scholarly journals Designing an mHealth Intervention for People With Visible Differences Based on Acceptance and Commitment Therapy: Participatory Study Gaining Stakeholders’ Input

10.2196/26355 ◽  
2021 ◽  
Vol 5 (3) ◽  
pp. e26355
Author(s):  
Fabio Zucchelli ◽  
Olivia Donnelly ◽  
Emma Rush ◽  
Harriet Smith ◽  
Heidi Williamson ◽  
...  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Participatory Design ◽  
Behavioral Approach ◽  
Third Wave ◽  
Mhealth Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Program Adherence ◽  
Stakeholder Input ◽  
Design Preferences

Background Given their growing popularity, mobile health (mHealth) apps may offer a viable method of delivering psychological interventions for people with an atypical appearance (ie, visible difference) who struggle with appearance-related distress. Acceptance and Commitment Therapy (ACT), a third-wave cognitive behavioral approach, has been used effectively in mHealth and is being increasingly applied clinically to common psychosocial difficulties associated with visible differences. We planned to design an ACT-based mHealth intervention (ACT It Out) for this population. Objective The aim of this study is to gain key stakeholder input from user representatives and psychological clinicians to optimize the intervention’s design for future development and uptake. To do so, we explored considerations relating to mHealth as a delivery platform for adults with visible differences and elicited stakeholders’ design preferences and ideas based on initial author-created content. Methods Within a participatory design framework, we used a mix of qualitative methods, including usability sessions and a focus group in a face-to-face workshop, and interviews and textual feedback collected remotely, all analyzed using template analysis. A total of 6 user representatives and 8 clinicians were recruited for this study. Results Our findings suggest that there are likely to be strengths and challenges of mHealth as an intervention platform for the study population, with key concerns being user safeguarding and program adherence. Participants expressed design preferences toward relatable human content, interactive and actionable features, flexibility of use, accessibility, and engaging content. Conclusions The findings offer valuable design directions for ACT It Out and related interventions, emphasizing the need to carefully guide users through the intervention while acknowledging the limited time and space that mHealth affords.

scholarly journals Designing an mHealth intervention based on Acceptance and Commitment Therapy for people with visible differences: A participatory study involving stakeholders with clinical and lived experience (Preprint)

2020 ◽  
Author(s):  
Fabio Zucchelli ◽  
Olivia Donnelly ◽  
Emma Rush ◽  
Harriet Smith ◽  
Heidi Williamson ◽  
...  
Keyword(s):  
Lived Experience ◽  
Acceptance And Commitment Therapy ◽  
Participatory Design ◽  
Psychological Intervention ◽  
Third Wave ◽  
Mhealth Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural ◽  
Stakeholder Input

BACKGROUND Given their growing popularity, mobile health apps (mHealth) may offer a viable method of delivering psychological intervention for people who have an atypical appearance (visible difference) and struggle with appearance-related distress. Acceptance and Commitment Therapy (ACT), a third-wave cognitive-behavioural approach, has been used effectively in mHealth and is being increasingly applied clinically to common psychosocial difficulties associated with visible difference. We planned to design an ACT-based mHealth intervention for this group. OBJECTIVE The authors sought to gain key stakeholder input from user representatives and psychological clinicians to optimise the intervention’s design for future development and uptake. METHODS Within a participatory design framework, we used a mix of qualitative methods including usability sessions and a focus group in a face-to-face workshop, and interviews and textual feedback collected remotely, all of which the authors analysed using template analysis. RESULTS The combined findings suggest strengths and challenges of mHealth as an intervention platform for the population, including considerations regarding safeguarding and users’ ongoing engagement. Participants expressed design preferences towards relatable human content, interactive and actionable features, flexibility of use and accessible, engaging content. CONCLUSIONS Findings offer valuable design directions for ACT It Out and other related interventions, emphasising the need to carefully guide users through the intervention while acknowledging the limited time and space afforded by mHealth as a platform.

scholarly journals Acceptance and Commitment Therapy in Obsessive–Compulsive Disorder: A Case Study

2021 ◽  
pp. 025371762199673
Author(s):  
Joel Philip ◽  
Vinu Cherian
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Third Wave ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Change Acceptance ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Recent years have witnessed an increased interest in the use of “third-wave” psychotherapies in treating psychiatric disorders. These newer therapies are fundamentally different from the existing techniques such as cognitive behavioral therapy in terms of their guiding principles and processes of change. Acceptance and commitment therapy (ACT) is the most prominent among these “third wave” psychotherapies. However, there have not been any reports from India, thus far, that have studied the use of ACT in treating obsessive–compulsive disorder (OCD). We describe a case of OCD that was successfully treated with eight sessions of ACT, with the results being maintained over a one-month follow-up period. Postintervention tests revealed a significant decrease in obsessive–compulsive symptoms and an associated increase in psychological flexibility. This case study highlights the possible utility of ACT as a therapeutic intervention in OCD, especially when combined with pharmacotherapy.

