scholarly journals Psychoeducation Strategy: Acceptance and Commitment Therapy (ACT) To Improve Self-Efficacy of Stroke Patients

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Ratna Puspita Adiyasa ◽  
Tri Wahyuni Ismoyowati
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Self Efficacy ◽  
Psychosocial Problems ◽  
The Self ◽  
Wilcoxon Test ◽  
Stroke Patients ◽  
Rehabilitation Unit ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Hospital Rehabilitation

Background: Stroke is the most common cerebrovascular event. Stroke patients often have biological, spiritual, and psychosocial changes. Psychosocial problems experienced in stroke patients include problems with self-efficacy. Acceptance and Commitment Therapy (ACT) is commonly used to solve psychosocial problems. Objective: This study aims to determine the effect of ACT on the self-efficacy of stroke patients.  Methods: This study utilized quantitative and quasi-experimental designs without a control group. The study was conducted in a selected hospital rehabilitation unit in Yogyakarta. The respondents were selected via the purposive sampling technique. The self-efficacy was assessed using The Strategies Used by Patients to Promote Health (SUPPH) questionnaires and statistically tested with the Wilcoxon test. The total number of respondents of this study was 33 stroke patients. The characteristic of respondents was mostly 45 – 64 years old (72.73% ), male (57.6%) and, had a history of stroke for 1 – 6 months (39 %). Result: Wilcoxon test results showed a computed p-value of 0.000 on the effect of ACT on stroke patients’ self-efficacy; thus, the null hypothesis was rejected. In other words, ACT proves its effectiveness in improving stroke patients’ self-efficacy. Conclusion: Based on the data, this research can be concluded that ACT effectively improved the self-efficacy of stroke patients. The researchers recommend utilizing ACT as a nursing intervention for stroke patients in the hospital rehabilitation unit.

A Novel Application of Acceptance and Commitment Therapy for Psychosocial Problems Associated with Multiple Sclerosis

2010 ◽  
Vol 12 (4) ◽  
pp. 200-206 ◽  
Author(s):  
Sean C. Sheppard ◽  
John P. Forsyth ◽  
Edward J. Hickling ◽  
JeanMarie Bianchi
Keyword(s):  
Multiple Sclerosis ◽  
Acceptance And Commitment Therapy ◽  
Psychosocial Problems ◽  
Physical Symptoms ◽  
Cognitive Defusion ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The Central Nervous System ◽  
Action Strategies ◽  
And Behavior

Multiple sclerosis (MS) is a chronic degenerative disease of the central nervous system for which there is no known cure. The condition is associated with a range of physical, psychological, and emotional difficulties and often results in reduced quality of life (QOL). Acceptance and Commitment Therapy (ACT) is a newer cognitive-behavior therapy that balances 1) mindfulness and acceptance processes with 2) commitment and behavior change processes in the service of reducing suffering while fostering engagement in value-guided actions. The purpose of the present study was to investigate the effectiveness of a half-day ACT workshop focused on teaching mindful acceptance, cognitive defusion, and value-guided action strategies to a group of individuals (N = 15) with MS. The usefulness of the workshop was evaluated in terms of its impact over a 3-month follow-up period on indices of MS-related impairment, emotional distress, and QOL. The results were mixed, with significant improvements observed in the areas of depression, extent of thought suppression, impact of pain on behavior, and QOL but no change in extent of physical symptoms and mindfulness. These results are discussed broadly in terms of developing and improving brief ACT interventions for MS and other chronic illnesses.

scholarly journals Acceptance and Commitment Therapy (ACT) to Improve Educators Self-Acceptance of Children with Special Needs

2019 ◽  
Vol 6 (2) ◽  
pp. 117-124
Author(s):  
Muya Barida ◽  
Dian Ari Widyastuti
Keyword(s):  
Special Needs ◽  
Acceptance And Commitment Therapy ◽  
The Self ◽  
Children With Special Needs ◽  
Test Technique ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The Social ◽  
Before And After ◽  
Self Acceptance

