M.D. Anderson Cancer Center
To learn about the effects of an intervention program called Focused Acceptance and Commitment Therapy (FACT) on the level of anxiety patients diagnosed with cancer feel about death. To learn if an intervention program called Focused Acceptance and Commitment Therapy (FACT), designed to help reduce death-related anxiety, is effective and acceptable to patients diagnosed with advanced cancer.
Primary Objectives: Phase 1 To estimate the initial feasibility and acceptability of delivering the iteratively developed FACT in a single-arm pilot trial. We hypothesize that FACT will be both feasible (defined criteria: ≥90% on intervention fidelity ratings, attendance of ≥70% of FACT sessions, retention post-intervention assessment completion 70%) and acceptable (defined criteria: patients will report average satisfaction as ≥4/5; average appropriateness of the intervention as ≥4/5; ≥75% would recommend FACT to others, and ≥50% indicate they are likely to use FACT strategies following sess…
Inclusion Criteria: * Adult cancer patients diagnosed with advanced cancer (solid tumor and hematologic) * Progressed past at least one line of palliative systemic cancer therapy * Patient followed by Supportive Care Outpatient Service * English speaking * Able to provide written informed consent * Willing to participate in a stress and coping program * Willing to identify 1-2 important areas of life they might like to discuss with a counselor * Moderate levels of death anxiety on DADDS (\>=25, on 0-75 scale) * Access to technology to support institutionally approved video-conferencing platfo…
Participants will participate in 4 weekly, 35-45 minute sessions
Participants will complete a symptoms questionnaire
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