scholarly journals Acceptance Commitment Therapy Intervention for Custodial Grandfamilies

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 928-928
Author(s):  
Manuela E Faulhaber ◽  
Amie Zarling ◽  
Jeongeun Lee
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Web Based ◽  
Acceptance Commitment Therapy ◽  
Self Confidence ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Time Period ◽  
Biological Parents ◽  
American Children

Abstract Millions of American children under the age of 18 are being cared for by their grandparents and without the presence of the biological parents. The number of custodial grandfamilies has significantly increased over the last five years. Recent studies have shown that custodial grandparents (CPGs) are often facing specific challenges in life, such as lower emotional well-being, higher parenting burden and stress related to this unique situation. Despite these findings, few interventions take a strengths based approach to improve their mental health and resilience. We describe our efforts to address these issues by proposing intervention anchored in the Acceptance and Commitment Therapy (ACT), emphasizing the importance of acceptance of challenging circumstances outside of one’s control and promoting resilience among participants. The program consists of a web based ACT program with online coaching meetings, six common core sessions and six separate sessions for each age group over a time period of six months. This program is unique in the sense that it utilizes both individual and group session techniques to facilitate the learning process. Main active ingredients of this program are to promote effective coping strategies, to reduce parenting stress among grandparents and to increase life skills (i.e., decision-making, proactivity) among grandchildren. We are hypothesizing that participating in the ACT program will help CGPs to improve self-efficacy, emotional well-being, higher self-confidence, social competence, lower depressive symptoms, and parenting distress, thereby leading to positive outcomes such as improved mental health and higher resilience.

Study Protocol for Implementation of An Internet-based Acceptance and Commitment Therapy for Promoting Mental Health Among Migrant Live-in Caregivers in Canada (Preprint)

2021 ◽  
Author(s):  
Kenneth Po-Lun Fung ◽  
Mandana Vahabi ◽  
Masoomeh Moosapoor ◽  
Abdolreza Akbarian ◽  
Josephine Pui-Hing Wong
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Focus Groups ◽  
Acceptance And Commitment Therapy ◽  
Psychological Intervention ◽  
Self Care ◽  
Well Being ◽  
Virtual Space ◽  
Commitment Therapy ◽  
Acceptance And Commitment

BACKGROUND Psychological distress, isolation, feeling of powerlessness, and limited social support are realities faced by temporary migrant live–in caregivers in Canada. Furthermore, they experience multiple barriers in accessing mental health services due to their long work hours, limited knowledge about health resources, precarious employment, and immigration status. OBJECTIVE Women Empowerment - Caregiver Acceptance & Resilience E-Learning (WE2CARE) project is a pilot intervention research project that aims to promote mental well being and resiliency of migrant live-in caregivers. The objectives include exploring the effectiveness of this program in: (1) reducing psychological distress (depression, anxiety, and stress); (2) promoting committed actions of self-care; and (3) building mutual support social networks. Further, participants’ satisfaction with the intervention and their perceived barriers and facilitators to practicing the self-care strategies embedded in WE2CARE will be examined. METHODS Thirty-six live- in caregivers residing in Great Toronto Area (GTA) will be recruited and randomly assigned to intervention and waitlist control groups. The intervention group will receive a 6-week web-based psychosocial intervention that will be based on Acceptance and Commitment Therapy (ACT). Standardized self-reported surveys will be administered online pre-, post-, and 6-week post-intervention to assess mental distress (DASS 21), psychological flexibility (AAQ-2), mindfulness (CAMS-R) and Multi-System Model of Resilience (MSMR-I). Two focus groups will be held with a subset of participants to explore their feedback on the utility of the WE2CARE program. RESULTS WE2CARE was funded in January 2019 for a year. The protocol was approved by the research ethics boards of Ryerson University (REB 2019-036) in February 2019, and University of Toronto (RIS37623) in May 2019. Data collection started upon ethics approval and was completed by May 2020. A total of 29 caregivers completed the study and 20 participated in the focus groups. Data analyses are in progress and results will be published in 2021. CONCLUSIONS WE2CARE can be a promising approach in reducing stress, promoting resilience, and providing a virtual space for peer emotional support and collaborative learning among socially isolated and marginalized women. The results of this pilot study will inform the adaptation and utility of online delivery of ACT based psychological intervention in promoting mental health among disadvantaged and vulnerable populations. CLINICALTRIAL None

scholarly journals Development of a Web-Based Acceptance and Commitment Therapy Intervention to Support Lifestyle Behavior Change and Well-Being in Health Care Staff: Participatory Design Study

