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All Journal Jurnal Lanskap Indonesia Jurnal Ruas (Review of Urbanism and Architectural Studies) Nursing News : Jurnal Ilmiah Keperawatan Journal of Health (JoH) Jurnal Kesehatan Mesencephalon Nurse and Health: Jurnal Keperawatan Journal of Nursing Care and Biomolecular JAST : Jurnal Aplikasi Sains dan Teknologi Care : Jurnal Ilmiah Ilmu Kesehatan BUANA SAINS Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Jurnal Ilmiah Keperawatan Altruistik Jurnal Sains Kesehatan JAPI: Jurnal Akses Pengabdian Indonesia Dharma: Jurnal Pengabdian Masyarakat Journal of Nursing Science Update Jurnal Salingka Abdimas Jurnal Lentera Sahabat Sosial: Jurnal Pengabdian Masyarakat International Journal of Health Sciences Journal of Innovative and Creativity ASSYIFA: Jurnal Ilmu Kesehatan Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Journal of Community Service for Health Jurnal Ilmiah Keperawatan Altruistik
Wahidyanti Rahayu Hastutiningtyas
Universitas Tribhuwana Tunggadewi
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : Journal of Nursing Science Update

 1 
ACT Care: A Mobile Acceptance and Commitment Therapy Intervention to Improve Quality of Life in Breast Cancer Patients Trishinta, Sirli Mardianna; Wahidyanti Rahayu Hastutiningtyas; Cantika Previana
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.05

Abstract

Breast cancer patients often experience psychological distress, such as anxiety, stress and decreased quality of life, due to treatment processes and physical changes. Addressing these challenges requires holistic nursing care that integrates physical, emotional, and psychosocial aspects. In line with the Astra Cita mission to improve community well-being through science and technology, this study developed the ACT Care Application, based on Acceptance and Commitment Therapy (ACT), to support breast cancer patients in managing psychological distress through mindfulness and self-acceptance. The application provides self-assessment, structured mindfulness exercises, reflective journaling, self-acceptance modules, and virtual community support. This study employed a Research and Development (R&D) design, using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). A purposive sample of 30 breast cancer patients in Indonesia participated. Data were collected using a pretest–posttest design with the WHOQOL-BREF questionnaire. Patients used the ACT Care application for four weeks, and effectiveness was analyzed using the Wilcoxon signed-rank test. The results showed a significant improvement in the quality of life of breast cancer patients after using the ACT Care application. The mean WHOQOL-BREF score increased from 58.4 to 72.9 (P < 0.001), indicating improvements across physical, psychological, social, and environmental domains. This study provides preliminary support for the efficacy of technology-based nursing intervention to improve psychological well-being among breast cancer women. Considering these limitations, there is a need for further research to explore the benefit of ACT Care within specific cultural settings and cultures to ensure that this approach has larger applicability and acceptability.
Co-Authors Abdullah Abubakar Betan Ade Rohan Agabus Kepno Agus Waloyo Agustia Agustia Al-Fath, Roy Carlos Anggrasari, Herdiana Ani Sutriningsih Arnes Yuli Vandika Ayu, Nur Meity Sulistia Belangi, Siska Putri Budiyono, Debora Cahyo Sasmito Cantika Previana Cresensia Naot Desi Kurnia Dionesius Adolfus Raga Dorkas Tange Wini Dudella Desnani Firman Yasin, Dudella Desnani Firman Dyah Widodo Egi Sumitra Elsen Wulandari Selwir Emi Diarti Eri Yusnita Arvianti Erlisa Candrawati Erni Diarti Ervan, Ervan Fachry Abda El Rahman Fadli, Khalikul Farida Halis Fathul Qorib Florentina Anggun Maria Fransiska Noe Hamadi Hamadi Hamdanesti, Rischa Hartaty, Hartaty Hendra Kurniawan Hendrikus Ngaga Heni Pujiastuti Hesti Triana Soelistyari Hoda, Ferdinandus Suban Holyness Nurdin Singadimedja Ignasius Sardianto Buli Ina, Irnawati Nona Irawan Setyabudi Joko Wiyono Karunia Setyowati Kipply, Ziu Kirana, Sukma Ayu Candra Kristoforus Wasa Ngama Latif, Sarifudin Andi Lilik Supriati Lorenzo Agustino Soget Lukas Bayo Wolla Maemunah, Neni Makualaina, Fenska Narly Malaha, Naomi Malida Riko Rida Tama Maria Nelde Olo Marlince Ngonggo Megiwati Inka Wello Mudayatiningsih, Sri Mulia, Madepan Murtiyah Murtiyah Nailufar, Balqis Nataria yulianie Ngama, Kristoforus Wasa Ngara, Yohanes Wolla Ngongo, Heni Adrianus Nur Cahyani Ari Lestari Nur Hafifah Nur Khairiyah Nuraini Nuraini Nuraini Nuraini Nurhaedah Nurhaedah Nurheni Nurhidayah Nurhidayah Nurlela, Lela Nurul Aisyiyah Puspitarini Nurul Nurul Nurwijayanti Octavianus Klaudius Laka Padri Hamzah Pannyiwi, Rahmat Pendrita Jennie Kristina Prengki Prengki Putri, Rona Sari Mahaji Ragil Catur Adi W. Rahmat, Rezqiqah Aulia Raissa Patrisia Rezqiqah Aulia Rahmat Rico Saputra Rini Roostyowati Rizki Alfian Rizki Andita Noviar Robi&#039;Atul Adawiyah Rolianto Ngganja lakar Ronasari Mahaji Putri Rosdiana, Yanti Rosdiana, Yanti Rudimin Rudimin Savidni, Elvira Silvanus Silvanus Sima, Yenny Sirli Mardianna Trishinta Siti Aisyah Sri Andarini Sri Wahyuni Srijatun Srijatun Srijatun Srijatun Srijatun, Srijatun Suhardi, Alfianus Sujati Sujati Supriyadi Supriyadi Suroto, Karunia Setyowati Susi Milwati Susmini, Susmini Swaidatul Masluhiya AF Syamsul H. Rizal Latuapo Tanto Hariyanto Tavip Dwi Wahyuni Titin Indah Hartini Tonga, Triputra Daud Umbu Trishinta, Sirli Mardianan Trishinta, Sirli Mardianna Veronica Erna Pudjowati Widiani, Esti Wistiana Yanti Yanti Rosdiana Yanti Rosdiana Yanti Rosdiana Yanti Rosdiana Yonatan Ama Yunita Kristina Zaenal Zaenal, Zaenal Zulhijriani