Acceptance &amp;amp; Commitment Therapy: An Overview of Techniques and Applications

Larmar, Stephen Anthony; Wiatrowski, Stanislaw; Lewis-Driver, Stephen

doi:10.4236/jssm.2014.73019

Cited by 16 publications

(13 citation statements)

References 38 publications

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“…ACT facilitates the development of individual PF skills for nonclinical populations, promoting and facilitating actions that support individual well-being [ 52 , 67 ]. Rather than defining uncomfortable internal experiences (eg, thoughts, emotions, and physical sensations) as symptoms that need to be changed or eliminated, ACT focuses on altering the way individuals relate to these internal experiences [ 46 , 85 ] and empowering them to respond in ways that are more adaptive in their own lives [ 86 ]. This is accomplished through activities that normalize challenging internal experiences as well as training individuals to strengthen present-moment awareness, recognize the influence of their internal experiences over their actions, learn to alter unworkable responses to these internal experiences, and develop more flexible behavioral repertoires that are consistent with their personally chosen values [ 45 , 46 , 85 , 86 ].…”

Section: Methodsmentioning

confidence: 99%

Assessing the Efficacy of an Individualized Psychological Flexibility Skills Training Intervention App for Medical Student Burnout and Well-being: Protocol for a Randomized Controlled Trial

Ditton¹,

Knott²,

Hodyl³

et al. 2022

JMIR Res Protoc

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Background Medical student burnout is a prevalent problem with adverse long-term outcomes. Incorporating psychological resource-building interventions into comprehensive burnout prevention approaches during medical training is an identified priority among educators. These interventions could reduce burnout risk by buffering students against nonmodifiable career stressors. However, there is a need for rigorous investigation into optimal intervention targets and methods. Psychological flexibility (PF) is an adaptive behavioral skill set that has demonstrated relationships with medical student burnout and well-being. More broadly, there is evidence that PF mediates burnout and well-being outcomes and may be a protective factor. Efficacy studies assessing the benefits of interventions targeting PF among medical students are needed. Research also supports the need to establish optimal methods for increasing intervention efficacy in the context of individual differences in burnout and PF by using individualized approaches. Objective This study aims to assess whether an app-delivered PF intervention (Acceptance and Commitment Training) reduces burnout and improves well-being among medical students. We will examine whether changes in burnout and well-being are mediated by changes in PF. The potential benefits of an individualized version of the app versus those of a nonindividualized version will also be evaluated. Methods In this 3-arm, parallel, randomized controlled study, a sample of medical students will be randomly allocated to 1 of 3 intervention arms (individualized, nonindividualized, and waiting list) by using a 1:1:1 allocation ratio. Participants in the individualized and nonindividualized intervention arms will have 5 weeks to access the app, which includes a PF concepts training session (stage 1) and access to short PF skill activities on demand (stage 2). Stage 2 will be either individualized to meet participants’ identified PF training needs at each log-in or nonindividualized. Results Burnout, well-being, and PF will be assessed at baseline and after the intervention. Quantitative analyses will include descriptive and inferential statistics. We hypothesize that the Acceptance and Commitment Training intervention app will be effective in improving burnout and well-being and that changes in these outcomes will be mediated by changes in PF. We further hypothesize that participants in the individualized intervention group will demonstrate greater improvements in burnout and well-being outcomes than those in the nonindividualized group. Conclusions The findings of this study could guide the development of burnout prevention and well-being initiatives for medical students. Identifying PF as a mediating process would provide support for the delivery of preventive intervention programs that train individuals to strengthen this psychological resource before burnout symptoms emerge. This would be an important step in addressing and potentially offsetting the significant costs of burnout among medical students and physicians. Demonstrating the superiority of an individualized version of the app over a nonindividualized version would have implications for enhancing intervention precision and efficacy by using scalable interventions. Trial Registration Australian New Zealand Clinical Trials Registry ANZCTR 12621000911897; https://www.anzctr.org.au/ACTRN12621000911897.aspx International Registered Report Identifier (IRRID) PRR1-10.2196/32992

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Section: Methodsmentioning

confidence: 99%

Assessing the Efficacy of an Individualized Psychological Flexibility Skills Training Intervention App for Medical Student Burnout and Well-being: Protocol for a Randomized Controlled Trial

Ditton¹,

Knott²,

Hodyl³

et al. 2022

JMIR Res Protoc

View full text Add to dashboard Cite

show abstract

“…En este sentido, toma distancia de las versiones más clásicas de la CBT y se acerca a algunas nociones de las terapias basadas en mindfulness. Al integrar las vivencias desde la aceptación, se busca suprimir el control que ejercen ciertos contextos sobre dichas vivencias 47 . En este sentido, se comprende que el dolor, por ejemplo, se trata de una experiencia humana universal que puede ser "patologizado" desde la plataforma cultural y, por tanto, experiencialmente evitado, en lugar de aceptado e integrado 48 .…”

Section: Terapia De Aceptación Y Compromiso (Act)unclassified

Aproximaciones psicoterapéuticas para el manejo del tinnitus crónico no pulsátil

M.¹,

2022

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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“…Psychological flexibility in ACT consists of six big components: cognitive defusion, acceptance, self as a context, being fully present, values, and committed action. In the defusion process, the patients would be guided to develop an accurate awareness of their thought and emotions (Larmar et al, 2014). In addition, Snyder et al (2011) explained that exercise defusion is addressed to reduce unpleasant personal events.…”

Section: Nursing Practices 90mentioning

confidence: 99%

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

Adiyasa¹,

Ismoyowati²

2021

IJNP

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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.

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Acceptance & Commitment Therapy: An Overview of Techniques and Applications

Cited by 16 publications

References 38 publications

Assessing the Efficacy of an Individualized Psychological Flexibility Skills Training Intervention App for Medical Student Burnout and Well-being: Protocol for a Randomized Controlled Trial

Assessing the Efficacy of an Individualized Psychological Flexibility Skills Training Intervention App for Medical Student Burnout and Well-being: Protocol for a Randomized Controlled Trial

Aproximaciones psicoterapéuticas para el manejo del tinnitus crónico no pulsátil

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

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