{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:32:35Z","timestamp":1789288355912,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100001547","name":"China Medical Board","doi-asserted-by":"publisher","award":["22\u2010482"],"award-info":[{"award-number":["22\u2010482"]}],"id":[{"id":"10.13039\/100001547","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify the feasibility, acceptability, and effectiveness of web\u2010based acceptance and commitment therapy (ACT) on health\u2010related outcomes in patients with lung cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A feasibility, prospective, parallel, individual\u2010based, assessor\u2010blinded randomized controlled trial was designed. This study was conducted at a third\u2010level hospital in Sichuan Province, China. A total of 101 participants were enrolled and randomly assigned to usual care group or 7\u2010weekly web\u2010based acceptance and commitment therapy group. The primary outcome was feasibility and acceptability of the intervention, and the secondary outcomes including quality of life, psychological flexibility, anxiety, depression, fatigue, and sleep disturbance. Generalized estimating equations were used to evaluate the group differences. All analyses followed the principle of intention\u2010to\u2010treat.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Web\u2010based ACT presented good feasibility and acceptability in this study, with an attrition rate of 13.86%, a median compliance rate of 71.43%, and a satisfaction rate of 65.9%. Compared with control group, participants in intervention group reported statistically significant increases in quality of life (MD\u00a0=\u00a015.10, 95% CI: [10.09, 20.11],\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.37), psychological flexibility (MD\u00a0=\u00a0\u22128.42, 95% CI: [\u221210.81, \u22126.03],\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a0\u22121.47), anxiety (MD\u00a0=\u00a0\u22121.27, 95% CI: [\u22122.50, \u22120.05],\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a0\u22120.44), depression (MD\u00a0=\u00a0\u22122.11, 95% CI: [\u22123.28, \u22120.95],\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a0\u22120.76), and sleep disturbance (MD\u00a0=\u00a0\u22121.85, 95% CI: [\u22123.10, \u22120.59],\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.13) at postintervention, however, the improvement in fatigue was not statistically significant (MD\u00a0=\u00a0\u22122.02, 95% CI: [\u22129.02, 4.98],\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a0\u22120.12).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Web\u2010based ACT was an approach with good feasibility and acceptability, and it could effectively improve quality of life, psychological flexibility, anxiety, depression, and sleep disturbance in patients with lung cancer. In order to achieve better results, there is a need to design a more tailored intervention plan and a more operational platform.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70045","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T23:25:28Z","timestamp":1734391528000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Effects of Web\u2010Based Acceptance and Commitment Therapy on Health\u2010Related Outcomes Among Patients With Lung Cancer: A Feasibility Randomized Controlled Trial"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8955-8139","authenticated-orcid":false,"given":"Yalin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University\/West China School of Nursing Sichuan University  Chengdu China"},{"name":"Department of Obstetrics Nursing, West China Second University Hospital, Sichuan University\/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunhua","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Biotherapy Cancer Center West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoli","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University\/West China School of Nursing Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University\/West China School of Nursing Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunhuan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University\/West China School of Nursing Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaolin","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University\/West China School of Nursing Sichuan University  Chengdu China"},{"name":"Tianfu Jincheng Laboratory City of Future Medicine  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,16]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"International Agency for Research on Cancer (2020) https:\/\/gco.iarc.fr\/today\/online\u2010analysis\u2010pie?v=2020&mode=cancer&mode_population=continents&population=900&populations=900&key=total&sex=0&cancer=39&type=1&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&nb_items=7&group_cancer=1&include_nmsc=1&include_nmsc_other=1&half_pie=0&donut=0."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010023\u201040117\u20105"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.1117"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.18632\/aging.202504"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0277\u20109536(01)00043\u20100"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28434"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(14)70313\u2010X"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12508"},{"key":"e_1_2_9_10_1","unstructured":"World Health Organization \u201cWHO Highlights Urgent Need to Transform Mental Health and Mental Health Care \u201d (2022) https:\/\/www.who.int\/news\/item\/17\u201006\u20102022\u2010who\u2010highlights\u2010urgent\u2010need\u2010to\u2010transform\u2010mental\u2010health\u2010and\u2010mental\u2010health\u2010care."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796019000866"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2023.104447"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010021\u201006274\u2010x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2015.07.001"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4687"},{"key":"e_1_2_9_16_1","unstructured":"D. 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