Feasibility, acceptability, and effectiveness of an asynchronous, internet-delivered acceptance and commitment therapy for people living with cancer: A pilot randomized controlled trial using mixed methods

作者：Tao Zhang, Feng Wan, Yu Sun, Ying Li, Jiawei Hu, Xiayu Du, Lizu Lai, Yongjian Ke, Bryant P. H. Hui, Zhihong Ren · 发表于：Computers in Human Behavior Reports · 年份：2025 · DOI：10.1016/j.chbr.2025.100859 · 被引用次数：1 · 研究领域：Cancer survivorship and care、Mindfulness and Compassion Interventions、Digital Mental Health Interventions

People living with cancer often experience significant psychological distress, yet accessible and scalable psychological interventions remain limited. To address this gap, the present study aimed to examine the feasibility, acceptability, and preliminary effectiveness of an asynchronous, self-guided, internet-delivered Acceptance and Commitment Therapy (ACT) intervention for adults living with cancer at different cancer stages and treatment phases. In this mixed-methods pilot randomized controlled trial, sixty eligible participants were randomly assigned to either an intervention group or a wait-list control group. The two-week program comprised eight 30-minute modules designed to engage participants with the six core therapeutic processes of ACT. Measures of psychological distress, anxiety, and depression were administered at baseline, midpoint, and post-intervention. Semi-structured interviews were also conducted to gain deeper insights into participants’ experiences. Quantitative data were analyzed using analysis of variance (ANOVA), and qualitative data were examined through thematic analysis. Results showed significant reductions in psychological distress and anxiety, with marginal improvement in depression compared to the control group. A 70 % retention rate and 63 % completion rate indicated acceptable feasibility, and participants reported moderate satisfaction with the intervention. Qualitative interviews revealed four key domains: accessibility and feasibility, ther...