies in the context of psychosocial impacts of cancer. Method Eight facilitators and twenty-eight Australian adolescent cancer survivors (68% female; age range 12-17 years,M = 15.4 years) participated in the program and evaluation. Feasibility was assessed using facilitator-reported session duration, attendance, quality and content fidelity; facilitators also completed interviews after program completion. Young people completed surveys on program acceptability at the end of each session and at program completion. Results All planned sessions were delivered, with 97% attendance and high fidelity in manualised program delivery. All young people were mostly or very satisfied and would recommend the program to another cancer survivor. Opportunities for peer connection and skill development contributed to perceived program acceptability. Conclusions ThePlaces You'll Goprogram was acceptable and feasible to deliver. It is a promising community-based model for promoting peer support and well-being in adolescent cancer survivors, indicating the potential of ACT-based approaches for this population. Further work is underway to evaluate whether the program improves psychosocial wellbeing among participants, and if this is linked to the therapeutic mechanisms underpinning ACT.
引用
收藏
页码:229 / 246
页数:18
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