Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme
Introduction Inflammatory bowel disease (IBD) involves an abnormal immune response to healthy gut bacteria. When a person develops IBD, their susceptibility to anxiety and/or depression increases. The ACTforIBD programme, specifically designed for people with IBD and comorbid psychological distress,...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e060272.full |
| _version_ | 1826852837626216448 |
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| author | Richard Gearry Matthew Fuller-Tyszkiewicz Andrew McCombie Peter Gibson Simon Knowles Lisa Olive Antonina Mikocka-Walus Subhadra Evans Leanne Raven Daniel Romano Eric O Madeleine Dober Leesa van Niekerk Susan Chesterman |
| author_facet | Richard Gearry Matthew Fuller-Tyszkiewicz Andrew McCombie Peter Gibson Simon Knowles Lisa Olive Antonina Mikocka-Walus Subhadra Evans Leanne Raven Daniel Romano Eric O Madeleine Dober Leesa van Niekerk Susan Chesterman |
| author_sort | Richard Gearry |
| collection | DOAJ |
| description | Introduction Inflammatory bowel disease (IBD) involves an abnormal immune response to healthy gut bacteria. When a person develops IBD, their susceptibility to anxiety and/or depression increases. The ACTforIBD programme, specifically designed for people with IBD and comorbid psychological distress, draws on acceptance and commitment therapy (ACT), which promotes acceptance of situations that cannot be solved such as persistent physical symptoms. There are no ACT trials for IBD using an active control group or a telemedicine approach, which is important to improve accessibility, particularly in the context of the ongoing COVID-19 pandemic. The ACTforIBD programme is administered online with a 4-hour therapist involvement per participant only; if successful it can be widely implemented to improve the well-being of many individuals with IBD.Methods and analysis Our team have codesigned with consumers the ACTforIBD programme, an 8-week intervention of 1-hour sessions, with the first three sessions and the last session delivered one-to-one by a psychologist, and the other sessions self-directed online. This study aims to evaluate the feasibility and preliminary efficacy of ACTforIBD to reduce psychological distress in patients with IBD. Using a randomised controlled trial, 25 participants will be randomised to ACTforIBD, and 25 patients to an active control condition.Ethics and dissemination This protocol has been approved by Deakin University Research Ethics Committee in September 2021 (Ref. 2021-263) and the New Zealand Central Health and Disability Ethics Committee in December 2021 (Ref. 2021 EXP 11384). The results of this research will be published in peer-reviewed journals and shared with various stakeholders, including community members, policy-makers and researchers, through local and international conferences.Trial registration number ACTRN12621001316897. |
| first_indexed | 2024-12-12T05:43:25Z |
| format | Article |
| id | doaj.art-6af64d175b79458584ff9525ce346a85 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-02-16T17:15:32Z |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-6af64d175b79458584ff9525ce346a852025-01-28T05:25:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-060272Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programmeRichard Gearry0Matthew Fuller-Tyszkiewicz1Andrew McCombie2Peter Gibson3Simon Knowles4Lisa Olive5Antonina Mikocka-Walus6Subhadra Evans7Leanne Raven8Daniel Romano9Eric O10Madeleine Dober11Leesa van Niekerk12Susan Chesterman13Department of Medicine, Christchurch School of Medicine and Health Sciences, Medicine, Christchurch, New ZealandDeakin University, Geelong, Victoria, Australia2 Department of Surgery and Critical Care, University of Otago, Christchurch School of Medicine, Christchurch, New Zealand2Department of Gastroenterology, Central Clinical School, Monash University and Alfred Health, Melbourne, AustraliaDepartment of Psychological Sciences and Statistics, Swinburne University of Technology, Hawthorn, Victoria, AustraliaSchool of Psychology, Deakin University, Burwood, Victoria, AustraliaSchool of Psychology, Deakin University Geelong, Geelong and Burwood, Victoria, AustraliaPsychology, Deakin University Faculty of Health, Burwood, Victoria, AustraliaCrohn’s and Colitis Australia, Camberwell, Victoria, AustraliaSchool of Pyschology, Deakin, Geelong, Victoria, Australia3 Digital Services, Deakin University, Geelong, Victoria, AustraliaSchool of Psychology, Deakin University, Burwood, Victoria, AustraliaSchool of Psychological Sciences, University of Tasmania, Hobart, Tasmania, AustraliaSchool of Pyschology, Deakin, Geelong, Victoria, AustraliaIntroduction Inflammatory bowel disease (IBD) involves an abnormal immune response to healthy gut bacteria. When a person develops IBD, their susceptibility to anxiety and/or depression increases. The ACTforIBD programme, specifically designed for people with IBD and comorbid psychological distress, draws on acceptance and commitment therapy (ACT), which promotes acceptance of situations that cannot be solved such as persistent physical symptoms. There are no ACT trials for IBD using an active control group or a telemedicine approach, which is important to improve accessibility, particularly in the context of the ongoing COVID-19 pandemic. The ACTforIBD programme is administered online with a 4-hour therapist involvement per participant only; if successful it can be widely implemented to improve the well-being of many individuals with IBD.Methods and analysis Our team have codesigned with consumers the ACTforIBD programme, an 8-week intervention of 1-hour sessions, with the first three sessions and the last session delivered one-to-one by a psychologist, and the other sessions self-directed online. This study aims to evaluate the feasibility and preliminary efficacy of ACTforIBD to reduce psychological distress in patients with IBD. Using a randomised controlled trial, 25 participants will be randomised to ACTforIBD, and 25 patients to an active control condition.Ethics and dissemination This protocol has been approved by Deakin University Research Ethics Committee in September 2021 (Ref. 2021-263) and the New Zealand Central Health and Disability Ethics Committee in December 2021 (Ref. 2021 EXP 11384). The results of this research will be published in peer-reviewed journals and shared with various stakeholders, including community members, policy-makers and researchers, through local and international conferences.Trial registration number ACTRN12621001316897.https://bmjopen.bmj.com/content/12/6/e060272.full |
| spellingShingle | Richard Gearry Matthew Fuller-Tyszkiewicz Andrew McCombie Peter Gibson Simon Knowles Lisa Olive Antonina Mikocka-Walus Subhadra Evans Leanne Raven Daniel Romano Eric O Madeleine Dober Leesa van Niekerk Susan Chesterman Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme BMJ Open |
| title | Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme |
| title_full | Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme |
| title_fullStr | Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme |
| title_full_unstemmed | Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme |
| title_short | Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme |
| title_sort | acceptance commitment therapy act for psychological distress associated with inflammatory bowel disease ibd protocol for a feasibility trial of the actforibd programme |
| url | https://bmjopen.bmj.com/content/12/6/e060272.full |
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