Feasibility of delivering a virtual 1-day acceptance and commitment therapy workshop to rural veterans through community partnerships
Background: This single-arm, open pilot study examined the feasibility and initial efficacy of a 1-day virtual Acceptance and Commitment Therapy (ACT) group workshop for distressed veterans. Methods: We collaborated with veteran-serving community-based organizations to enhance outreach to veterans,...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-08-01
|
| Series: | Contemporary Clinical Trials Communications |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865423001242 |
| _version_ | 1797781871512256512 |
|---|---|
| author | Lilian Dindo Angelic Chaison Merlyn Rodrigues Ken Woods Alicia Mark Derrecka Boykin |
| author_facet | Lilian Dindo Angelic Chaison Merlyn Rodrigues Ken Woods Alicia Mark Derrecka Boykin |
| author_sort | Lilian Dindo |
| collection | DOAJ |
| description | Background: This single-arm, open pilot study examined the feasibility and initial efficacy of a 1-day virtual Acceptance and Commitment Therapy (ACT) group workshop for distressed veterans. Methods: We collaborated with veteran-serving community-based organizations to enhance outreach to veterans, especially those in rural areas. Veterans completed a baseline assessment and two follow-up assessments (1 month, 3 months) after workshop participation. Feasibility outcomes included reach (workshop recruitment and completion rates; veteran characteristics) and acceptability (open-ended survey question about satisfaction). Clinical outcomes included psychological distress (Outcome Questionnaire-45), stressor-related distress (PTSD Checklist-5), community reintegration (Military to Civilian Questionnaire), and meaning and purpose (PROMIS Short Form). Psychological flexibility (Action and Acceptance Questionnaire-II) – the proposed change mechanism underlying ACT – was also measured. Results: Sixty-four veterans (50% rural, 39% self-identified as female) participated in a virtual workshop (97.1% completion rate). Overall, veterans liked the format and interactive nature of workshops. Convenience was noted as a benefit, while connectivity issues were highlighted as a drawback. Veterans showed improvements in psychological distress (F(2,109) = 3.30; p = 0.041), stressor-related distress (F(2,110) = 9.50; p = 0.0002), community reintegration (F(2,108) = 4.34; p = 0.015), and meaning and purpose (F(2,100) = 4.06; p = 0.020) over time. No between-group differences were detected, based on rurality or gender. Conclusion: Pilot findings were promising and warrant a larger randomized trial to assess the efficacy of the 1-day virtual ACT workshop. Integrating community-engaged and participatory-research designs can enhance the external validity of these future studies and promote greater health equity. |
| first_indexed | 2024-03-13T00:03:02Z |
| format | Article |
| id | doaj.art-aaed514ced164d5889f9dc1bbef83bf3 |
| institution | Directory Open Access Journal |
| issn | 2451-8654 |
| language | English |
| last_indexed | 2024-03-13T00:03:02Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Contemporary Clinical Trials Communications |
| spelling | doaj.art-aaed514ced164d5889f9dc1bbef83bf32023-07-13T05:30:38ZengElsevierContemporary Clinical Trials Communications2451-86542023-08-0134101178Feasibility of delivering a virtual 1-day acceptance and commitment therapy workshop to rural veterans through community partnershipsLilian Dindo0Angelic Chaison1Merlyn Rodrigues2Ken Woods3Alicia Mark4Derrecka Boykin5VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA; Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA; Department of Medicine, Health Services Research, Baylor College of Medicine, Houston, TX, USA; Corresponding author. (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX, 77030, USA.Mental Health Care Line, Michael E. DeBakey VA Medical Center, Houston, TX, USA; Menninger Department of Psychiatry and Behavioral Medicine, Baylor College of Medicine, Houston, TX, USAHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA; Department of Medicine, Health Services Research, Baylor College of Medicine, Houston, TX, USAHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA; South Central Mental Illness, Research, Education and Clinical Center, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX, USAHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USAVA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA; Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA; Menninger