10.2196/22507 ◽  
2020 ◽  
Vol 4 (11) ◽  
pp. e22507
Author(s):  
Menna Brown ◽  
Nic Hooper ◽  
Parisa Eslambolchilar ◽  
Ann John
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Design Process ◽  
Acceptance And Commitment Therapy ◽  
Participatory Design ◽  
Well Being ◽  
Care Staff ◽  
Health Care Staff ◽  
Web Based ◽  
Acceptance And Commitment

Background Positive emotional well-being is associated with healthier lifestyle choices and overall health function, whereas poor mental health is associated with significant economic and psychological costs. Thus, the development of effective interventions that improve emotional well-being is crucial to address the worldwide burden of disease. Objective This study aims to develop a web-based emotional well-being intervention for use by health care staff using participatory design to consider adherence and engagement from a user perspective. Methods A 3-staged iterative participatory design process was followed, including multiple stakeholders: researchers, computer scientists, mental health experts, and health care staff. Stage 1 used document analyses, direct observation, and welcome interviews; stage 2 used focus group discussions, rapid prototyping, and usability tasks; and stage 3 evaluated a high-fidelity prototype. Results Different health care staff (N=38) participated during a sustained period. A structured, sequential, automated, 12-week, web-based emotional well-being intervention based on acceptance and commitment therapy was developed. Freely navigated psychoeducational resources were also included. Conclusions The iterative and collaborative participatory design process successfully met its objectives. It generated an in-depth understanding of well-being within the workplace and identified barriers to access. The 3-staged process ensured that participants had the opportunity to explore and articulate criteria relevant to their roles over time and reflect on decisions made at each stage.

scholarly journals Exploring Acceptance and Commitment Therapy for parents of preterm infants

2020 ◽  
Author(s):  
Kayla Esser ◽  
Lesley Barreira ◽  
Doug Miller ◽  
Paige Church ◽  
Nathalie Major ◽  
...  
Keyword(s):  
Mental Health ◽  
Preterm Infants ◽  
Acceptance And Commitment Therapy ◽  
Neonatal Intensive Care ◽  
Psychological Flexibility ◽  
Well Being ◽  
Behavioural Therapy ◽  
Anxiety And Depression ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Abstract The start of a parenting journey in the neonatal intensive care unit (NICU) presents many stressors to parents. Previous research has shown parents of infants admitted to the NICU experience heightened stress, anxiety, and depression. Mental health support varies across Canadian NICUs with mixed results. One promising intervention that has not been explored in the NICU is Acceptance and Commitment Therapy (ACT), a behavioural therapy that has had positive mental health-related outcomes in similar parental populations. ACT differs from previous mental health interventions such as traditional Cognitive Behavioural Therapy (CBT) as it involves mindfulness and acceptance to increase psychological flexibility. Increased psychological flexibility is linked to greater emotional well-being, a higher quality of life, and decreased stress, anxiety, and depression. There is a need for research investigating the utility of ACT in improving mental health outcomes for parents of preterm infants.

scholarly journals Acceptance and commitment therapy as a web-based intervention for depressive symptoms: Randomised controlled trial

2016 ◽  
Vol 208 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Wendy T. M. Pots ◽  
Martine Fledderus ◽  
Peter A. M. Meulenbeek ◽  
Peter M. ten Klooster ◽  
Karlein M. G. Schreurs ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Acceptance And Commitment Therapy ◽  
Expressive Writing ◽  
Depression Scale ◽  
Waiting List ◽  
Control Group ◽  
Web Based ◽  
Commitment Therapy ◽  
Acceptance And Commitment

BackgroundDepression is a highly prevalent disorder, causing a large burden of disease and substantial economic costs. Web-based self-help interventions seem promising in promoting mental health.AimsTo compare the efficacy of a guided web-based intervention based on acceptance and commitment therapy (ACT) with an active control (expressive writing) and a waiting-list control condition (Netherlands Trial Register NTR1296).MethodAdults with depressive symptoms from the general population were randomised to ACT (n = 82), expressive writing (n = 67) or waiting-list control (n = 87). The main outcome was reduction in depressive symptoms assessed with the Center for Epidemiological Studies – Depression scale.ResultsSignificant reductions in depressive symptoms were found following the ACT intervention, compared with the control group (Cohen's d = 0.56) and the expressive writing intervention (d = 0.36). The effects were sustained at 6-month and 12-month follow-up.ConclusionsAcceptance and commitment therapy as a web-based public mental health intervention for adults with depressive symptoms can be effective and applicable.

