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The Development and Process Evaluation of a 3-Day Acceptance and Commitment Therapy Group Program for Adolescent Cancer Survivors
Child & Youth Care forum ( IF 2.203 ) Pub Date : 2020-08-28 , DOI: 10.1007/s10566-020-09571-4
Kristina Clarke , Pandora Patterson , Fiona E. J. McDonald , Claire E. Wakefield , Ursula Sansom-Daly , Brad Zebrack

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

The Places You’ll Go program 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.



中文翻译:

青少年癌症幸存者为期三天的接受和承诺治疗小组计划的开发和过程评估

背景

被诊断出患有癌症的青少年经历了独特的社会心理问题,这些问题一直持续到完成治疗后才能长期存活。基于营地的团体接受和承诺治疗(ACT)程序是为青少年癌症幸存者提供循证医学和心理支持的潜在模型。

目的

本文介绍了“您要去的地方”这样的程序的可行性和可接受性的开发和探索该手动程序在为期3天的训练营中结合了5个90分钟的小组ACT课程,在癌症的社会心理影响的背景下教授ACT策略。

方法

八名主持人和二十八名澳大利亚青少年癌症幸存者(女性占68%;年龄范围12-17岁,M  = 15.4岁)参加了该计划和评估。使用主持人报告的会议时间,出勤率,质量和内容保真度评估可行性;计划完成后,主持人还完成了访谈。年轻人在每节课结束时和计划完成时完成了关于计划可接受性的调查。

结果

计划的所有会议均已交付,出席率达到97%,并且在手动计划交付方面具有很高的忠诚度。所有年轻人大多或非常满意,并会将该计划推荐给另一位癌症幸存者。同伴联系和技能发展的机会有助于感知程序的可接受性。

结论

您将要去地方”计划可以接受并且可行。这是一个有前途的基于社区的模型,可以促进青少年癌症幸存者的同伴支持和福祉,这表明基于ACT的方法对于该人群具有潜力。正在进行进一步的工作,以评估该计划是否改善了参与者的心理社会幸福感,以及这是否与支持ACT的治疗机制有关。

更新日期:2020-08-29
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