Acceptance and commitment therapy on parents of children and adolescents with autism spectrum disorders

Poddar, Shuvabrata; Vk, Sinha; Mukherjee, Urbi

doi:10.4103/2395-2296.158331

Cited by 22 publications

(15 citation statements)

References 4 publications

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“…The ACT perspective emphasizes accepting the unchangeable (Losada et al, 2015 ), which may fit the needs of caregivers experiencing high levels of stress, especially those of children with disabilities (Lunsky et al, 2018 ). Of the limited research that has addressed caregiver-focused interventions, ACT has been demonstrated to significantly improve psychological flexibility (Blackledge & Hayes, 2006 ; Brown et al, 2015 ; Fung et al, 2018 ; Gould et al, 2018 ; Hahs et al, 2018 ; Joekar et al, 2016 ; Poddar et al, 2015 ; Whittingham et al, 2016 ).…”

mentioning

confidence: 99%

A Telecommunication Model to Teach Facilitators to Deliver Acceptance and Commitment Training

Magnacca

Thomson

Marcinkiewicz

et al. 2021

Behav Analysis Practice

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Providing mediator training using a telecommunication format increases access to training by reducing geographical and financial barriers, while maintaining or increasing efficiency. Limited research has implemented this format to train facilitators in acceptance and commitment training (ACT), an empirically supported intervention. The aim of this research was to examine the efficacy of behavioral skills training via telecommunication for training novice facilitators to provide ACT to caregivers of individuals with neurodevelopmental disabilities. This two-part study involved concurrent multiple-baseline designs, each across four participants. Quantitative data on fidelity and confidence were collected at baseline, posttraining, and at 1-month follow-up. The results from this study provide preliminary support for the use of behavioral skills training via telecommunication to train ACT facilitators. Increasing the number of competently trained facilitators will help build capacity to increase access to ACT across geographical regions. Supplementary Information The online version contains supplementary material available at 10.1007/s40617-021-00628-x.

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mentioning

confidence: 99%

A Telecommunication Model to Teach Facilitators to Deliver Acceptance and Commitment Training

Magnacca

Thomson

Marcinkiewicz

et al. 2021

Behav Analysis Practice

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“…Poddar, Sinha, and Urbi (2015) observed significant improvement in depressive symptoms, anxiety and quality of life measures among five parents of children with autism that took part in a 10‐week ACT group. Further research by Poddar, Sinha, and Urbi (2017) reported on a small sample of parents who completed a 9‐week ACT group.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the use of acceptance and commitment therapy in supporting parents

et al. 2020

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Objectives. Acceptance and commitment therapy (ACT) has accrued a growing evidence-base for a wide variety of psychological difficulties. Given that ACT promotes broad and flexible repertoires of behaviour as well as neutralizing the ubiquitous psychological processes theorized to be responsible for much human suffering, such an approach may hold promise. The use of ACT-informed parenting interventions offers another alternative to solely behavioural approaches but it remains relatively understudied and in need of further exploration.Design. The current systematic review, which searched four databases, aimed to collate all ACT interventions that included parental therapeutic components in the treatment of various child presenting difficulties. The review also rated the methodological rigour of the ACT evidence-base for this type of treatment format.Results. Twenty-seven individual studies covering a broad spectrum of presenting problems were included, comprising of 1,155 participants. A large proportion of studies were within-group designs with a smaller number using randomized controlled trials. The majority of studies reported improvements on either parent report symptoms regarding child physical or psychological functioning as well as parent-reported measures of stress, depression, and anxiety. Similar improvements were noted on a number of ACT mechanisms of change outcomes, including mindfulness, acceptance, and cognitive fusing. These gains were evident for parents of children with neurodevelopmental disorders, chronic pain, and significant physical health difficulties. Maintenance or further treatment gains were often reported at follow-up. These positive findings are tempered by low levels of methodological rigour common in some of the studies included.Conclusions. Despite these limitations, ACT holds promise as a transdiagnostic intervention that can help with the parenting of children with a range of psychological and physical difficulties. Practitioner pointsACT has accrued a relatively strong evidence base for a range of psychological difficulties. Despite some methodological shortcomings, ACT shows promise as an intervention to help parents manage stress and difficulties especially in relation to children with autism, chronic pain, and physical health needs.

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“…As a science rooted in objective measurable outcomes, it is critical that the advice we give is also effective in producing the outcomes we are expecting. Furthermore, the rise of ACT-related additions (Murrell & Scherbarth, 2006 ; Pahnke, Lundgren, Hursti, & Hirvikoski, 2014 ) to the typical behavioral training approaches for employees (Bethay, Wilson, Schnetzer, Nassar, & Bordieri, 2013 ), clients (Enoch & Dixon, 2017 , 2019 ), and parents (Blackledge & Hayes, 2006 ; Poddar, Sinha, & Urbi, 2015 ) necessitates even more proof of concept before inferring such material is warranted for inclusion in enhancing telehealth outcomes.…”

Section: Study 1: Description Of the Yi And Dixon On-demand Telehealtmentioning

confidence: 99%

Developing and Enhancing Adherence to a Telehealth ABA Parent Training Curriculum for Caregivers of Children with Autism

Dixon

2020

Behav Analysis Practice

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The current COVID-19 pandemic poses unique challenges to the delivery of applied behavior analysis (ABA) services, and there has been a growing demand for evidence-based practices on how to develop a telehealth ABA service model. The current article provides a detailed technological guide on how to develop a telehealth ABA parent training curriculum. Our model also includes a series of brief acceptance and commitment training (ACT) protocols to enhance parental adherence. We provide the details for replicating our telehealth model and also demonstrate its effectiveness. To begin, a step-by-step guide on how to develop this curriculum is presented, as well as protocols used in a 60-day telehealth ABA parent training program. Afterward, we describe a randomized controlled trial design to examine the effectiveness of this protocol. Thirteen families from the southern Illinois region participated in the curriculum before the COVID-19 outbreak. Obtained data indicated training was effective to teach skills, and parents with supplemental ACT material made significantly more progress than those in the control group, t (11) = 2.36, p = .038. Halfway through the training, the outbreak of COVID-19 occurred, and parents in the ACT group were more likely to continue the program, whereas parents in the control group were significantly more likely to postpone their participation, χ 2 = 6.96, p = .008. Social validity measures indicated that parents rated the curriculum favorably. Limitations and suggestions for practitioners are discussed.

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Acceptance and commitment therapy on parents of children and adolescents with autism spectrum disorders

Cited by 22 publications

References 4 publications

A Telecommunication Model to Teach Facilitators to Deliver Acceptance and Commitment Training

A Telecommunication Model to Teach Facilitators to Deliver Acceptance and Commitment Training

A systematic review of the use of acceptance and commitment therapy in supporting parents

Developing and Enhancing Adherence to a Telehealth ABA Parent Training Curriculum for Caregivers of Children with Autism

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