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.

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.

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

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.

Physical Activity of Patients With Chronic Pain Receiving Acceptance and Commitment Therapy or Cognitive Behavioural Therapy

2014 ◽  
Vol 31 (2) ◽  
pp. 131-143 ◽  
Author(s):  
Katherine VanBuskirk ◽  
Scott Roesch ◽  
Niloofar Afari ◽  
Julie Loebach Wetherell
Keyword(s):  
Physical Activity ◽  
Chronic Pain ◽  
Cognitive Behavioural Therapy ◽  
Acceptance And Commitment Therapy ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Tailored Interventions ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural

Physical activity is positively related to various indices of quality of life and is found to reduce symptoms in individuals with chronic pain. This manuscript presents findings from a post hoc analysis investigating whether treatment-related improvements from psychological treatment for chronic pain are mediated by changes in physical activity (PA). Secondary analyses sought to determine predictor variables of PA in patients with chronic pain and to determine the relationship between objective and self-report measurements of PA. The effect of psychological treatment on physical activity was assessed using accelerometers in a sample of participants with chronic pain in a randomised controlled trial comparing 8 weeks of acceptance and commitment therapy (ACT) to cognitive behavioural therapy (CBT). Participants wore actigraph accelerometers for 7 consecutive days at baseline, post-treatment, and at 6-month follow-up. Hierarchical linear modelling analyses found that the variance in physical activity was not significantly predicted by time (b = 104.67, p = .92) or treatment modality (b = −1659.34, p = .57). Women had greater increases in physical activity than did men (b = 6804.08, p = .02). Current ‘gold standard’ psychological treatments for chronic pain were not found to significantly increase physical activity, an important outcome to target in the treatment of physical and mental health. These results suggest that tailored interventions with greater emphasis on exercise may complement psychological treatment for chronic pain. In particular, gender-tailored interventions may capitalise on physical activity differences found between men and women.

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