Acceptance and Commitment Therapy (ACT): A Third Wave Behaviour Therapy

2008 ◽  
Vol 36 (6) ◽  
pp. 667-673 ◽  
Author(s):  
Chris Cullen
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Relational Frame Theory ◽  
Third Wave ◽  
Behaviour Therapy ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Relational Frame ◽  
Important Relationship ◽  
History Of ◽  
Clinical Conditions

AbstractThis paper introduces Acceptance and commitment Therapy (ACT) as one of the newer contextualist behaviour therapies. A brief history of the development of ACT is outlined. The concepts of equivalence and laterality and the important relationship between Relational Frame Theory and ACT are then described. The “hexagram” summary of the six core linked processes in ACT is presented and, finally, the research evidence to support the effectiveness of ACT applied to a range of clinical conditions and client groups is summarized.

Mindfulness-Based Acceptance and Commitment Therapy

2022 ◽  
pp. 68-88
Author(s):  
Sindhu B. S.
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Workplace Stress ◽  
Third Wave ◽  
Obsessive Compulsive ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The World ◽  
Behavioural Therapies ◽  
Illness Anxiety ◽  
Clinical Conditions

Acceptance and Commitment Therapy (ACT) is one of the latest mindfulness-based behavior therapies shown to have compelling evidence and efficacy with a wide range of clinical conditions. ACT is so hard to categorize that it is often described as an amalgamation of existential, humanistic, cognitive-behavioural therapy. ACT is often referred as process-based CBT and is one of the ‘third-wave' of behavioural therapies. It is currently the fastest growing evidence-based therapy in the world, with currently at least 304 Randomized Control Trials (RCTs) being recorded all over the world. It has proven effective in different cultural contexts with a diverse set of clinical conditions, from depression, Obsessive-compulsive disorder, chronic pain, grief, loss and terminal illness, anxiety, and workplace stress.

Acceptance and Commitment Therapy: Part of the "Third Wave" in the Behavioral Tradition

2012 ◽  
Vol 34 (3) ◽  
pp. 205-212 ◽  
Author(s):  
Joseph Springer
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Mental Health Treatment ◽  
Theoretical Foundation ◽  
Private Events ◽  
Third Wave ◽  
Basic Principles ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Behavioral Tradition

As described by Hayes, Strosahl, and Wilson (1999), Acceptance and Commitment Therapy (ACT) is one of several methods for integrating mindfulness concepts into mental health treatment. Unlike many counseling approaches, ACT does not assume that the goal of treatment is to better control thoughts, feelings, or other private events. Individuals are taught to notice phenomena and take a nonjudgmental stance toward them rather than trying to control, avoid, or otherwise minimize them. Although relatively new, ACT has increasing support for its effectiveness in addressing a variety of problems (Pull, 2009). This article addresses the theoretical foundation and basic principles of ACT, reviews the research, presents a case study to illustrate how it can be applied, and discusses the counseling implications.

Using Art-Based Acceptance and Commitment Therapy (ACT) for an Adolescent With Anxiety and Autism

2020 ◽  
Vol 19 (6) ◽  
pp. 438-455
Author(s):  
Rosanna Chapman ◽  
Bethan Evans
Keyword(s):  
Young People ◽  
Acceptance And Commitment Therapy ◽  
Well Being ◽  
Young Person ◽  
Autism Spectrum ◽  
Third Wave ◽  
Post Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Centered Care

Anxiety is a common experience for young people with an autism spectrum condition (ASC). This article describes the use of Acceptance and Commitment Therapy (ACT) through the medium of art to increase well-being for a young woman with ASC and significant anxiety. An ACT art protocol was delivered over 8-weekly sessions with outcome measured administered at baseline, pre-, mid- and post-intervention. Follow-up data were also obtained 3 months after the intervention. It was found that the young person experienced improvements in measures of well-being and psychological flexibility. Importantly, these were seen to translate to increased engagement in activities that were in line with the young person’s values. This demonstrates that using third-wave approaches for young people with ASC can result in improvements in well-being and quality of life, but that adaptations in line with person-centered care are crucial to facilitate engagement and produce meaningful change.

scholarly journals Acceptance and Commitment Therapy for People Experiencing Appearance-Related Distress Associated With a Visible Difference: A Rationale and Review of Relevant Research

2018 ◽  
Vol 32 (3) ◽  
pp. 171-183 ◽  
Author(s):  
Fabio Zucchelli ◽  
Olivia Donnelly ◽  
Heidi Williamson ◽  
Nic Hooper
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Relevant Literature ◽  
Clinical Effectiveness ◽  
Psychological Trauma ◽  
Body Image Dissatisfaction ◽  
Third Wave ◽  
Mindfulness Skills ◽  
Commitment Therapy ◽  
Acceptance And Commitment

People may have a visibly different appearance due to various causes, such as congenital conditions, injury, disease, or medical treatment. Some individuals with a visible difference experience social anxiety and isolation, body image dissatisfaction, shame and self-stigma, psychological trauma, and challenges managing their condition. In this article, we synthesize the relevant literature and present the theoretical rationale for the application of Acceptance and Commitment Therapy (ACT), a third-wave behavioral therapy combining mindfulness skills and value-driven action, to those experiencing distress relating to an unusual or altered appearance. We also outline how ACT may be tailored to the specific considerations of this population and recommend next steps in researching its acceptability and clinical effectiveness.

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