Internet‐Based Telecare and Bibliotherapy Delivery of Acceptance and Commitment Therapy for Reducing Anxiety and Depression in Breast Cancer Patients: A Randomized Controlled Trial.
Objective: To compare the effectiveness of Internet‐based acceptance and commitment therapy (iACT) and bibliotherapy‐based ACT (bACT) in reducing anxiety and depression among women with breast cancer. Methods: In this three‐arm randomized controlled trial, 99 participants were recruited from three o...
| Publicado en: | European Journal of Cancer Care Vol. 2026; pp. 1 - 11 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
2/16/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191631396&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191631396 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09615423 80B jtl: European Journal of Cancer Care issn: 09615423 maglogo: Y pubinfo: dt: 2/16/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 191631396 191631396 191631396 10.1155/ecc/7802902 191631396 ppf: 1 ppct: 10 formats: tig: atl: Internet‐Based Telecare and Bibliotherapy Delivery of Acceptance and Commitment Therapy for Reducing Anxiety and Depression in Breast Cancer Patients: A Randomized Controlled Trial. aug: au: Baghelani, Niloufar Miladinia, Mojtaba Jahangiri, Mina Zarea, Kourosh Zhang, Anao affil: Student Research Committee,, School of Nursing & Midwifery,, Ahvaz Jundishapur University of Medical Sciences,, Ahvaz, Iran, ajums.ac.ir sug: subj: Internet-Based Intervention Telemedicine Bibliotherapy Acceptance and Commitment Therapy Anxiety Prevention and Control Depression Prevention and Control Breast Neoplasms Cancer Patients Treatment Outcomes Human Funding Source Iran Female Adult Middle Age Randomized Controlled Trials Random Assignment Experimental Studies Descriptive Statistics Analysis of Variance Kruskal-Wallis Test Chi Square Test Repeated Measures Data Analysis Software Oncologic Care Questionnaires Adult: 19-44 years Middle Aged: 45-64 years Female ab: Objective: To compare the effectiveness of Internet‐based acceptance and commitment therapy (iACT) and bibliotherapy‐based ACT (bACT) in reducing anxiety and depression among women with breast cancer. Methods: In this three‐arm randomized controlled trial, 99 participants were recruited from three oncology centers in Iran and randomly assigned to iACT, bACT, or a control group (n = 33 each). Interventions lasted 6 weeks with a 4‐week follow‐up. The Beck Anxiety Inventory and Beck Depression Inventory‐Short Form were used to assess outcomes at baseline, post‐intervention, and follow‐up. Data were analyzed using generalized estimating equations (GEE). Results: The iACT group showed significantly greater reduction in depression and anxiety than the control group at post‐intervention and follow‐up (all p < 0.001, except for post‐intervention anxiety in iACT group was p = 0.001). The bACT group showed delayed but significant improvement in anxiety at follow‐up (p > 0.001), but not in depression. Between‐group comparisons revealed superior outcomes for iACT over bACT in both anxiety and depression post‐intervention, though the difference in anxiety diminished by follow‐up. Conclusions: Internet‐based ACT was more effective than bACT or standard care in reducing anxiety and depression in breast cancer patients. These results support the broader use of guided Internet‐based ACT interventions in oncology settings. Trial Registration: Iranian Registry of Clinical Trials: IRCT20231209060301N1 pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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