Department of Psychiatry and Behavioral Medicine, Baylor College of Medicine, Houston, TX, USABackground: This single-arm, open pilot study examined the feasibility and initial efficacy of a 1-day virtual Acceptance and Commitment Therapy (ACT) group workshop for distressed veterans. Methods: We collaborated with veteran-serving community-based organizations to enhance outreach to veterans, especially those in rural areas. Veterans completed a baseline assessment and two follow-up assessments (1 month, 3 months) after workshop participation. Feasibility outcomes included reach (workshop recruitment and completion rates; veteran characteristics) and acceptability (open-ended survey question about satisfaction). Clinical outcomes included psychological distress (Outcome Questionnaire-45), stressor-related distress (PTSD Checklist-5), community reintegration (Military to Civilian Questionnaire), and meaning and purpose (PROMIS Short Form). Psychological flexibility (Action and Acceptance Questionnaire-II) – the proposed change mechanism underlying ACT – was also measured. Results: Sixty-four veterans (50% rural, 39% self-identified as female) participated in a virtual workshop (97.1% completion rate). Overall, veterans liked the format and interactive nature of workshops. Convenience was noted as a benefit, while connectivity issues were highlighted as a drawback. Veterans showed improvements in psychological distress (F(2,109) = 3.30; p = 0.041), stressor-related distress (F(2,110) = 9.50; p = 0.0002), community reintegration (F(2,108) = 4.34; p = 0.015), and meaning and purpose (F(2,100) = 4.06; p = 0.020) over time. No between-group differences were detected, based on rurality or gender. Conclusion: Pilot findings were promising and warrant a larger randomized trial to assess the efficacy of the 1-day virtual ACT workshop. Integrating community-engaged and participatory-research designs can enhance the external validity of these future studies and promote greater health equity.http://www.sciencedirect.com/science/article/pii/S2451865423001242Video telehealthAcceptance and commitment therapyCommunity-engaged researchVeteransRural |
| spellingShingle | Lilian Dindo Angelic Chaison Merlyn Rodrigues Ken Woods Alicia Mark Derrecka Boykin Feasibility of delivering a virtual 1-day acceptance and commitment therapy workshop to rural veterans through community partnerships Contemporary Clinical Trials Communications Video telehealth Acceptance and commitment therapy Community-engaged research Veterans Rural |
| title | Feasibility of delivering a virtual 1-day acceptance and commitment therapy workshop to rural veterans through community partnerships |
| title_full | Feasibility of delivering a virtual 1-day acceptance and commitment therapy workshop to rural veterans through community partnerships |
| title_fullStr | Feasibility of delivering a virtual 1-day acceptance and commitment therapy workshop to rural veterans through community partnerships |
| title_full_unstemmed | Feasibility of delivering a virtual 1-day acceptance and commitment therapy workshop to rural veterans through community partnerships |
| title_short | Feasibility of delivering a virtual 1-day acceptance and commitment therapy workshop to rural veterans through community partnerships |
| title_sort | feasibility of delivering a virtual 1 day acceptance and commitment therapy workshop to rural veterans through community partnerships |
| topic | Video telehealth Acceptance and commitment therapy Community-engaged research Veterans Rural |
| url | http://www.sciencedirect.com/science/article/pii/S2451865423001242 |
| work_keys_str_mv | AT liliandindo feasibilityofdeliveringavirtual1dayacceptanceandcommitmenttherapyworkshoptoruralveteransthroughcommunitypartnerships AT angelicchaison feasibilityofdeliveringavirtual1dayacceptanceandcommitmenttherapyworkshoptoruralveteransthroughcommunitypartnerships AT merlynrodrigues feasibilityofdeliveringavirtual1dayacceptanceandcommitmenttherapyworkshoptoruralveteransthroughcommunitypartnerships AT kenwoods feasibilityofdeliveringavirtual1dayacceptanceandcommitmenttherapyworkshoptoruralveteransthroughcommunitypartnerships AT aliciamark feasibilityofdeliveringavirtual1dayacceptanceandcommitmenttherapyworkshoptoruralveteransthroughcommunitypartnerships AT derreckaboykin feasibilityofdeliveringavirtual1dayacceptanceandcommitmenttherapyworkshoptoruralveteransthroughcommunitypartnerships |