None listed
Conditions
Brief summary
This study aims to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) in improving both clinical and psychological wellbeing among patients with Pulmonary Arterial Hypertension (PAH) at the National Heart Institute, Malaysia. PAH affects not only physical health but also mental and emotional wellbeing, yet psychological aspects are often overlooked in treatment. By comparing ACT with standard care, this study hypothesize that ACT will lead to improved clinical and psychological outcomes.
Interventions
The intervention will be conducted by clinical psychologists who are trained in the ACT approach with a minimum of 2 years of experience and with at least 4 years of experience in the field of mental health. It is a group-based intervention that will be conducted face-to-face with each group accommodating 8 to 10 participants. There will be 5 groups in total, each lasting two hours and spanning a total duration of six weeks. For this study, the intervention will be adapted from ‘A Mindful ACT’, which is a brief psychosocial intervention designed for people living with chronic condition. The intervention sessions consist of the following: Week 1: Introduction of ACT approach Week 2: Practicing mindfulness to be embedded in daily activities Week 3: Learning cognitive defusion Week 4: Integrating self-care and self-compassion Week 5: Exploring acceptance and values Week 6: Engaging in committed actions Process-Evaluation Components for Complex Interventions proposed by Reelick et al. (2011) will be utilised to monitor the feasibility of ACT intervention implementation including: - Quality of delivery of the intervention components - Implementation barriers and facilitators for delivery of intervention components - Adherence to intervention components - Barriers and facilitators for adherence to intervention components
Sponsors
Study design
Eligibility
Inclusion criteria
1. Individuals must be 18 years and above 2. Individuals must be diagnosed with PAH 3. Individuals who are clinically stable with low to intermediate risk as determined by REVEAL 2.0 4. Individuals who are proficient in English or Malay language (in terms of reading, writing, and speaking) 5. Individuals who are capable of committing to six consecutive weekly sessions 6. Individuals who provide full consent to participate
Exclusion criteria
1. Individuals who are formally diagnosed with mental disorders 2. Individuals who are undergoing psychiatric medications or treatments 3. Individuals who are currently receiving psychological interventions