ACT Now: The Intersection of Acceptance and Commitment Therapy with Palliative Care in a Veteran with Chronic Suicidal Ideation

2019 ◽  
Vol 43 (1) ◽  
pp. 126-131 ◽  
Author(s):  
Kate L. M. Hinrichs ◽  
Pamela Steadman-Wood ◽  
Jordana L. Meyerson
Keyword(s):  
Palliative Care ◽  
Suicidal Ideation ◽  
Acceptance And Commitment Therapy ◽  
Commitment Therapy ◽  
Acceptance And Commitment

scholarly journals The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients

2021 ◽  
Author(s):  
Priyo Purnomo As’hab ◽  
Budi Anna Keliat ◽  
Ice Yulia Wardani
Keyword(s):  
Suicidal Ideation ◽  
Treatment Adherence ◽  
Acceptance And Commitment Therapy ◽  
Suicide Ideation ◽  
Nursing Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Post Test ◽  
Mdr Tb ◽  
Anxiety Depression

Background: The Worldwide resistance prevalence of the first-line TB drug, rifampicin (RR-TB), in 2017 was 7.4 per 100,000 population, and 82% of them experienced multidrug-resistant tuberculosis (MDR-TB). Indonesia is the top 20 country with an MDR-TB burden, and its prevalence is 8.8 per 100,000 population. MDR-TB requires a long-time treatment and has accompanying side effects: biological and psychosocial effects. However, efforts to overcome the psychosocial impacts have not been conducted. This study aims to determine the effect of acceptance and commitment therapy (ACT) on anxiety, depression, suicidal ideation, and treatment adherence in MDR-TB patients.Design and methods: This research employed a quasi-experimental design with a pre-test three post-tests using total sampling. The pre-test was conducted before the standard nursing intervention, post-test 1 was after the standard nursing intervention, post-test 2 was after ACT session 1, and post-test 3 was after ACT session 2. Data were collected by the Hamilton Rating Scale for Anxiety (HAM-A), Beck Hopelessness Scale (BHS), a Scale for Suicide Ideation (SSI), and Morisky Medication Adherence Scale (MMAS).Results: The standard nursing action and ACT reduce anxiety (p = 0.002), reduced depression (p = 0.0001), reduced suicidal ideation (p = 0.008), and increased treatment adherence (p = 0.0001).Conclusions: The standard nursing action and ACT reduce anxiety, depression, and suicidal ideation. They increase treatment adherence recommended for use in MDR-TB patients.

An acceptance and commitment therapy self-help intervention for carers of patients in palliative care: Protocol of a feasibility randomised controlled trial

2016 ◽  
Vol 24 (5) ◽  
pp. 685-704 ◽  
Author(s):  
Esther L Davis ◽  
Frank P Deane ◽  
Geoffrey CB Lyons
Keyword(s):  
Palliative Care ◽  
Randomised Controlled Trial ◽  
Acceptance And Commitment Therapy ◽  
Controlled Trial ◽  
Well Being ◽  
Self Help ◽  
Feasibility Randomised Controlled Trial ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Randomised Controlled

Undertaking a caregiving role at end of life can have enduring psychological consequences for carers, including poor adjustment in bereavement. Acceptance and commitment therapy–based interventions have demonstrated effectiveness in helping people cope with a range of life challenges. This article presents the protocol of a feasibility randomised controlled trial of an acceptance and commitment therapy self-help intervention for psychological distress and grief in carers of patients in palliative care. We will assess feasibility and acceptability of the trial procedures and intervention as well as preliminary effectiveness of the intervention on carer well-being outcomes.

scholarly journals A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy for Managing Grief Experienced by Bereaved Spouses or Partners of Adults Who Had Received Palliative Care

2021 ◽  
pp. 105413732110001
Author(s):  
K. Jones ◽  
A. Methley ◽  
G. Boyle ◽  
R. Garcia ◽  
J. Vseteckova
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Acceptance And Commitment Therapy ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Grey Literature ◽  
Bibliographic Databases ◽  
International Studies ◽  
Commitment Therapy ◽  
Acceptance And Commitment

This systematic review investigated the effectiveness of Acceptance and Commitment Therapy (ACT) for managing grief experienced by bereaved spouses or partners of adults who had received palliative care. Systematic searches were undertaken on seven bibliographic databases and grey literature was also searched. The review was informed by the use of the PICO framework and PRISMA-P guidelines. Initially 30 relevant papers were identified, but only two international studies met the criteria for inclusion. One was a qualitative, doctoral study using Interpretative Phenomenological Analysis; the other, a randomized controlled trial comparing ACT with usual psychosocial support. These studies showed some evidence of benefit for bereaved individuals, particularly by promoting the acceptance of troubling emotions. However, this type of therapy may be more effective in reducing psychological distress rather than grief. Further research is needed into the value of ACT in addressing grief following bereavement.

