| Title |
Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients: a pilot randomized trial
|
|---|---|
| Published in |
Supportive Care in Cancer, January 2018
|
| DOI | 10.1007/s00520-018-4045-0 |
| Pubmed ID | |
| Authors |
Catherine E. Mosher, Ekin Secinti, Ruohong Li, Adam T. Hirsh, Jonathan Bricker, Kathy D. Miller, Bryan Schneider, Anna Maria Storniolo, Lida Mina, Erin V. Newton, Victoria L. Champion, Shelley A. Johns |
| Abstract |
Breast cancer is the leading cause of cancer mortality in women worldwide. With medical advances, metastatic breast cancer (MBC) patients often live for years with many symptoms that interfere with activities. However, there is a paucity of efficacious interventions to address symptom-related suffering and functional interference. Thus, this study examined the feasibility and preliminary efficacy of telephone-based acceptance and commitment therapy (ACT) for symptom interference with functioning in MBC patients. Symptomatic MBC patients (N = 47) were randomly assigned to six telephone sessions of ACT or six telephone sessions of education/support. Patients completed measures of symptom interference and measures assessing the severity of pain, fatigue, sleep disturbance, depressive symptoms, and anxiety. The eligibility screening rate (64%) and high retention (83% at 8 weeks post-baseline) demonstrated feasibility. When examining within-group change, ACT participants showed decreases in symptom interference (i.e., fatigue interference and sleep-related impairment; Cohen's d range = - 0.23 to - 0.31) at 8 and 12 weeks post-baseline, whereas education/support participants showed minimal change in these outcomes (d range = - 0.03 to 0.07). Additionally, at 12 weeks post-baseline, ACT participants showed moderate decreases in fatigue and sleep disturbance (both ds = - 0.43), whereas education/support participants showed small decreases in these outcomes (ds = - 0.24 and - 0.18 for fatigue and sleep disturbance, respectively). Both the ACT and education/support groups showed reductions in depressive symptoms (ds = - 0.27 and - 0.28) at 12 weeks post-baseline. Group differences in all outcomes were not statistically significant. ACT shows feasibility and promise in improving fatigue and sleep-related outcomes in MBC patients and warrants further investigation. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Puerto Rico | 1 | 14% |
| United States | 1 | 14% |
| Spain | 1 | 14% |
| United Kingdom | 1 | 14% |
| Australia | 1 | 14% |
| Unknown | 2 | 29% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 6 | 86% |
| Scientists | 1 | 14% |
Mendeley readers
The data shown below were compiled from readership statistics for 217 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 217 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 33 | 15% |
| Student > Bachelor | 27 | 12% |
| Student > Ph. D. Student | 26 | 12% |
| Researcher | 18 | 8% |
| Other | 9 | 4% |
| Other | 35 | 16% |
| Unknown | 69 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 58 | 27% |
| Nursing and Health Professions | 26 | 12% |
| Medicine and Dentistry | 23 | 11% |
| Unspecified | 8 | 4% |
| Sports and Recreations | 7 | 3% |
| Other | 21 | 10% |
| Unknown | 74 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 January 2019.
All research outputs
#6,489,260
of 23,671,454 outputs
Outputs from Supportive Care in Cancer
#1,536
of 4,745 outputs
Outputs of similar age
#129,243
of 446,170 outputs
Outputs of similar age from Supportive Care in Cancer
#39
of 89 outputs
Altmetric has tracked 23,671,454 research outputs across all sources so far. This one has received more attention than most of these and is in the 72nd percentile.
So far Altmetric has tracked 4,745 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.8. This one has gotten more attention than average, scoring higher than 67% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 446,170 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.
We're also able to compare this research output to 89 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.