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Acceptance and commitment therapy (ACT)-enhanced communication skills: development and evaluation of a novel training
Nicholas J Hulbert-Williams1, Lee Hulbert-Williams2, Pandora Patterson3
1Centre for Contextual Behavioural Science, University of Chester, Chester, UK n.hulbertwilliams@chester.ac.uk.
Cancer care professionals found a training program on Acceptance and Commitment Therapy (ACT) acceptable and applicable. While communication improved, psychological flexibility did not significantly change, suggesting a need for more experiential content.
Area of Science:
- Oncology
- Psychology
- Healthcare Professional Training
Background:
- Psychological suffering is a common, unmet need in cancer care.
- Nurses and allied health professionals often manage distress with limited training in psychological frameworks like Acceptance and Commitment Therapy (ACT).
Purpose of the Study:
- To develop and evaluate a single-day training program for cancer care professionals.
- To shift clinical communication regarding psychological distress towards an ACT-consistent approach.
Main Methods:
- Three training iterations were conducted in UK and Australian cancer care settings.
- 116 professionals participated; 53 completed evaluations at 2-week and/or 3-month follow-ups.
- Data collection included self-report surveys with quantitative and qualitative feedback.
Main Results:
- 73% found the training relevant at 2 weeks; 46% felt better equipped at 3 months.
- Positive changes in communication behaviors and attitudes were reported.
- Training did not increase stress or negatively impact well-being, but psychological flexibility did not significantly improve.
Conclusions:
- The ACT-consistent communication training is acceptable and applicable in supportive and palliative cancer care.
- Enhanced experiential content may be needed to improve psychological flexibility.
- Robust train-the-trainer models are recommended for future delivery.
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