scholarly journals Effectiveness of Acceptance and Commitment Therapy in Reducing Symptoms of Anxiety, Depression, and Suicidal Ideation in Iranian Veterans Referred to a Military Psychiatric Hospital

2020 ◽  
Author(s):  
Haleh Shahed Hagh Ghadam ◽  
Amir Mohsen Rahnejat ◽  
Arsia Taghva ◽  
Mohammad Reza Ebrahimi ◽  
Vahid Donyavi ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Acceptance And Commitment Therapy ◽  
Anxiety Symptoms ◽  
Control Group ◽  
Depression Symptoms ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Ideation Methods ◽  
Anxiety Depression ◽  
Experimental Group

Abstract Background: Veterans are more exposed to mental disorders, especially anxiety, depression, suicidal ideation, and suicide attempt, due to the important role they played in defending their country. This study aimed to investigate the effect of Acceptance and Commitment Therapy (ACT) on reducing anxiety symptoms, depression symptoms, and suicidal ideation. Methods: This study was conducted following a pretest-posttest quasi-experimental study design in 2020. The study included two groups, the experimental group and the control group awaiting treatment. The participants in this study consisted of 20 veterans who were selected using availability sampling and randomly assigned to two groups, the experimental group and the control group awaiting treatment (10 in each group). The instruments used in this study included the Beck Anxiety Inventory (BAI-II), the Beck Depression Inventory (BDI-II), the Beck Scale for Suicidal Ideation (BSSI), and a researcher-made demographic information questionnaire. Participants in the experimental group received 12 sessions of Acceptance and Commitment Therapy (ACT) for two hours per week, and participants in the control group awaiting treatment did not receive any intervention and received only routine medications. The pre-test and post-test were administered to both groups. The data were analyzed by descriptive statistical indices and the univariate Analysis of Covariance (ANCOVA) using SPSS 22 software. Results: The study results showed that Acceptance and Commitment Therapy (ACT) contributed substantially to managing and reducing anxiety symptoms, depression symptoms, and suicidal ideation in veterans in the experimental group. After the intervention, the mean scores of the experimental group on the variables of anxiety, depression, and suicidal ideation decreased as compared to the control group awaiting treatment, and these differences were statistically significant (P < 0.001). Conclusions: The results of this study revealed that Acceptance and Commitment Therapy (ACT) was effective in reducing the symptoms of anxiety, depression, and suicidal ideation in veterans.

scholarly journals Research Evaluating Staff Training Online for Resilience (RESTORE):  Protocol for a single-arm feasibility study of an online Acceptance and Commitment Therapy intervention to improve staff wellbeing in palliative care settings

2021 ◽  
Vol 3 ◽  
pp. 26
Author(s):  
Anne Finucane ◽  
Nicholas J Hulbert-Williams ◽  
Brooke Swash ◽  
Juliet A Spiller ◽  
Brigid Lydon ◽  
...  
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Acceptance And Commitment Therapy ◽  
Feasibility Trial ◽  
Essential Information ◽  
Health And Wellbeing ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Care Workers ◽  
Participant Perspectives

Background Palliative care workers commonly experience workplace stress and distress. General stressors include unmanageable workloads and staff shortages.  Stressors specific to palliative care include regular exposure to death, loss and grief.  The COVID pandemic exacerbated exhaustion and burnout across the healthcare system, including for those providing palliative care.  Evidence based psychological support interventions, tailored to the needs and context of palliative care workers, are needed.  Acceptance and Commitment Therapy (ACT) is an established form of cognitive behavioural therapy which uses behavioural psychology, values, acceptance, and mindfulness techniques to improve mental health and wellbeing. ACT is effective in improving workplace wellbeing in many occupational settings.  Our study examines the acceptability and feasibility of an online ACT-based intervention to improve mental health and wellbeing in staff caring for people with an advanced progressive illness. Methods A single-arm feasibility trial.  We will seek to recruit 30 participants to take part in an 8- week online ACT-based intervention, consisting of three synchronous facilitated group sessions and five asynchronous self-directed learning modules.  We will use convergent mixed methods to evaluate the feasibility of the intervention. Quantitative feasibility outcomes will include participant recruitment and retention rates, alongside completion rates of measures assessing stress, quality of life, wellbeing, and psychological flexibility.  Focus groups and interviews will explore participant perspectives on the intervention. We will run a stakeholder workshop to further refine the intervention and identify outcomes for use in a future evaluation. Results We will describe participant perspectives on intervention acceptability, format, content, and perceived impact alongside rates of intervention recruitment, retention, and outcome measure completion. Conclusion We will show whether a brief, online ACT intervention is acceptable to, and feasible for palliative care workers.  Findings will be used to further refine the intervention and provide essential information on outcome assessment prior to a full-scale evaluation.

