The impact of mindfulness skills on interactions between direct care staff and adults with developmental disabilities

Chancey, Christina; Weihl, Cynthia; Root, William B.; Rehfeldt, Ruth Anne; McCauley, Donnell; Takeguchi, Kazu; Pritchard, Josh

doi:10.1016/j.jcbs.2018.07.004

Cited by 12 publications

(27 citation statements)

References 32 publications

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“…Pingo et al (2020) included all ACT processes in their training; whereas, Little et al (2020) taught present moment awareness, values, and committed actions. Two further studies taught values and committed actions (Castro et al, 2016) and mindfulness alone (Chancey et al, 2019). Experiential avoidance was assessed in three studies (Chancey et al, 2019; Little et al, 2020; Pingo et al, 2020) and stress and job satisfaction in one study (Pingo et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review of Acceptance and Commitment Therapy in Individuals with Neurodevelopmental Disorders, Caregivers, and Staff

et al. 2021

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The purpose of this review was to quantitatively synthesize studies using acceptance and commitment therapy (ACT) with individuals with neurodevelopmental disorders (NNDs), their parents, and staff members that support them. Thirty studies published in peer-reviewed journals between 2006 and 2020 met inclusion criteria. They were reviewed and coded on variables associated with participants’ characteristics, settings, dropouts, design type, ACT procedures and measures, social validity, treatment integrity, and main findings. The What Works Clearinghouse (WWC), the revised Cochrane risk-of-bias tool for randomized trials (RoB2) and the Risk of Bias in Nonrandomized Studies of Interventions (ROBINS-I) were applied to evaluate the quality of the studies. Results indicated that 20 studies used group designs and 10 studies used single-case designs. Participants with NNDs consisted predominantly of those with autism spectrum disorder, attention deficit hyperactivity disorder, and learning disabilities. Group studies reported process and outcome measures exclusively; whereas, single-case studies also incorporated behavioral/direct measures. Overall, results showed mixed improvements across studies using indirect and direct measures. Lastly, quality assessment for group studies presented moderate or serious risk of bias and two single-case studies did not meet WWC evidence of effectiveness. Directions for future research and practice are discussed.

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Section: Resultsmentioning

confidence: 99%

“…Two further studies taught values and committed actions (Castro et al, 2016) and mindfulness alone (Chancey et al, 2019). Experiential avoidance was assessed in three studies (Chancey et al, 2019; Little et al, 2020; Pingo et al, 2020) and stress and job satisfaction in one study (Pingo et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of Acceptance and Commitment Therapy in Individuals with Neurodevelopmental Disorders, Caregivers, and Staff

et al. 2021

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“…Although the measures were chosen to represent a range of aspects of psychological functioning which are thought to determine occupational health and functioning there was no direct measure of effectiveness, such as a measure of the quality of interactions between staff and clients. Such measures have been employed in previous burnout research (Castro, Rehfeldt, & Root, 2016; Chancey et al, 2018) and would have provided a more robust test of the utility of this intervention but was not used due to ethical and practical barriers.…”

Section: Discussionmentioning

confidence: 99%

A brief acceptance and commitment intervention for work‐related stress and burnout amongst frontline homelessness staff: A single case experimental design series

Reeve

Moghaddam

Tickle

et al. 2021

Clin Psychology and Psychoth

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Purpose Recent intervention research for burnout amongst those working in health and social care contexts has found acceptance and commitment therapy (ACT) interventions to be of use but has provided less clarity on the role of psychological flexibility (a key ACT construct). This study further evaluated the usefulness of ACT for burnout and work‐engagement and assessed the role of psychological flexibility in contributing to therapeutic change. Procedure A nonconcurrent multiple‐baseline across‐participants single‐case experimental design was used. Four participants were recruited from a homelessness organization in the East Midlands, England. The ACT‐intervention was split into three modules to reflect the three aspects of the ACT triflex, and the sequence of delivery was randomized for each participant in order to test the relationship between these aspects. Findings Support was found for the ACT intervention reducing exhaustion and increasing work‐engagement. Psychological Flexibility increased in all participants and was temporally related to increases in other outcome variables in some instances. Delivery of the intervention focussed on any given aspect of the ACT triflex could increase different domains of psychological flexibility. Implications This study adds to the growing body of research in favour of ACT interventions for burnout and adds to the understanding of psychological flexibility as a mediating variable.

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“…A relatively new procedure rooted in RFT principles that combines mindfulness and behavioral-based procedures called acceptance and commitment therapy (ACT) stems from the early 1980s (see Zettle, 2005, for a historical and empirical review). In the past few years, researchers have published studies on acceptance and commitment training (ACTr) for parent training (Corti et al, 2018;Gould, Tarbox, & Coyne, 2018;Hahs, Dixon, & Paliliunas, 2018;Pennefather, Hieneman, Raulston, & Caraway, 2018), gambling (Dixon, Wilson, & Habib, 2016), decreasing impulsivity (Dixon et al, 2019), reducing inflexible behavior (Szabo, 2019), teaching job interview skills (Brazeau et al, 2017), training staff (Castro, Rehfeldt, & Root, 2016;Chancey et al, 2018), and increasing academic performance (Paliliunas, Belisle, & Dixon, 2018). ACT may also help us intervene on critical social issues related to racial bias (Levin et al, 2016;Lillis & Hayes, 2007).…”

Section: Part Iii: Interventions To Reduce Racial Prejudicementioning

confidence: 99%

Can Behavior Analysis Help Us Understand and Reduce Racism? A review of the Current Literature

Matsuda

García

Catagnus

et al. 2020

Behav Analysis Practice

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Despite ongoing efforts to eradicate racism, it persists globally, negatively affecting education, mental health, community relations, and economic development. Every behavior analyst can, and should, contribute to the reduction of racism in some way. Unfortunately, little behavior-analytic research exists to guide us. This article proposes ways that members of our scientific community can learn about racism from a behavioral perspective, extend experimental analyses of prejudice, and intervene to reduce racism in varied settings. It describes both traditional behavior-analytic and functionalcontextualist accounts of racism and summarizes the small amount of related empirical and applied research. The review suggests that combining traditional behavior-analytic methods with acceptance and commitment training techniques may attenuate racism more effectively. The article ends with a call to collaborate around this globally important issue-and to do more to reduce racism.

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The impact of mindfulness skills on interactions between direct care staff and adults with developmental disabilities

Cited by 12 publications

References 32 publications

Systematic Review of Acceptance and Commitment Therapy in Individuals with Neurodevelopmental Disorders, Caregivers, and Staff

Systematic Review of Acceptance and Commitment Therapy in Individuals with Neurodevelopmental Disorders, Caregivers, and Staff

A brief acceptance and commitment intervention for work‐related stress and burnout amongst frontline homelessness staff: A single case experimental design series

Can Behavior Analysis Help Us Understand and Reduce Racism? A review of the Current Literature

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