Table 3 Open in new tab Summary of...

Authors

Year

Study type

Condition

Target population

Sample size

% Female

Country

Description of intervention

Outcome measure

Key findings

Quality appraisal: risk of bias

Kaplan et. al.

2023

Pilot

Lung cancer

People with lung cancer experience high levels of lung cancer stigma

55%

USA

Six-session acceptance and commitment therapy adapted to reduce lung cancer stigma

Lung Cancer Stigma Inventory

Overall measures of lung cancer stigma decreased (p < .001), driven by the reduction in internalized stigma (p < .001). Constrained disclosure decreased from mid-to post-intervention (p = .02). Perceived stigma remained unchanged throughout the intervention (p = .25). There was deceased self-reported social isolation at the program end

Low risk

Tian et. al.

2023

Randomized Controlled Trial

Lung cancer

Patients with lung cancer

175

38%

China

4-week mindfulness-based stress reduction program

Cataldo Lung Cancer Stigma Scale

The intervention reduced total stigma score immediately post-intervention (p < .001), 1-month post-intervention (p = .005), and 3-months post-intervention (p < .001). Self-esteem was higher and psychological distress was lower post-intervention

Low risk

Chambers et al.

2015

Pilot

Lung cancer

Patients with lung cancer

88%

Australia

Six weekly 50–55-minute CBT- and ACT-adapted sessions delivered over the telephone

Cataldo Lung Cancer Stigma Scale, qualitative interviews

The intervention reduced overall lung cancer stigma (effect size = 0.139), and shame and social isolation subscales. Telephone delivery was acceptable to participants

Low risk

Ye and Wu

2023

Randomized Controlled Trial

Lung cancer

Patients with lung cancer

Control 49% Intervention 40%

China

Nurse-led intervention program (6 months) included self-confidence cultivation, exercise, and self-care instruction, motivational communication, emotional guidance (e.g., empathic communication, mindfulness), healthcare provider communication with families

Herth Hope Index, a Chinese version of the Cataldo Lung Cancer Stigma Scale

Scores on Herth Hope Index were higher after the intervention, and higher than the control group at 6 months (all p < .05). Scores on all dimensions of the Cataldo Lung Cancer Stigma Scale were lower after the intervention, and lower than the control at 6 months (p < .05)

Table 3

Open in new tab

Summary of Studies of Psychosocial Interventions to Reduce Lung Cancer or COPD-Related Stigma

Authors	Year	Study type	Condition	Target population	Sample size	% Female	Country	Description of intervention	Outcome measure	Key findings	Quality appraisal: risk of bias
Kaplan et. al.	2023	Pilot	Lung cancer	People with lung cancer experience high levels of lung cancer stigma	22	55%	USA	Six-session acceptance and commitment therapy adapted to reduce lung cancer stigma	Lung Cancer Stigma Inventory	Overall measures of lung cancer stigma decreased (p < .001), driven by the reduction in internalized stigma (p < .001). Constrained disclosure decreased from mid-to post-intervention (p = .02). Perceived stigma remained unchanged throughout the intervention (p = .25). There was deceased self-reported social isolation at the program end	Low risk
Tian et. al.	2023	Randomized Controlled Trial	Lung cancer	Patients with lung cancer	175	38%	China	4-week mindfulness-based stress reduction program	Cataldo Lung Cancer Stigma Scale	The intervention reduced total stigma score immediately post-intervention (p < .001), 1-month post-intervention (p = .005), and 3-months post-intervention (p < .001). Self-esteem was higher and psychological distress was lower post-intervention	Low risk
Chambers et al.	2015	Pilot	Lung cancer	Patients with lung cancer	22	88%	Australia	Six weekly 50–55-minute CBT- and ACT-adapted sessions delivered over the telephone	Cataldo Lung Cancer Stigma Scale, qualitative interviews	The intervention reduced overall lung cancer stigma (effect size = 0.139), and shame and social isolation subscales. Telephone delivery was acceptable to participants	Low risk
Ye and Wu	2023	Randomized Controlled Trial	Lung cancer	Patients with lung cancer	79	Control 49% Intervention 40%	China	Nurse-led intervention program (6 months) included self-confidence cultivation, exercise, and self-care instruction, motivational communication, emotional guidance (e.g., empathic communication, mindfulness), healthcare provider communication with families	Herth Hope Index, a Chinese version of the Cataldo Lung Cancer Stigma Scale	Scores on Herth Hope Index were higher after the intervention, and higher than the control group at 6 months (all p < .05). Scores on all dimensions of the Cataldo Lung Cancer Stigma Scale were lower after the intervention, and lower than the control at 6 months (p < .05)

Authors	Year	Study type	Condition	Target population	Sample size	% Female	Country	Description of intervention	Outcome measure	Key findings	Quality appraisal: risk of bias
Kaplan et. al.	2023	Pilot	Lung cancer	People with lung cancer experience high levels of lung cancer stigma	22	55%	USA	Six-session acceptance and commitment therapy adapted to reduce lung cancer stigma	Lung Cancer Stigma Inventory	Overall measures of lung cancer stigma decreased (p < .001), driven by the reduction in internalized stigma (p < .001). Constrained disclosure decreased from mid-to post-intervention (p = .02). Perceived stigma remained unchanged throughout the intervention (p = .25). There was deceased self-reported social isolation at the program end	Low risk
Tian et. al.	2023	Randomized Controlled Trial	Lung cancer	Patients with lung cancer	175	38%	China	4-week mindfulness-based stress reduction program	Cataldo Lung Cancer Stigma Scale	The intervention reduced total stigma score immediately post-intervention (p < .001), 1-month post-intervention (p = .005), and 3-months post-intervention (p < .001). Self-esteem was higher and psychological distress was lower post-intervention	Low risk
Chambers et al.	2015	Pilot	Lung cancer	Patients with lung cancer	22	88%	Australia	Six weekly 50–55-minute CBT- and ACT-adapted sessions delivered over the telephone	Cataldo Lung Cancer Stigma Scale, qualitative interviews	The intervention reduced overall lung cancer stigma (effect size = 0.139), and shame and social isolation subscales. Telephone delivery was acceptable to participants	Low risk
Ye and Wu	2023	Randomized Controlled Trial	Lung cancer	Patients with lung cancer	79	Control 49% Intervention 40%	China	Nurse-led intervention program (6 months) included self-confidence cultivation, exercise, and self-care instruction, motivational communication, emotional guidance (e.g., empathic communication, mindfulness), healthcare provider communication with families	Herth Hope Index, a Chinese version of the Cataldo Lung Cancer Stigma Scale	Scores on Herth Hope Index were higher after the intervention, and higher than the control group at 6 months (all p < .05). Scores on all dimensions of the Cataldo Lung Cancer Stigma Scale were lower after the intervention, and lower than the control at 6 months (p < .05)

This Feature Is Available To Subscribers Only