ACT2COPE: A pilot randomised trial of a brief online acceptance and commitment therapy intervention for people living with chronic health conditions during the COVID-19 pandemic

IF 1.6 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Cogent Psychology Pub Date : 2023-05-11 DOI:10.1080/23311908.2023.2208916

Kate Wallace-Boyd, A. Boggiss, Sian Ellett, R. Booth, R. Slykerman, A. Serlachius

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引用次数: 1

Abstract

It is well established that the COVID-19 pandemic increased psychological distress in many populations, particularly for people with chronic health conditions (CHCs). Web-based mental health interventions provide a scalable and cost-effective approach to providing psychological support for people disproportionately affected by the COVID-19 pandemic. The current study aimed to explore the feasibility and acceptability of a one-week web-based psychological intervention (ACT2COPE) and explore preliminary effects of the intervention on reducing depression, anxiety, and stress symptoms, and improving wellbeing and psychological flexibility in adults living with CHCs during the COVID-19 pandemic in Aotearoa (New Zealand). A pilot randomised waitlist-controlled trial explored the acceptability and preliminary efficacy of ACT2COPE among 40 participants (n = 20 in the ACT2COPE group and n = 20 in the waitlist control group). Focus groups and open-ended questions explored usability and acceptability of the intervention as well as levels of engagement and adherence to the intervention. Mixed model ANOVAs explored within and between-group differences in psychological outcomes. Qualitative findings suggested that participants found ACT2COPE acceptable and engaging. Depressive symptoms significantly decreased over time compared to the waitlist group at 4-weeks follow-up (p =.012). No other between-group differences were found. The online ACT2COPE intervention presents a promising, scalable intervention that may improve psychological outcomes in adults living with CHCs during the COVID-19 pandemic. Future research is needed to confirm these findings in a larger and more diverse population and over a longer timeframe. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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ACT2COPE:一项针对COVID-19大流行期间慢性疾病患者的简短在线接受和承诺治疗干预的随机试验

众所周知，2019冠状病毒病大流行增加了许多人群的心理困扰，特别是慢性疾病患者。基于网络的精神卫生干预措施为受COVID-19大流行严重影响的人群提供了一种可扩展且具有成本效益的心理支持方法。本研究旨在探讨为期一周的基于网络的心理干预(ACT2COPE)的可行性和可接受性，并探讨该干预在新西兰奥特罗阿(Aotearoa) COVID-19大流行期间减轻成年CHCs患者的抑郁、焦虑和压力症状、改善幸福感和心理灵活性方面的初步效果。一项试点随机候补对照试验探讨了40名参与者(n = 20在ACT2COPE组和n = 20在候补对照组)对ACT2COPE的可接受性和初步疗效。焦点小组和开放式问题探讨了干预措施的可用性和可接受性，以及参与和坚持干预措施的程度。混合模型方差分析探讨了组内和组间心理结果的差异。定性研究结果表明，参与者认为ACT2COPE是可以接受的，并且很吸引人。在4周的随访中，与等候名单组相比，抑郁症状随着时间的推移显著减少(p = 0.012)。没有发现其他组间差异。在线ACT2COPE干预提供了一种有希望的、可扩展的干预措施，可以改善COVID-19大流行期间成年CHCs患者的心理结果。未来的研究需要在更大、更多样化的人群和更长的时间框架内证实这些发现。©2023作者。由Informa UK Limited出版，以Taylor & Francis Group的名义进行交易。

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来源期刊

Cogent Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： One of the largest multidisciplinary open access journals serving the psychology community, Cogent Psychology provides a home for scientifically sound peer-reviewed research. Part of Taylor & Francis / Routledge, the journal provides authors with fast peer review and publication and, through open access publishing, endeavours to help authors share their knowledge with the world. Cogent Psychology particularly encourages interdisciplinary studies and also accepts replication studies and negative results. Cogent Psychology covers a broad range of topics and welcomes submissions in all areas of psychology, ranging from social psychology to neuroscience, and everything in between. Led by Editor-in-Chief Professor Peter Walla of Webster Private University, Austria, and supported by an expert editorial team from institutions across the globe, Cogent Psychology provides our authors with comprehensive and quality peer review. Rather than accepting manuscripts based on their level of importance or impact, editors assess manuscripts objectively, accepting valid, scientific research with sound rigorous methodology. Article-level metrics let the research speak for itself.