A scoping review to identify process and outcome measures used in acceptance and commitment therapy research, with adults with acquired neurological conditions

Foote, Hannah; Bowen, Audrey; Cotterill, Sarah; Hill, Geoff; Pieri, Matilde; Patchwood, Emma

doi:10.1177/02692155221144554

Cited by 3 publications

(2 citation statements)

References 187 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Online data collection appeared acceptable and feasible, although one participant required support to complete (taking 90 min), which may be unfeasible in a larger trial. Our choice of outcomes was informed by the literature 34 and PCPI. This small study was not powered to explore measurement outcomes.…”

Section: Discussionmentioning

confidence: 99%

Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke

Patchwood,

Foote,

Vail

et al. 2024

Clin Rehabil

Self Cite

View full text Add to dashboard Cite

Objective Feasibility test a co-developed intervention based on Acceptance and Commitment Therapy to support psychological adjustment post-stroke, delivered by a workforce with community in-reach. Design Observational feasibility study utilising patient, carer, public involvement. Setting Online. UK. Participants Stroke survivors with self-reported psychological distress 4 + months post-stroke. Interventions The co-developed Wellbeing After Stroke (WAterS) intervention includes: 9-weekly, structured, online, group sessions for stroke survivors, delivered via a training programme to upskill staff without Acceptance and Commitment Therapy experience, under Clinical Psychology supervision. Main measures Feasibility of recruitment and retention; data quality from candidate measures; safety. Clinical and demographic information at baseline; patient-reported outcome measures (PROMs) via online surveys (baseline, pre- and post-intervention, 3 and 6 months after intervention end) including Mood (hospital anxiety and depression scale (HADS)), Wellbeing (ONS4), Health-Related Quality of Life (EQ5D5L), Psychological Flexibility (AAQ-ABI) and Values-Based Living (VQ). Results We trained eight staff and recruited 17 stroke survivors with mild-to-moderate cognitive and communication difficulties. 12/17 (71%) joined three intervention groups with 98% attendance and no related adverse events. PROMS data were well-completed. The HADS is a possible future primary outcome (self-reported depression lower on average by 1.3 points: 8.5 pre-group to 7.1 at 3-month follow-up; 95% CI 0.4 to 3.2). Conclusion The WAterS intervention warrants further research evaluation. Staff can be trained and upskilled to deliver. It appears safe and feasible to deliver online to groups, and study recruitment and data collection are feasible. Funding has been secured to further develop the intervention, considering implementation and health equality.

show abstract

Section: Discussionmentioning

confidence: 99%

Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke

Patchwood,

Foote,

Vail

et al. 2024

Clin Rehabil

Self Cite

View full text Add to dashboard Cite

show abstract

“…Online data collection appeared acceptable and feasible in this trial. Our choice of outcomes was informed by the literature [47] and PCPI. This small study was not powered to explore measurement outcomes.…”

Section: Discussionmentioning

confidence: 99%

Wellbeing After Stroke (WAterS): feasibility testing of a co-developed Acceptance and Commitment Therapy (ACT) intervention, to support psychological adjustment after stroke

Patchwood,

Foote,

Vail

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

ObjectiveFeasibility test a co-developed intervention based on Acceptance and Commitment Therapy (ACT) to support psychological adjustment post-stroke, delivered by a workforce with community in-reach.DesignObservational feasibility study utilising Patient, Carer, Public Involvement (PCPI).SettingOnline. UK.ParticipantsStroke survivors with self-reported psychological distress 4+ months post-strokeInterventionsThe co-developed Wellbeing After Stroke (WAterS) intervention includes: nine weekly, structured, online, group sessions for stroke survivors, delivered via a training programme to upskill staff without previous ACT experience, under Clinical Psychology supervision.Main measuresFeasibility of recruitment and retention; data quality from candidate measures; safety. Clinical and demographic information at baseline; Patient Reported Outcome Measures (PROMs) via online surveys (baseline, pre- and post-intervention, 3 and 6 months after intervention end) including Mood (HADS), Wellbeing (ONS4), Health-Related Quality of Life (EQ5D5L), Psychological Flexibility (AAQ-ABI) and Values-Based Living (VQ).ResultsWe trained eight staff and recruited 17 stroke survivors with mild-to-moderate cognitive and communication difficulties. 12/17 (71%) joined three intervention groups with 98% attendance and no related adverse events. PROMS data were well-completed. The HADS is a possible future primary outcome (self-reported depression lower on average by 1.3 points: 8.5 pre-group to 7.1 at 3 month follow up; 95% CI 0.4 to 3.2).ConclusionThe WAterS intervention warrants further research evaluation. Staff can be trained and upskilled to deliver. It appears safe and feasible to deliver online to groups, and study recruitment and data collection are feasible. Funding has been secured to further develop the intervention, considering implementation and health equality.

show abstract

Effectiveness of Cognitive‐Based Interventions on Psychological Distress in Adolescents With Physical Disabilities: A Systematic Review and Meta‐Analysis

Li,

Mei

et al. 2024

Int J Mental Health Nurs

View full text Add to dashboard Cite

Adolescents with physical disabilities experience common psychological distress that interacts with impaired physical function. While cognitive‐based interventions have been implemented for adolescents with physical disabilities, their effects on enhancing psychological health remain uncertain. This systematic review aimed to synthesise the effects of cognitive‐based interventions on the psychological distress of this population and identify optimal components for evidence‐based interventions. Following the PRISMA guideline, nine databases were searched to identify eligible randomised controlled trials examining the effects of cognitive‐based interventions for adolescents with physical disabilities from inception to October 2023. Data syntheses were performed using the R software, employing random‐effects models. Twelve trials involving 1201 participants were identified. The pooled results revealed that cognitive‐based interventions did not yield noticeable effects in reducing anxiety (g = −0.43 for postintervention; −0.14 for medium term; −0.37 for long term), depression (g = −0.05 for postintervention; −0.02 for medium term; −0.15 for long term) and stress levels (g = −0.15) over time. The secondary outcome (physical function) improved significantly in the long term compared to the control groups (g = 0.31). Furthermore, this review identified variations in the effectiveness of CBIs among different recipients, durations and modes of delivery. Given the limited number and overall low quality of identified studies for each outcome, conducting high‐quality randomised controlled trials is recommended to validate the effectiveness of cognitive‐based interventions in reducing psychological distress among adolescents with physical disabilities.

show abstract

A scoping review to identify process and outcome measures used in acceptance and commitment therapy research, with adults with acquired neurological conditions

Cited by 3 publications

References 187 publications

Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke

Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke

Wellbeing After Stroke (WAterS): feasibility testing of a co-developed Acceptance and Commitment Therapy (ACT) intervention, to support psychological adjustment after stroke

Effectiveness of Cognitive‐Based Interventions on Psychological Distress in Adolescents With Physical Disabilities: A Systematic Review and Meta‐Analysis

Contact Info

Product

Resources

About