Children with Special Needs are children with disabilities in the development of life due to disruption (mental, intellectual, emotional, social, physical) in the social-social, career, and academic fields, so they need special services and are different from children in general. This study aims to determine the effectiveness of Acceptance and Commitment Therapy (ACT) to increase the self-acceptance of educators towards Children with Special Needs. This study uses an experimental approach to the design of one group pretest-posttest. The study was conducted on teachers who are members of the HIMPAUDI Sleman District, who were randomly selected and obtained as many as 27 teachers. Data analysis was performed using the T-Test technique. Based on the results of the study, it appears that the self-acceptance of educators towards Children with Special Needs before and after the training on Acceptance and Commitment Therapy (ACT) increases, but the increase is less significant. Conclusion The Acceptance and Commitment Therapy (ACT)  program is less effective in improving the self-acceptance of educators towards Children with Special Needs. Based on these results, it needs to be followed up with direct assistance or assistance in schools for educators who systematically help Children with Special Needs.

A self-help based Acceptance and Commitment Therapy programme using Internet delivery: effect on adults intending to work who have utilized their sick leave due to depressive symptoms

2017 ◽  
Vol 5 (4) ◽  
pp. 462
Author(s):  
Maki Tei-Tominaga
Keyword(s):  
Depressive Symptoms ◽  
Sick Leave ◽  
Acceptance And Commitment Therapy ◽  
Psychological Flexibility ◽  
The Self ◽  
Secondary Outcome ◽  
Self Help ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Internet Delivery

Rationale: The aim of this study was to develop a self-help based Acceptance and Commitment Therapy (ACT) programme using Internet delivery, which can be practised at the workplace or at home and to examine its effect on adults intending to work who have utilized their sick leave due to depressive symptoms. Method: A one-group, baseline-to-post-intervention design was utilized with participants in Japan. Among the participants (N = 35), 26 completed the self-help based programme and answered all questionnaire surveys on 3 occasions: baseline (T1), after 3 weeks (T2) and after 6 weeks when the programme ended (T3). As the primary outcome, depressive symptoms were assessed using the Zung Self-Rating Depression Scale. As the secondary outcome, psychological flexibility was assessed using the Japanese version of the revised Acceptance and Action Questionnaire. Additionally, 3 items to assess process were administered and participants’ written comments were organized by content.Results: Although the number of participants who showed mild and moderate depressed states decreased, depressive symptom scores did not significantly change over time. Psychological flexibility at T3 significantly improved compared to baseline, while the effect size was relatively low (Cohen’s d = 0.35). One of the scores from the process measures showed a significant difference between T2 and T3. There were 5 positive and 5 negative comments. Conclusions: Along with participants’ comments, the findings suggested the effectiveness of the self-help based ACT programme using Internet delivery. This has the potential to help develop mindfulness and acceptance skills in adults who are intending to return to work after taking sick leave for depressive symptoms.

scholarly journals Effectiveness of Acceptance and Commitment Therapy on Psychological Capital and Emotional Expression Styles in Women with Multiple Sclerosis

2020 ◽  
pp. 71-76
Keyword(s):  
Multiple Sclerosis ◽  
Acceptance And Commitment Therapy ◽  
Emotional Expression ◽  
Self Efficacy ◽  
Psychological Capital ◽  
Control Group ◽  
Statistical Population ◽  
Significance Level ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Background and Objectives: Multiple sclerosis (MS) is an unpredictable and one of the most important life-altering diseases which gradually leads to disability. This study aimed to investigate the effect of acceptance and commitment therapy (ACT) on psychological capital and emotional expression styles of female patients with MS in the Iranian MS Society during 2019-2020. Materials and Methods: The statistical population of the study consisted of all females with MS who were members of the Iranian MS Society in 2019. In total, 36 patients were selected voluntarily who were randomly divided into three groups (ACT, placebo, and control). The intervention was held in eight 90-min weekly sessions for the intervention and the placebo groups at the office of the Iranian MS Society, Tehran, Iran[A1] . All groups were re-evaluated at the end of the intervention and also two months later (i.e., follow-up stage). The obtained data were analyzed using repeated-measures analysis of variance. Results: Based on the results, ACT affected the components of hope and resilience at the significance level of 0.01 and the components of self-efficacy and optimism at the significance level of 0.05, compared to the control group. Moreover, the ACT was able to increase the components of hope and resilience at the significance level of 0.01 and the component of optimism at the significance level of 0.05 in comparison with the placebo group. Conclusion: The ACT increased psychological capital components, including hope, optimism, resilience, and self-efficacy in patients with MS.

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