The Feasibility and Acceptability of a Cognitive Behavioral Therapy-Based Intervention for Patients With Advanced Colorectal Cancer
| Autor: | Fang Ting Pan, Eric A. Finkelstein, Irene Teo, Yin Bun Cheung, Simon Yew Kuang Ong, Emile Kwong Wei Tan, Grace Meijuan Yang, Yee Pin Tan, Henry Yuen Foong Lew |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Coping (psychology) medicine.medical_specialty medicine.medical_treatment Disease Hospital Anxiety and Depression Scale 03 medical and health sciences 0302 clinical medicine Adaptation Psychological Humans Medicine 030212 general & internal medicine General Nursing Self-efficacy Singapore Cognitive Behavioral Therapy business.industry Information seeking Middle Aged Cognitive behavioral therapy Distress Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Helpfulness Physical therapy Feasibility Studies Female Neurology (clinical) Colorectal Neoplasms business |
| Zdroj: | Journal of Pain and Symptom Management. 60:1200-1207 |
| ISSN: | 0885-3924 |
| Popis: | Context Advanced colorectal cancer and its treatment can bring about challenges associated with psychological distress. Objectives The primary aims of this study were to examine the feasibility and acceptability of a cognitive behavioral therapy (CBT)-based intervention to improve coping with the disease. The secondary aim is to evaluate preliminary intervention efficacy. Methods Patients with advanced colorectal cancer in Singapore (N = 60) were randomized to either receive a four-session CBT intervention immediately or be waitlisted. Intervention feasibility (i.e., recruitment and intervention adherence) and acceptability (i.e., participant satisfaction and cultural sensitivity) were assessed. Changes in psychological distress and self-efficacy were examined. Results The study successfully recruited the intended sample (mean age 61; 62% men). A proportion (12%) reported Hospital Anxiety and Depression Scale scores indicative of distress at baseline. Most (88%) completed all sessions. Participants reported high rates of satisfaction (97%), helpfulness (96%), and cultural sensitivity (95%) of the intervention. The intervention group did not show decrease in psychological distress; however, self-efficacy in cancer-related coping (information seeking: effect size [ES] = 0.64; 95% CI = 0.17, 0.85; coping with side effects: ES = 0.69; 95% CI = 0.33, 0.82; and maintaining positive attitude: ES = 0.45; 95% CI = 0.19, 0.79) increased in the intervention group compared with the waitlisted group. Conclusion The CBT-based intervention was feasible and acceptable to patients in Singapore. There is no sufficient evidence to warrant a larger trial in this sample with low baseline distress. Future work should identify and target those who are most in need of support. |
| Databáze: | OpenAIRE |
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