The role of psychological flexibility in palliative care

Martin, Christopher L.; Pakenham, Kenneth I.

doi:10.1016/j.jcbs.2022.05.004

Cited by 4 publications

(10 citation statements)

References 62 publications

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“…Eleven observational papers were identified. 45,47,50,51,56,58,59,64,65,67,69 The most frequently assessed outcomes were acceptance ( n = 6) 45,47,50,58,64,65 and valued living 47,50,51,64,67,69 both assessed in six studies (see Table 5).…”

Section: Resultsmentioning

confidence: 99%

“…The majority of articles examined Acceptance and Commitment Therapy for patients (n = 15; 58%). 16,[47][48][49][50][52][53][54]57,58,60,65,67,69 Of these, 10 papers were focused on people with advanced cancer. 16,47,49,50,[52][53][54]57,58,60 Four were focused on Acceptance and Commitment Therapy for families or caregivers 62,63,66,68 , two a mix of both patients and caregivers.…”

Section: Study Populationsmentioning

confidence: 99%

“…Nearly half of the 26 studies included were conducted in the USA (n = 11; 42%), [45][46][47][48][49][50][51][52][53][54][55] around a quarter in the UK (n = 6; 23%) [56][57][58][59][60][61] and a quarter in Australia (n = 6; 23%). [62][63][64][65][66][67] Articles identified were published from 2012 to 2023 (see Supplemental File: Figure 1). The publication rate accelerated during that time, with the highest number being published in 2020 (n = 5).…”

Section: Overview Of Studiesmentioning

confidence: 99%

“…Of the 26 papers included, 15 were interventions studies 16,46,48,49,[52][53][54][55]57,[60][61][62][63]66,68 while 11 were observational studies (eight quantitative, two qualitative and one mixed) (see Supplemental File: Figure 3). 45,47,50,51,56,58,59,64,65,67,69 Intervention papers included randomised controlled trials (n = 3; 20%), 54,63,66 pilot randomised controlled trials (n = 5; 33%), 48,49,53,55,60 single-arm intervention pilot trials (n = 6; 40%) 16,46,52,57,61,62 and qualitative intervention studies (n = 1; 6%). 68…”

Section: Overview Of Studiesmentioning

confidence: 99%

“…51 Unexpectedly, in one study higher scores of valued action were significantly correlated with higher scores of physical pain and death attitudes. 67 Grief and anticipatory grief. Higher acceptance was statistically significantly associated with lower anticipatory grief.…”

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confidence: 99%

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Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review

Gibson Watt,

Gillanders,

Spiller

et al. 2023

Palliat Med

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Background: People with an advanced progressive illness and their caregivers frequently experience anxiety, uncertainty and anticipatory grief. Traditional approaches to address psychological concerns aim to modify dysfunctional thinking; however, this is limited in palliative care, as often concerns area valid and thought modification is unrealistic. Acceptance and Commitment Therapy is a mindfulness-based behavioural therapy aimed at promoting acceptance and valued living even in difficult circumstances. Evidence on its value in palliative care is emerging. Aims: To scope the evidence regarding Acceptance and Commitment Therapy for people with advanced progressive illness, their caregivers and staff involved in their care. Design: Systematic scoping review using four databases (Medline, PsychInfo, CINAHL and AMED), with relevant MeSH terms and keywords from January 1999 to May 2023. Results: 1,373 papers were identified and 26 were eligible for inclusion. These involved people with advanced progressive illness ( n = 14), informal caregivers ( n = 4), palliative care staff ( n = 3), bereaved carers ( n = 3), and mixed groups ( n = 2). Intervention studies ( n = 15) showed that Acceptance and Commitment Therapy is acceptable and may have positive effects on anxiety, depression, distress, and sleep in palliative care populations. Observational studies ( n = 11) revealed positive relationships between acceptance and adjustment to loss and physical function. Conclusion: Acceptance and Commitment Therapy is acceptable and feasible in palliative care, and may improve anxiety, depression, and distress. Full scale mixed-method evaluation studies are now needed to demonstrate effectiveness and cost-effectiveness amongst patients; while further intervention development and feasibility studies are warranted to explore its value for bereaved carers and staff.

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Section: Resultsmentioning

confidence: 99%

Section: Study Populationsmentioning

confidence: 99%

Section: Overview Of Studiesmentioning

confidence: 99%

Section: Overview Of Studiesmentioning

confidence: 99%

mentioning

confidence: 99%

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Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review

Gibson Watt,

Gillanders,

Spiller

et al. 2023

Palliat Med

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Pilot evaluation of a self-help ACT intervention for palliative care patients

Martin,

Pakenham

2024

Journal of Contextual Behavioral Science

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Psychosocial palliative care: Patients’ preferred intervention medium, target domains, and well-being priorities

Pakenham

Martin

2022

Pall Supp Care

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Objectives Although psychological distress in palliative patients has at least an equal or greater impact on the quality of life compared to physical or spiritual distress, there is limited research on contextual factors associated with psychosocial intervention accessibility and relevance. This is the first published study to explore patients’ views on psychosocial intervention delivery medium preferences, key biopsychosocial target domains, and well-being priorities during the palliative and end-of-life (EOL) phases. Methods Eighty-one palliative patients from a Specialist Palliative Care Service completed a questionnaire, which collected quantitative and qualitative data on preferred mediums for receiving psychosocial interventions, priority biopsychosocial target domains, and well-being priorities during the palliative and EOL phases. Results Results showed that an individual in-person was the most preferred medium for receiving psychosocial interventions. Improving quality of life, distressing emotions, and adjusting to the palliative care context were the 3 most frequently endorsed biopsychosocial target domains. Valued living and comfortable living were the key priority well-being themes for the palliative phase, whereas being surrounded by loved ones and comfortable and dignified dying were the priority well-being themes for the EOL phase. Significance of results Findings highlight psychosocial interventions as an essential part of a holistic approach to patient-centered care throughout both the palliative and the EOL phases. Results can inform the refinement of existing and the development of new psychosocial interventions, particularly those that target emotional distress, adjustment, and quality of life. Furthermore, in-person treatment delivery remains essential in an evolving digital world.

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The role of psychological flexibility in palliative care

Cited by 4 publications

References 62 publications

Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review

Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review

Pilot evaluation of a self-help ACT intervention for palliative care patients

Psychosocial palliative care: Patients’ preferred intervention medium, target domains, and well-being priorities

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