scholarly journals Social Support and Acceptance Commitment Therapy on Subjective Well-Being and Mental Health of COVID-19 Patient

2021 ◽  
Vol 9 (G) ◽  
pp. 238-243
Author(s):  
Imamatul Faizah ◽  
Yanis Kartini ◽  
Ratna Yunita Sari ◽  
Riska Rohmawati ◽  
Raden Khairiyatul Afiyah ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Subjective Well Being ◽  
Acceptance Commitment Therapy ◽  
Commitment Therapy ◽  
Before And After ◽  
The Difference

BACKGROUND: The COVID-19 pandemic does not only have a physical impact on the sufferers, restrictions on social interaction, and the existence of negative stigma from residents, but also have an impact on mental health and self-assessment on the patient. Nursing interventions can improve the mental health and happiness of patients, namely by providing social support and providing acceptance commitment therapy by the health workers. The provision of social support and acceptance commitment therapy aims to produce a meaningful life for patients undergoing treatment. AIM: The aim of this study was to determine the effect of social support and acceptance commitment therapy on subjective well-being and mental health of COVID-19 patients. METHODS: The research design used is quasi-experimental research with dependent pre-test and post-test samples. The sampling technique used is consecutive sampling to determine the sample according to the inclusion and exclusion criteria, with a total sample of 106 respondents who were divided into 53 respondents for the intervention group and 53 respondents for the control group. The independent variables in this study are social support and acceptance commitment therapy. Meanwhile, the dependent variables in this study are subjective well-being and mental health. The instruments used in this research are The Social Support Questionnaire, Mental Health Inventory, and Satisfaction with Life Scale. Statistical analysis was conducted using t-test with p < 0.5. RESULTS: The results show that in the intervention group, the difference in mean subjective well-being before and after the intervention is 6.88, while the difference in the mean of mental health before and after the intervention is 39.71. Furthermore, in the control group, the difference in mean subjective well-being before and after the intervention is 0.17, while the difference in the mean of mental health before and after the intervention is 0.02. Data analysis shows that social support and acceptance commitment therapy had an effect on subjective well-being and mental health of COVID-19 patients with p = 0.00. CONCLUSION: The provision of social support and acceptance commitment therapy can be done as a preventive effort to maintain the mental health and subjective well-being of COVID-19 patients during the treatment period both in the hospital and independent isolation at home.

scholarly journals Development of a Web-Based Acceptance and Commitment Therapy Intervention to Support Lifestyle Behavior Change and Well-Being in Health Care Staff: Participatory Design Study (Preprint)

2020 ◽  
Author(s):  
Menna Brown ◽  
Nic Hooper ◽  
Parisa Eslambolchilar ◽  
Ann John
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Design Process ◽  
Acceptance And Commitment Therapy ◽  
Participatory Design ◽  
Well Being ◽  
Care Staff ◽  
Health Care Staff ◽  
Web Based ◽  
Acceptance And Commitment

BACKGROUND Positive emotional well-being is associated with healthier lifestyle choices and overall health function, whereas poor mental health is associated with significant economic and psychological costs. Thus, the development of effective interventions that improve emotional well-being is crucial to address the worldwide burden of disease. OBJECTIVE This study aims to develop a web-based emotional well-being intervention for use by health care staff using participatory design to consider adherence and engagement from a user perspective. METHODS A 3-staged iterative participatory design process was followed, including multiple stakeholders: researchers, computer scientists, mental health experts, and health care staff. Stage 1 used document analyses, direct observation, and welcome interviews; stage 2 used focus group discussions, rapid prototyping, and usability tasks; and stage 3 evaluated a high-fidelity prototype. RESULTS Different health care staff (N=38) participated during a sustained period. A structured, sequential, automated, 12-week, web-based emotional well-being intervention based on acceptance and commitment therapy was developed. Freely navigated psychoeducational resources were also included. CONCLUSIONS The iterative and collaborative participatory design process successfully met its objectives. It generated an in-depth understanding of well-being within the workplace and identified barriers to access. The 3-staged process ensured that participants had the opportunity to explore and articulate criteria relevant to their roles over time and reflect on decisions made at each stage.

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