| Abstract | With more people living with and beyond cancer, it is important to support people to manage post-treatment impacts on their lives. Acceptance and commitment therapy+ (ACT+), a tailored talking therapy intervention for those living with and beyond cancer, can improve quality of life for this patient group. This study sought to understand patient experience, both positive and negative, of ACT+ by exploring how they engaged with ACT+ components (like mindfulness) and other important factors. This qualitative, one-to-one interview study was situated within a randomised controlled trial of ACT+ (SUvivors Rehabilitation Evaluation after CANcer – SURECAN). ACT+ was for those living with and beyond cancer who had recently completed cancer treatment, were in remission and reported poor quality of life. Patients (n=24) and ACT+ therapists (n=5) discussed their experiences of receiving/delivering ACT+. Data were analysed using deductive and inductive thematic analysis. Themes were engagement with ACT+ processes; operationalising ACT+ concepts; ACT+ receptivity and relational influences regarding take-up. Various ACT+ components synergised to promote change, with the practical application of mindfulness exercises and the tangible ‘doing what matters’ outcomes promoted by the intervention being particularly important. Other important factors included ACT+ addressing the unmet psychological needs of patients, its adaptability to varying patient needs, the exercises/metaphors utilised during sessions, and the ACT+ manual. Skilled therapists were considered influential in positive therapy experiences. Findings support the integration of ACT+ within NHS care pathways. ACT+ can offer a meaningful and acceptable approach for cancer survivors who experience reduced quality of life. |
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