Acceptance and Commitment Therapy, Psychological Flexibility, Stroke
Conditions
Keywords
Stroke, acceptance and commitment therapy, ACT, psychological flexibility, wellbeing
Brief summary
A stroke can affect someone physically and emotionally. There are more than 1.3 million stroke survivors in the UK, so it is important the right support is available. Acceptance and commitment therapy is a psychological therapy that helps people adjust to new circumstances. Studies have found that it is helpful for people with long-term health conditions such as brain injury, chronic pain, and multiple sclerosis. Therefore, we want to assess if this therapy can help people adjust to life after a stroke. To assess this, we are looking for adults over 18 who have: * Had a stroke over three months ago. * No other neurological illness. * No severe cognitive or communication difficulties. * Been discharged from all rehabilitation programmes. * No severe psychological disorder. * Not been diagnosed with a major health condition in the last 12 months. * Access to a device with a camera, an internet connection and private space for video calls. Participants will: 1. Complete a weekly questionnaire for up to seven weeks on acceptance and action. 2. Complete a second questionnaire at week 7 on mood, what is important to participants and how the stroke has affected their life. 3. Attend an eight-week online group of acceptance and commitment therapy. Sessions are weekly for 90 minutes, including breaks. Participants will repeat the questionnaire. 4. Give feedback after therapy ends and repeat the questionnaires. 5. Repeat the questionnaires after three and six months. Participants will be reminded to complete the online questionnaires and can take breaks as needed. At the end of the study, participants will have a debrief call to discuss details of the study. Participants will get a £10 Amazon gift card to thank them for taking part.
Interventions
OTHERAcceptance and Commitment Therapy
8 weeks of Acceptance and Commitment Therapy delivered as a group intervention via telerehabilitation (online, video call).
Sponsors
University of East Anglia
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Suffered a stroke over three months ago. * No other neurological illness. * Not currently receiving any psychological intervention. * No severe communication difficulties. * No severe cognitive impairments. * No current or historical suicidal ideation/self-harming behaviours. * Not been diagnosed with major long-term health conditions in the last 12 months (except for stroke or trans-ischaemic attack; TIA) * Access to a device with a camera, stable internet connection and private space
Exclusion criteria
* Had a TIA without the presence of a stroke. * No current distress around adjusting to the consequences of stroke. * Distress of a severity that it cannot be managed safely in a group therapy setting.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Psychological flexibility (CompACT-10) | From baseline to end of intervention (13-15 weeks dependent on baseline length allocated). | Data collected using self-report measure (CompACT-10). Questionnaire completed online, via a link. Data collected weekly during baseline phase (up to 7 weeks) and intervention phase (8 weeks). |
| Psychological Flexibility (CompACT-10) | 6 months post-intervention. | Data collected using self-report measure (CompACT-10). Questionnaire completed online, via a link. Data collected 6 months after intervention ends. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Psychological Flexibility (CompACT-10) | 3 months post-intervention. | Data collected using self-report measure (CompACT-10). Questionnaire completed online, via a link. Data collected 3 months after intervention ends. |
| Psychological Distress (CORE-10) | Start of intervention and 8 weeks later (after intervention ends) | Data collected using self-report measure (CORE-10). Questionnaire completed online, via a link. Data collected immediately before and after intervention. |
| Stroke Specific Quality of Life (SSQoL-12) | Start of intervention and post 8-week intervention. | Data collected using self-report measure (SSQoL-12). Questionnaire completed online, via a link. Data collected immediately before and after 8 week intervention. |
| Independence/Participation (CIQ-15) | 3 months post-intervention | Data collected using self-report measure (CIQ-15). Questionnaire completed online, via a link. Data collected 3 months post-intervention. |
| Wellbeing (SWEMWBS) | 3 months post-intervention | Data collected using self-report measure (SWEMWBS). Questionnaire completed online, via a link. Data collected 3 months post-intervention. |
Countries
United Kingdom
Outcome results
None listed