The purpose of this study is to evaluate the feasiblity and effectiveness of an Acceptance and Commitment Therapy (ACT)-based nursing intervention aimed at managing psychological flexibility, distress, anxiety, depression, fear of cancer recurrence/progression, quality of life, and symptoms. Patients will participate in a single online session with a nurse, followed by a daily self-monitoring survey online for one week. Data will be collected at baseline (prior to the ACT session), on day 8 (after one week of self-monitoring), and at 5 weeks. Primary outcome is psychological flexibility.
This study is a preliminary single-group pre-post design aimed at developing and evaluating the feasibility of an ACT-based nursing intervention for distress management in patients with ovarian cancer. A total of 25 ovarian cancer patients who consent to participate will be enrolled in the study. Paticipants will receive a one-time ACT-based nursing intervention lasting approximately 60 minutes. The researcher will coordinate schedules with participants to deliver the ACT-based nursing intervention using Zoom, a video conferencing platform which minimizes time and location constraints. Before the intervention, the research will ensure that the participants' video conferencing is working properly to minimize potential difficulties during the session. Following the single-session intervention, the researcher will send a daily Google Form link to participants for seven consecutive days. Participants will be encouraged to access the link and complete self-monitoring surveys to reinforce the key components addressed in the program.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
25
ACT-based nursing intervention is a 1:1 single online session with a nurse, which takes about 60 minutes followed by a daily self-monitoring survey for one week, which encourages patients to practice ACT.
Change from baseline psychological distress on the last day of self-monitoring (Day 8)
Psychological distress measured by Distress Thermometer.
Time frame: Psychological distress will be assessed at baseline and on the last day of self-monitoring (Day 8).
Change from baseline depression
depression measured by the Hospital Anxiety and Depression Scale (HADS).
Time frame: within 3 weeks after the last day of self-monitoring (window: 7 days)
Change from anxiety
Anxiety by the Hospital Anxiety and Depression Scale (HADS).
Time frame: within 3 weeks after the last day of self-monitoring (window: 7 days)
Change from fear of cancer recurrence
Fear of cancer recurrence measured by the Fear of Cancer Recurrence Index (FCRI).
Time frame: within 3 weeks after the last day of self-monitoring (window: 7 days)
Change from psychological flexibility
Psychological flexibility measured by the Acceptance and Action Questionnaire-II (AAQ-II).
Time frame: within 3 weeks after the last day of self-monitoring (window: 7 days)
Change from quality of life
Quality of life measured by the ECORTC QLQ C-30.
Time frame: within 3 weeks after the last day of self-monitoring (window: 7 days)
Change from symptoms
Symptoms measured by the EORTC QLQ-OV28.
Time frame: within 3 weeks after the last day of self-monitoring (window: 7 days)
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