Acceptance and Commitment Therapy (ACT) for HIV-infected Hazardous Drinkers: A Qualitative Study of Acceptability

Woolf‐King, Sarah E.; Sheinfil, Alan Z.; Babowich, Jacklyn D; Siedle-Khan, Bob; Loitsch, Amanda; Maisto, Stephen A.

doi:10.1080/07347324.2018.1539630

Cited by 8 publications

(5 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The intervention, if adequately adopted within the study's context, will allow members of one group to develop empathy, understanding, and positive attitudes toward another group. We also suggest adopting an Acceptance and Commitment Therapy intervention as adopted by past researchers to understand and create solutions for GBMSM who face signi cant mental health stress, depression and other forms of social problems due to the stigma and discrimination they face (73)(74)(75). We recommend adopting these interventions to reduce community stigma and victimization for GBMSM in Ghanaian slum communities and promote acceptance, support and empowerment.…”

Section: Discussionmentioning

confidence: 99%

Community stigma, victimization, and coping strategies among gays, bisexuals, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003

Shamrock,

Abu-Ba'are,

Zigah

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Gays, bisexuals, and cis-gender men who have sex with men (GBMSM) face severe consequences, especially within stigmatized environments. However, very little is known about the experiences of GBMSM living in slums in SSA and Ghana. This study investigates the experiences of stigma, victimization, and coping strategies and proposes some interventional approaches for combating stigma facing GBMSM in slum communities. Methods We engaged GBMSM living in slums in two major Ghanaian cities. We used a time-location sampling and collected data through in-depth individual interviews. Two major themes emerged from the study: 1) insecurities and criminalization of GBMSM activity, and 2) GBMSM coping strategies. Results Findings show GBMSM experienced negative attitudes from the community due to their sexual behavior/orientation. GBMSM also developed coping strategies to avert negative experiences, such as hiding their identities/behavior, avoiding gender non-conforming men, and having relationships with persons outside their communities. Conclusion We propose interventions such as HIV Education, Empathy, and Empowerment and Acceptance, and Commitment Therapy as possible measures to improve the experiences of GBMSM living in Ghanaian slum communities.

show abstract

Section: Discussionmentioning

confidence: 99%

Community stigma, victimization, and coping strategies among gays, bisexuals, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003

Shamrock,

Abu-Ba'are,

Zigah

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…We describe next the process by which we chose the TALK intervention (Steps 1-2), determined what in the TALK intervention needed to be adapted and how (Step 3), documented changes to the TALK intervention manual and produced a draft of what would become the manual for the ACCEPT intervention (Step 4), involved key stakeholders to solicit feedback on the first draft of the ACCEPT intervention manual (Step 5), integrated suggestions from key stakeholders into a final ACCEPT intervention manual (Step 6), trained interventionists on the ACCEPT manual (Step 7), and developed and implemented procedures for a pilot RCT to test the feasibility and acceptability of the ACCEPT intervention (Step 8). We emphasize Steps 3-8 in this manuscript, as the formative work in Steps 1-2 has been previously described and published [56]. Our multidisciplinary team included two licensed clinical psychologists specializing in alcohol interventions and behavioral aspects of HIV treatment and prevention (SWK, SAM), one licensed clinical psychologist specializing in smoking cessation and ACT (JB), an epidemiologist specializing in alcohol and…”

Section: Overview Of Study Phasesmentioning

confidence: 99%

“…Prior to officially moving forward with adaptation of the TALK intervention, we published preliminary data on the feasibility and acceptability of ACT as a treatment for PWH who are hazardous drinkers [56]. Briefly, 25 PWH participated in individual interviews designed to expose participants to the ACT model via three experiential exercises that represented the central principles of ACT (i.e., contacting the present moment, acceptance, and values-clarification).…”

Section: Steps 1 and 2: How The Talk Intervention Was Chosen For Adap...mentioning

confidence: 99%

See 1 more Smart Citation

Development of a Telephone-Delivered Acceptance and Commitment Therapy Intervention for People Living with HIV who are Hazardous Drinkers

et al. 2022

Self Cite

View full text Add to dashboard Cite

Alcohol use among people living with HIV (PWH) has been increasingly recognized as an important component of HIV care. Transdiagnostic treatments, such as Acceptance and Commitment Therapy (ACT), that target core processes common to multiple mental health and substance-related problems, may be ideal in HIV treatment settings where psychological and behavioral health comorbidities are high. In advance of a randomized clinical trial (RCT), the overall objective of this study was to systematically adapt an ACT-based intervention originally developed for smoking cessation, into an ACT intervention for PWH who drink at hazardous levels. Consistent with the ADAPT-ITT model, the adaptation progressed systematically in several phases, which included structured team meetings, three focus group discussions with PWH (N = 13), and in-depth interviews with HIV providers (N = 10), and development of standardized operating procedures for interventionist training, supervision, and eventual RCT implementation. The procedures described here offer a template for transparent reporting on early phase behavioral RCTs.

show abstract

“…Cognitive fusion and experiential avoidance, as important theoretical models of acceptance and commitment therapy, are important factors for the formation and maintenance of many psychological disorders (Bohlmeijer et al, 2011;Afari et al, 2019;Woolf-King et al, 2019). Cognitive fusion indicates that patients equate thoughts with reality, and they are not aware of what he or she is thinking at the moment.…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Cognitive Fusion, Experiential Avoidance, and Obsessive–Compulsive Symptoms in Patients With Obsessive–Compulsive Disorder

Xiong

et al. 2021

Front. Psychol.

View full text Add to dashboard Cite

Objective: This study aimed to explore the relationship among cognitive fusion, experiential avoidance, and obsessive–compulsive symptoms in patients with obsessive–compulsive disorder (OCD).Methods: A total of 118 outpatient and inpatient patients with OCD and 109 healthy participants, gender- and age-matched, were selected using cognitive fusion questionnaire (CFQ), acceptance and action questionnaire−2nd edition (AAQ-II), Yale–Brown scale for obsessive–compulsive symptoms, Hamilton anxiety scale, and Hamilton depression scale for questionnaire testing and data analysis.Results: The levels of cognitive fusion and experiential avoidance in the OCD group were significantly higher than those in the healthy control group (P < 0.05). Regression analysis results showed that, in predicting the total score of obsessive–compulsive symptoms, AAQ-II (β = 0.233, P < 0.05) and CFQ (β = 0.262, P < 0.01) entered the equation, which explained 17.1% variance. In predicting anxiety, only AAQ-II (β = 0.222, P < 0.05) entered the equation, which explained 13% variance. In the prediction of depression, AAQ-II (β = 0.412, P < 0.001) entered the equation, which explained 17.7% variance.Conclusion: Cognitive fusion and experiential avoidance may be important factors for the maintenance of OCD, and experiential avoidance can positively predict the anxiety and depression of OCD patients.

show abstract

Acceptance and Commitment Therapy (ACT) for HIV-infected Hazardous Drinkers: A Qualitative Study of Acceptability

Cited by 8 publications

References 48 publications

Community stigma, victimization, and coping strategies among gays, bisexuals, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003

Community stigma, victimization, and coping strategies among gays, bisexuals, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003

Development of a Telephone-Delivered Acceptance and Commitment Therapy Intervention for People Living with HIV who are Hazardous Drinkers

Relationship Between Cognitive Fusion, Experiential Avoidance, and Obsessive–Compulsive Symptoms in Patients With Obsessive–Compulsive Disorder

Contact Info

Product

Resources

About