scholarly journals Efficacy of Acceptance and Commitment Therapy in Reducing Suicidal Ideation and Deliberate Self-Harm: Systematic Review

10.2196/10732 ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. e10732 ◽  
Author(s):  
Joseph Tighe ◽  
Jennifer Nicholas ◽  
Fiona Shand ◽  
Helen Christensen
Keyword(s):  
Suicidal Ideation ◽  
Acceptance And Commitment Therapy ◽  
Systematic Reviews ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Deliberate Self Harm ◽  
Randomized Controlled ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Self Harm

Background Since its emergence in the 1980s, acceptance and commitment therapy (ACT) has become a reputable evidence-based psychological therapy for certain disorders. Trials examining the efficacy of ACT are spread across a broad spectrum of presentations, such as chronic pain, anxiety, and depression. Nevertheless, ACT has very rarely been trialed as an intervention for suicidal ideation (SI) or deliberate self-harm (DSH). Objective The objective of this review is to assess the efficacy of ACT in reducing SI and DSH and to examine the suitability of reported SI, DSH, and other measures in determining the efficacy of ACT. Methods We systematically reviewed studies on ACT as intervention for SI and self-harm. Electronic databases, including MEDLINE, PubMed, EMBASE, PsycINFO, SCOPUS, Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews, were searched. The reference lists of included studies and relevant systematic reviews were examined to identify additional publications. Search terms were identified with reference to the terminology used in previous review papers on ACT and suicide prevention. The study design was not restricted to randomized controlled trials. Screening was completed by 2 reviewers, and all duplicates were removed. Publications were excluded if they were not published in English, were multicomponent therapy or were not based on ACT, or lacked a validated measure or structured reporting of SI/DSH outcomes. Results After removing the duplicates, 554 articles were screened for relevance. Following the screening, 5 studies that used ACT as an intervention for suicidal or self-harming individuals were identified. The studies used diverse methodologies and included 2 case studies, 2 pre–post studies, and 1 mHealth randomized controlled trial. Conclusions The review found that ACT is effective in reducing SI in the 2 pre–post studies but not in other studies. However, given the small number and lack of methodological rigor of the studies included in this review, insufficient evidence exists for the recommendation of ACT as an intervention for SI or DSH.

18 Brief engagement and acceptance coaching in community and hospice settings (the beaches study): protocol for developing and pilot testing an evidence-based intervention to enhance wellbeing at transition into palliative care

2018 ◽  
Vol 8 (3) ◽  
pp. 366.2-366
Author(s):  
Nick Hulbert-Williams ◽  
David Gillanders ◽  
Anne Finucane ◽  
Susan Millington ◽  
Sabrina Norwood ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
End Of Life ◽  
Acceptance And Commitment Therapy ◽  
Single Case ◽  
Scientific Data ◽  
List Type ◽  
Commitment Therapy ◽  
Acceptance And Commitment

IntroductionThe transition into palliative care can cause uncertainty fear and distress. Quality of life can be detrimentally affected and advance planning for end-of-life is often avoided. Acceptance and Commitment Therapy (ACT) is a promising intervention for supporting palliative patients; the focus on values may be especially relevant to restoring meaningful living. We present a protocol for development and piloting of a brief ACT-based intervention for delivery at the palliative care transition point.Aims and methodsA multiple-baseline single-case non-controlled design is used. This enables exploration of effectiveness and processes causing outcome improvement. Integrated qualitative interviews provide acceptability data. The five-session intervention is delivered by psychologists to 14 participants in two hospices. Participants with an incurable cancer diagnosis but life expectancy of four months or more are eligible. Weekly self-report questionnaires assess study outcomes (quality of life distress) and changes in therapeutic processes. A smartphone app facilitates daily assessment of brief measures to enable sensitive measurement of process change.ResultsQuantitative data will be analysed using visual plots and statistical change indices across study phases: this enables calculation of indicative effect sizes for future trial planning. Recruitment attrition and engagement will be analysed descriptively as feasibility indicators. Framework analysis is used to for qualitative data.ConclusionsSingle-case designs are not commonly used in psychosocial oncology however they offer a scientific data-driven approach to intervention development. By the end of this study we aim to manualise our intervention for non-psychologist delivery to plan a randomised trial with maximised implementation potential.References. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change2011. Guilford Press.. Murray, et al. Patterns of social psychological and spiritual decline toward the end of life in lung cancer and heart failure. Journal of Pain and Symptom Management2007;34(4):393–402.. Ost L. The efficacy of acceptance and commitment therapy: An updated systematic review and meta-analysis. Behaviour Research and Therapy2014;61:105–12.

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