scholarly journals An mHealth Intervention for Persons with Diabetes Type 2 Based on Acceptance and Commitment Therapy Principles: Examining Treatment Fidelity

2018 ◽  
Vol 6 (7) ◽  
pp. e151 ◽  
Author(s):  
Andréa Aparecida Gonçalves Nes ◽  
Sandra van Dulmen ◽  
Espen Andreas Brembo ◽  
Hilde Eide
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Diabetes Type 2 ◽  
Treatment Fidelity ◽  
Diabetes Type ◽  
Mhealth Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment

scholarly journals An mHealth Intervention for Persons with Diabetes Type 2 Based on Acceptance and Commitment Therapy Principles: Examining Treatment Fidelity (Preprint)

2018 ◽  
Author(s):  
Andréa Aparecida Gonçalves Nes ◽  
Sandra van Dulmen ◽  
Espen Andreas Brembo ◽  
Hilde Eide
Keyword(s):  
Acceptance And Commitment Therapy ◽  
External Validity ◽  
Treatment Protocol ◽  
Treatment Fidelity ◽  
Text Messages ◽  
Web Based ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Internal And External Validity

BACKGROUND Web-based interventions are becoming an alternative of treatment aimed to support behavioral changes and several advantages over traditional treatments are reported. New ways of delivering an intervention may result in new challenges regarding monitoring of treatment fidelity (TF) which is essential to ensure internal and external validity. Despite the importance of the theme, only a few studies in this field are reported. OBJECTIVE To examine TF of a mobile phone delivered intervention based on Acceptance and Commitment Therapy (ACT) with electronic diaries and written situational feedback for persons with diabetes mellitus type 2, the recommendations from the Behavior Change Consortium (BCC) established by The National Institutes of Health (NHI) were applied. To analyze fidelity, they recommend 5 areas to be investigated (1) design of the study, (2) provider training, (3) delivery of treatment, (4) receipt of treatment, and (5) enactment of treatment. In the current study, these areas were examined based on the analysis of therapists’ adherence to the treatment protocol and participants’ and therapists’ experience with the intervention. METHODS To investigate the therapists’ adherence to the treatment protocol, a total of 251 written feedback text messages were divided into text segments. Qualitative thematic analyses were then performed to examine how ACT and other therapeutic processes were used in the feedback by the therapists. For the therapists’ and participants’ experience analysis, participants answered a self-reported questionnaire and participated in 2 interviews. The therapists continuously reported their experiences to the researcher responsible for the project. RESULTS The results show high adherence to the TF strategies 20/21 (95%) applicable items of the fidelity checklist recommended by NHI BCC were identified in the present study. Measured provider skill acquisition post-training was the only item absent in the fidelity checklist. The results also show high therapists’ adherence to the treatment protocol. All ACT processes (values, committed action, acceptance, contact with the present moment, self as context and cognitive defusion) were found in the coded text segments of the feedback in addition to communication and motivation strategies. For 336/730 (46%) of total possible text segments coded independently by 2 researchers, the interrater reliability measured by Cohen’s kappa was .85. The evaluation of participants’ and therapists’ experience with the intervention was generally positive. CONCLUSIONS Based on the analyses of therapists’ adherence to the treatment protocol grounded by ACT-principles and participants’ and therapists’ experience with the intervention, the 5 areas of TF recommended by NHI BCC were analyzed indicating a high level of TF. These results ensure an appropriate level of internal and external validity of the study and reliable intervention results and facilitate a precise replication of this intervention concept. Web-based psychological interventions to support people with chronic conditions are becoming increasingly more common. This study supports the results from a previous study which indicated that ACT could be reliably delivered in a written web-based format. CLINICALTRIAL ClinicalTrials.gov NCT01297049; https://clinicaltrials.gov/ct2/show/NCT01297049 (Archived by WebCite at http://www.webcitation.org/70WC4Cm4T)

scholarly journals The Effectiveness of Acceptance and Commitment Therapy on Quality of Life among Patients with Type 2 Diabetes

2016 ◽  
Vol 4 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Narges Fathi ahmadsaraei ◽  
Hamid taher Neshat doost ◽  
Gholam reza Manshaee ◽  
Mohammad ali Nadi ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Acceptance And Commitment Therapy ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Comparison of the Effectiveness of Compassion-based Therapy and Acceptance-based Therapy and Commitment to Self-care Behavior and Glycosylated Hemoglobin in Patients With Type 2 Diabetes

