Acceptance and Commitment Therapy (ACT) - Based Treatment Development for Cancer Patients Treated for Pain

Study Overview
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Brief Summary
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The purpose of this research study is to develop a psychological treatment for patients with cancer, focused on the psychological symptoms they experience during opioid therapy.

Detailed Description
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This research study is a treatment development study, which is the first time investigators are developing this psychological intervention in patients with cancer, on opioid therapy. This study is being conducted to develop a psychological intervention designed specifically for individuals with cancer. The purpose of this study is to determine how practical this intervention is, to determine patient satisfaction, and test the study procedures.

Official Title
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Acceptance and Commitment Therapy (ACT) - Based Treatment Development for Cancer Patients Treated for Pain

Conditions
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Cancer

Intervention / Treatment
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* Behavioral: Acceptance & Commitment Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: must be at least 18 years of age speak and comprehend English sufficiently to be able to complete the study procedures and participate in psychotherapy in English have been diagnosed with cancer have an estimated survival time ≥6 months (as approximated by palliative care clinic staff) score ≥4 on the Opioid Risk Tool (Webster & Webster, 2005) with psychosocial distress as one of the positive items. Exclusion Criteria: untreated bipolar disorder untreated psychotic disorders untreated borderline personality disorder have an estimated survival time ≤6 months (as approximated by clinic staff).

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Acceptance & Commitment Therapy<br>Acceptance & Commitment Therapy (ACT) use acceptance, mindfulness, commitment, and behavior change strategies to increase psychological flexibility. Each subject will participate for 6 sessions of Acceptance & Commitment Therapy (ACT). ACT trains patients to reframe their unpleasant, negative, private events while encouraging personal values. | Behavioral: Acceptance & Commitment Therapy<br>* ACT is a unique, third-wave therapy that uses metaphors and experiential exercises to encourage contact with previously avoided thoughts, feelings, and behaviors.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Study feasibility | Defined by participants' completion of 80% of measures | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intervention acceptability | Defined by participant responses on the semi-structured qualitative interviews, upon treatment completion. | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cancer