Evidence map›Paper›PMID 40053539›Full record

ArticlePloS one2025

Acceptability and feasibility of acceptance and commitment therapy for improving outcomes in hematopoietic stem cell transplant.

Rhonda M Merwin, Patrick J Smith, J A Riley, Jordan Infield, Christine O'Connell, Dorothy Mayo, Ashley A Moskovich, Lauren Hill, Hilary Winthrop, Amy Bush and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07516314 (ACT to Reduce Morbidity and Mortality in Hematopoietic Stem Cell Transplant), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07516314 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

ACT to Reduce Morbidity and Mortality in Hematopoietic Stem Cell Transplant (HCT) Patients (ACTivate)

TypeinterventionalSponsorAnthony Sung, MDRan2026 to 2031Enrolled476ConditionsStem Cell Transplant PatientsArmsACTivate sessions
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rhonda M MerwinDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, United States of America.ORCID https://orcid.org/0000-0002-3729-0297
Patrick J SmithDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
J A RileyDuke Center for Aging, Duke University School of Medicine, Durham, North Carolina, United States of America.
Jordan InfieldDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.
Christine O'ConnellDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.
Dorothy MayoDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, United States of America.
Ashley A MoskovichDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, United States of America.
Lauren HillDepartment of Medicine, Division of Hematologic Malignancies and Cellular Therapy, Duke University School of Medicine, Durham, North Carolina, United States of America.
Hilary WinthropDuke Office of Clinical Research, Duke University School of Medicine, Durham, North Carolina, United States of America.
Amy BushDepartment of Medicine, Division of Hematologic Malignancies and Cellular Therapy, Duke University School of Medicine, Durham, North Carolina, United States of America.
Ernaya JohnsonDepartment of Medicine, Division of Hematologic Malignancies and Cellular Therapy, Duke University School of Medicine, Durham, North Carolina, United States of America.ORCID https://orcid.org/0000-0001-8249-6801
Francesca ScheiberDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, United States of America.
Anthony D SungDepartment of Medicine, Division of Hematologic Malignancies and Cellular Therapy, Duke University School of Medicine, Durham, North Carolina, United States of America.

Funding

Roybal Center Pilot CoreP30AG064201 · NIA · DUKE UNIVERSITY · PI PRVU BETTGER, JANET ALEXANDRIA · 2019 to 2023
$3.2M
NIA NIH HHS P30 AG064201
6 · The paper itself

Abstract

introductionAllogeneic hematopoietic stem cell transplant (HCT) has the potential to cure patients with hematologic malignancies, but treatment-related morbidity and mortality is high. Transplant outcomes are optimized by patients maintaining physical activity. The aim of the current study was to examine whether a brief Acceptance and Commitment Therapy (ACT) intervention is acceptable to HCT patients and caregivers and helps patients engage in healthy behavior despite physical and emotional discomfort.

methodsPatients ≥ 18 years of age who were undergoing allogenic HCT for any cancer or non-cancer illness and their caregivers were invited to complete six ACT sessions between transplant day - 30 and day + 90. Multiple small cohorts of n = 3 dyads were enrolled, and the protocol content was iterated after each cohort to reflect the experiences and breadth of concerns of individuals undergoing HCT. Acceptability was indexed by session completion rates and acceptability surveys. Pre-post 6-minute walk distance was collected as an index of physical function as part of standard care.

resultsSixteen HCT dyads enrolled in the study; 12 continued to treatment. Most participants completed all assigned sessions. Participants perceived ACT to be helpful and 70% (5 of 7) of the patients with pre-post 6-minute walk test data showed improvement.

conclusionACT is an acceptable and potentially useful intervention for individuals undergoing HCT. Additional controlled studies are warranted.

Indexed as

Acceptance and Commitment TherapyHematologic NeoplasmsHematopoietic Stem Cell TransplantationPatient Acceptance of Health CareAdultAgedCaregiversFeasibility StudiesFemaleHumansMaleMiddle AgedTreatment Outcome

Identifiers

PMID40053539
PMCPMC11888137

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.