None listed
Conditions
Brief summary
The Primary purpose of this study is to assess the feasibility of recruiting patients from a primary care waiting room when evaluating the effectiveness of Focussed Acceptance and Commitment Therapy (FACT). It is also designed to have sufficient power to determine if there is a benefit from FACT at one week after the interventions.
Interventions
The intervention is based on the work of Kirk Strosahl who developed the therapy known as Focussed Acceptance and Commitment Therapy (FACT) which is modified Acceptance and Commitment therapy for primary care.
Each patient will get a work/love/play assessment which checks on a 1 to 10 scale for how daily life (work, study etc.) is going, love as in friends, love as in intimates, love as in family and play (recreation hobbies etc.). There will also be open ended questions on exercise, smoking,
The intervention is based on the work of Kirk Strosahl who developed the therapy known as Focussed Acceptance and Commitment Therapy (FACT) which is modified Acceptance and Commitment therapy for primary care. Each patient will get a work/love/play assessment which checks on a 1 to 10 scale for how daily life (work, study etc.) is going, love as in friends, love as in intimates, love as in family and play (recreation hobbies etc.). There will also be open ended questions on exercise, smoking, sleep, recreational drugs, alcohol, gambling issues in self or family, violence, citizenship/community involvement and if there is a spiritual component to their lives. Any deficit in these aspects of life will be used as a target for behavioural change using a task sheet for homework. The patients will be asked if they can describe the emotional pain that is behind their distress (these are usually in the domains of being unlovable or helpless. They will then be shown the mindful anchor based on Kirk Strosahl’s “Inside this moment” book. This is a five step mindfulness technique designed to enable the patient to be present with their emotional pain and to stop resisting it. They may find it distressing to be asked to make behavioural changes in their lives (their task sheet) and will be advised that when the pain arises they should use the mindful anchor. The persons who will do the FACT interview will either be GPs with a FRNZCGP or equivalent, a medical graduate with some training in FACT (either the Goodfellow Unit online course) or equivalent or a psychologist with similar training in FACT. The intervention will be delivered once on the day of enrolment and face to face where possible. Where this is not possible it will be done either by phone or by a later face to face appointment. It will be done with individuals not groups. The outcomes will be measured one week after the intervention is given. The duration of the intervention will be about 20 to 30 minutes with an additional 10 minutes to complete the study documentation forms and questionnaires. The interviews will be done in a GP clinic in a separate room.
Sponsors
Greenstone Family Clinic
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
16 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Patients aged 16 and over with a PHQ-8 from 2 to 21 2. Speak sufficient English (or have an interpreter).
Exclusion criteria
1. Currently on current major tranquilizer medication. 2. Unable to comprehend the information sheet. 3. Bipolar affective disorder. 4. Currently accessing psychological treatment. 5. Taking antidepressant medication for less than one month.
Outcome results
None listed