2020 ◽  
Vol 29 (3) ◽  
pp. 34-49
Author(s):  
Ameneh Khalatbari ◽  
◽  
Shohreh Ghorbanshiroudi ◽  
Mohammad Reza Zarbakhsh ◽  
Taher Tizdast ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Acceptance And Commitment Therapy ◽  
Glycosylated Hemoglobin ◽  
Self Care ◽  
City Hospital ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Compassion Focused Therapy ◽  
Care Behavior

Background: Diabetes is one of the most common diseases affecting peoplechr('39')s mental health and the body. Therefore, psychological interventions seem necessary to solve the problems caused by this disease. Objective: The present study aimed to compare the effectiveness of Compassion-focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT), and commitment to self-care behavior and glycosylated hemoglobin in patients with type 2 diabetes at Tonekabon City Hospital. Materials and Methods: This clinical trial was a one-step cluster sampling study, including 200 patients who were randomly selected from all patients with type 2 diabetes in Tonekabon City Hospital and, at the same time, the scale of self-care behavior of Tobert, Glasgow, and Hamspon (2002). A total of 45 people were randomly selected and divided into three groups of 15 people, including two intervention groups and one control group, 12 compassionate therapy sessions, and 12 admission-based treatment sessions, each lasting 45 minutes. Meetings for each intervention were performed twice a week with an interval of 3 days. At the end of treatment, all three groups were retested. Results: Due to the comparison of the mean differences between the two treatment groups for self-care and glycosylated hemoglobin (5.012) (-2.145), respectively, Acceptance and Commitment Therapy was more effective than compassion-focused therapy. Conclusion: The results owed a positive trend and increased self-care behavior and balanced glycosylated hemoglobin level in the follow-up and effectiveness of both approaches and the superiority of the acceptance and commitment-based treatment approach. Therefore, this treatment can be used in different conditions to improve the lives of patients with type 2 diabetes.

scholarly journals Acceptance and Commitment Therapy in Daily Life Training: A Feasibility Study of an mHealth Intervention

2016 ◽  
Vol 4 (3) ◽  
pp. e103 ◽  
Author(s):  
Tim Batink ◽  
Jindra Bakker ◽  
Thomas Vaessen ◽  
Zuzana Kasanova ◽  
Dina Collip ◽  
...  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Feasibility Study ◽  
Daily Life ◽  
Mhealth Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment

scholarly journals Comparing of the Effects of Acceptance and Commitment Therapy and Emotion Regulation Training on Diabetes Empowerment

2121 ◽  
Vol 7 (1) ◽  
pp. 55-64
Author(s):  
Elham Eghrari ◽  
◽  
Mohammad Hossein Bayazi ◽  
Ali Reza Rajayi ◽  
◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Emotion Regulation ◽  
Acceptance And Commitment Therapy ◽  
Control Group ◽  
Statistical Population ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Diabetes Empowerment ◽  
And Control

Background: Diabetes mellitus is a widely diffused chronic condition that affects several aspects of patients’ lives. The patient’s life in this condition depends on diabetes management ability. Therefore, this study aimed to compare the effects of Acceptance and Commitment Therapy (ACT) and Emotion Regulation Training (ERT) on the diabetes empowerment of patients with type 2 diabetes. Methods: This was a quasi-experimental study with a pre-test, post-test-follow-up and a control group design. Of the statistical population of patients referring to the Diabetes Prevention and Control Center of Mashhad Province, Iran, 45 subjects were recruited by convenience sampling method; they were randomly assigned into three groups of ACT, ERT, and control (n=15/group). The study subjects were assessed using the Diabetes Empowerment Scale (F-DES-28) in the pre-test stage, after the intervention, and 3 months later. The obtained data were analyzed by repeated-measures Analysis of Variance (ANOVA) in SPSS V. 22. Results: Both provided interventions presented a significant effect on the empowerment of the research subjects, compared to the controls (P<0.001). The effectiveness of ACT on the diabetes empowerment of patients was significantly higher than that of the ERT group (P=0.04). Conclusion: It is recommended to use ACT and ERT to empower patients with type 2 diabetes.

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 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.

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