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Effects of a coach-guided videoconferencing acceptance and commitment therapy intervention combined with psychoeducation on distressed individuals living with spinal cord injury: a preliminary mixed-methods study. | LitMetric

AI Article Synopsis

  • The study investigated the impact of coach-guided videoconferencing Acceptance and Commitment Therapy (ACT) on individuals with spinal cord injury (SCI), focusing on psychological distress and participant experiences.
  • Ten participants underwent eight videoconferencing sessions, with data collected through questionnaires and interviews, showing significant improvements in depression, anxiety, stress, grief, engagement in activities, and self-compassion.
  • While quality of life and resilience showed no significant change, participants reported enhanced coping skills and a new perspective on their thoughts and emotions, highlighting the potential of ACT in supporting psychological well-being for individuals with SCI.

Article Abstract

Purpose: This study examined effects of coach-guided videoconferencing acceptance and commitment therapy (ACT) accompanied by psychoeducation on distressed individuals with spinal cord injury (SCI) and explored participants' experiences in the intervention.

Materials And Methods: Ten people with SCI participated in 8 individual videoconferencing sessions delivered by trained coaches. Data using self-reported questionnaires and individual interviews was collected at pretest and posttest and analyzing using Wilcoxon signed-rank tests and interpretative phenomenological analysis (ClinicalTrials.gov ID: NCT04670406).

Results: Statistically significant improvements were found in depression, anxiety, stress, grief, engagement in meaningful activities, and self-compassion with medium to large effect sizes. There was no significant change in quality of life, resilience, and ACT processes. Participants gained a new way of thinking by: being aware of thoughts and emotions; exploring perceptions of others; and focusing on the present. Also, the intervention equipped participants to deal with challenges by: improving coping with SCI-related conditions; practicing self-compassion, acceptance, and meditation; and acquiring skills of value-based decision making and committed action.

Conclusions: Findings contribute to the limited evidence as the first study that measured effects of videoconferencing ACT on people with SCI. Future randomized controlled trials are needed to measure efficacy of internet-delivered ACT for people with SCI.IMPLICATIONS FOR REHABILITATIONGuided videoconferencing ACT may reduce depressive symptoms, anxiety, stress, and grief and increase engagement in meaningful activities and self-compassion in people with SCI.Professionals may consider ACT as a supportive or adjunct service for people with SCI who experience psychological distress.

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Source
http://dx.doi.org/10.1080/09638288.2022.2038283DOI Listing

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