Feasibility of the Understanding and Managing Adult ADHD Programme: open-access online group psychoeducation and acceptance and commitment therapy for adults with attention-deficit hyperactivity disorder.

IF 3.9 3区 医学 Q1 PSYCHIATRY BJPsych Open Pub Date : 2024-09-26 DOI:10.1192/bjo.2024.743
Christina Seery, Aisling Leonard-Curtin, Lauren Naismith, Nora King, Fiona O'Donnell, Brendan Byrne, Christine Boyd, Ken Kilbride, Margo Wrigley, Louise McHugh, Jessica Bramham
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Abstract

Background: Psychoeducational interventions are a critical aspect of supporting adults with attention-deficit hyperactivity disorder (ADHD). The Understanding and Managing Adult ADHD Programme (UMAAP) is a six-session, group-based webinar intervention that incorporates psychoeducation with acceptance and commitment therapy. UMAAP relies on self-referrals and is facilitated by a charity, to promote accessibility.

Aims: The present study aimed to evaluate the feasibility of UMAAP and explore preliminary effectiveness.

Method: Adults with formally diagnosed or self-identified ADHD (n = 257) participated in an uncontrolled pre-post design. Feasibility was indicated by attendance, confidence in completing the home practice and satisfaction. Quality of life, psychological flexibility, self-acceptance and knowledge of ADHD were assessed at baseline, 1 week post-intervention and 3 months later, to explore preliminary effectiveness.

Results: Feasibility was demonstrated by the high attendance ratings and satisfaction with the intervention, although there was only moderate confidence in the ability to complete the home practices. Quality of life (mean increase 9.69, 95% CI 7.57-11.80), self-acceptance (mean increase 0.19, 95% CI 0.10-0.28) and knowledge of ADHD (mean increase 1.55, 95% CI 1.23-1.82) were significantly improved post-intervention. The effects were maintained at the 3-month follow-up. Psychological flexibility did not significantly change immediately post-intervention, but increased significantly at the 3-month follow-up (mean increase 0.42, 95% CI 0.26-0.58).

Conclusions: Overall, UMAAP is a feasible intervention for adults with ADHD. Findings highlighted the feasibility of delivering psychological interventions online in group settings, to increase access to support for adults with ADHD.

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了解和管理成人多动症计划的可行性:针对注意力缺陷多动障碍成人的开放式在线小组心理教育和接纳与承诺疗法。
背景:心理教育干预是支持成人注意力缺陷多动障碍(ADHD)患者的一个重要方面。了解和管理成人多动症计划(UMAAP)是一项为期六节、以小组为基础的网络研讨会干预措施,它将心理教育与接纳和承诺疗法结合在一起。本研究旨在评估 UMAAP 的可行性,并探讨其初步效果:方法:患有正式诊断或自我认定的多动症的成年人(n = 257)参与了一项无对照的前后期设计。参加人数、完成家庭练习的信心和满意度表明了该方法的可行性。在基线、干预后 1 周和 3 个月后对生活质量、心理灵活性、自我接纳和对多动症的认识进行评估,以探讨初步效果:结果:干预措施的出勤率和满意度都很高,这证明了干预措施的可行性,尽管对完成家庭练习的能力只有中等程度的信心。干预后,生活质量(平均提高 9.69,95% CI 7.57-11.80)、自我接纳(平均提高 0.19,95% CI 0.10-0.28)和对多动症的认识(平均提高 1.55,95% CI 1.23-1.82)均有显著改善。这些效果在 3 个月的随访中得以保持。心理灵活性在干预后没有明显变化,但在3个月的随访中明显增加(平均增加0.42,95% CI 0.26-0.58):总体而言,UMAAP 是一项针对成人多动症患者的可行干预措施。研究结果凸显了在小组环境中在线提供心理干预的可行性,从而增加了成人多动症患者获得支持的机会。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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