Single-Session Acceptance and Commitment Therapy (ACT) Interventions for Patients with Chronic Health Conditions: A Systematic Review and Meta-Analysis

Author(s):  
Cara Dochat ◽  
Jennalee S. Wooldridge ◽  
Matthew S. Herbert ◽  
Michael W. Lee ◽  
Niloofar Afari
Author(s):  
Glenn M. Sloman ◽  
Michael C. Selbst

Acceptance and commitment therapy (ACT) is a therapy-based intervention for students with chronic health conditions that helps students manage their experience with their medical condition through changing their relationship with unpleasant thoughts, feelings, sensations, urges, and memories in the service of engaging in values-based actions. ACT offers a practical method for school-based professionals to help children and adolescents who experience chronic health conditions reduce their suffering and engage in life-affirming, values-based actions. The chapter provides an overview of the ACT approach and a review of its use and efficacy in school children with and without chronic health conditions. The overview includes a description of the key components and underlying theory of the approach and how it may be applied in the school setting. The chapter reviews one particular intervention approach in detail and describes each step, with an illustration of its application through case examples.


2019 ◽  
pp. 216769681988345
Author(s):  
David Allen ◽  
Nerina Scarinci ◽  
Louise Hickson

Patient- and family-centered care has been shown to improve outcomes across a range of health conditions. The purpose of this study was to determine the impact of interventions to improve the patient- and family-centeredness of care (PFCIs) on the effectiveness of care of young adults (16–25) with chronic health conditions. A segregated design mixed-methods systematic review with meta-analysis and meta-synthesis of the literature was conducted. Thirteen quantitative papers and three qualitative papers were identified for inclusion. Random-effects meta-analysis was performed on quantitative findings, and a meta-synthesis was performed on qualitative findings. Preliminary evidence suggests that PFCIs were associated with improvements in the self-efficacy of young people with chronic health conditions. However, there were very few identified studies, and those that were identified were primarily in the field of mental health, requiring ongoing further research.


2018 ◽  
Vol 1 (4) ◽  
pp. 38 ◽  
Author(s):  
Richard Gray ◽  
Stav Hillel ◽  
Ellie Brown ◽  
Amal Al Ghareeb

Acceptance and commitment therapy (ACT) has been reported to be effective in the treatment of some psychiatric disorders. It remains uncertain, however, whether ACT is safe and effective in treating schizophrenia spectrum and other psychotic disorders (e.g., psychosis). This protocol describes the methodology for a systematic review and meta-analysis of the safety and efficacy of ACT in the treatment of psychosis. The review will be guided by the standards set by the Cochrane Collaboration. We will search the Allied and Complementary Medicine Database (AMED), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), Excerpta Medica database (EMBASE), EMCARE, Education Resources Information Center (ERIC), MEDLINE, and PsycINFO databases for randomized controlled trials, whose arms are ACT and any comparator, as well as ClinicalTrials.gov, Australian New Zealand Clinical Trials Registry (ANZCTR), and Current Controlled Trials (ISRCTN), for unpublished and ongoing trials. The primary outcome will be any standard (or surrogate) measure of psychotic pathology. The meta-analysis will summarize short-term and long-term effects and different control conditions with or without treatment as usual or comparative to other interventions. In cases where heterogeneity is detected (via χ2 and I2), we will adopt the random effects model for computation.


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