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
AbstractIt 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 p...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Cogent Psychology |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/23311908.2023.2208916 |
| _version_ | 1797402993259184128 |
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| author | Kate Wallace-Boyd Anna Lynette Boggiss Sian Ellett Roger Booth Rebecca Slykerman Anna Sofia Serlachius |
| author_facet | Kate Wallace-Boyd Anna Lynette Boggiss Sian Ellett Roger Booth Rebecca Slykerman Anna Sofia Serlachius |
| author_sort | Kate Wallace-Boyd |
| collection | DOAJ |
| description | AbstractIt 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. |
| first_indexed | 2024-03-09T02:32:00Z |
| format | Article |
| id | doaj.art-e679d90f0d9144ebbe142784d73060aa |
| institution | Directory Open Access Journal |
| issn | 2331-1908 |
| language | English |
| last_indexed | 2024-03-09T02:32:00Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Cogent Psychology |
| spelling | doaj.art-e679d90f0d9144ebbe142784d73060aa2023-12-06T12:25:01ZengTaylor & Francis GroupCogent Psychology2331-19082023-12-0110110.1080/23311908.2023.2208916ACT2COPE: A pilot randomised trial of a brief online acceptance and commitment therapy intervention for people living with chronic health conditions during the COVID-19 pandemicKate Wallace-Boyd0Anna Lynette Boggiss1Sian Ellett2Roger Booth3Rebecca Slykerman4Anna Sofia Serlachius5Massey Psychology Clinic, Massey University, Palmerston North, New ZealandDepartment of Psychological Medicine, The University of Auckland, Auckland, New ZealandDepartment of Psychological Medicine, The University of Auckland, Auckland, New ZealandDepartment of Psychological Medicine, The University of Auckland, Auckland, New ZealandDepartment of Psychological Medicine, The University of Auckland, Auckland, New ZealandDepartment of Psychological Medicine, The University of Auckland, Auckland, New ZealandAbstractIt 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.https://www.tandfonline.com/doi/10.1080/23311908.2023.2208916Acceptance and commitment therapychronic health conditionCOVID-19 pandemicrandomised controlled trialdepressiondigital health intervention |
| spellingShingle | Kate Wallace-Boyd Anna Lynette Boggiss Sian Ellett Roger Booth Rebecca Slykerman Anna Sofia Serlachius 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 Cogent Psychology Acceptance and commitment therapy chronic health condition COVID-19 pandemic randomised controlled trial depression digital health intervention |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Acceptance and commitment therapy chronic health condition COVID-19 pandemic randomised controlled trial depression digital health intervention |
| url | https://www.tandfonline.com/doi/10.1080/23311908.2023.2208916 |
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