Telephone-supported Acceptance and Commitment Bibliotherapy for People with Multiple Sclerosis and Psychological Distress: A Pilot Randomised Controlled Trial

Proctor, Barnaby and Moghaddam, Nima and Evangelou, Nikos and Das Nair, Roshan (2018) Telephone-supported Acceptance and Commitment Bibliotherapy for People with Multiple Sclerosis and Psychological Distress: A Pilot Randomised Controlled Trial. Journal of Contextual Behavioral Science, 9 . pp. 103-109. ISSN 2212-1447

Full content URL: http://doi.org/10.1016/j.jcbs.2018.07.006

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Abstract

A few randomised controlled trials (RCTs) show that Acceptance and Commitment Therapy (ACT) is beneficial for people with Multiple Sclerosis (MS), but the effectiveness of telephone-supported self-help ACT for people with MS with low mood has not been evaluated. We assessed the feasibility of conducting an RCT of an intervention (8 weekly telephone-calls plus a self-help ACT book) compared to treatment-as-usual. Participants’ mood, quality of life, and impact of MS were assessed at baseline and 12 weeks post-randomisation. Some were interviewed to assess feasibility and acceptability. Twenty-seven participants were randomised. Most participants found the trial procedures acceptable. We found a large and significant effect at follow-up, favouring the intervention in reducing anxiety (d=0.84, 95% CI=0.02–1.66). However, the high attrition rate (33% overall) meant that the trial in its current format was not feasible. The intervention needs to be revised following user-testing and feedback before it can be put to a full trial.

Keywords:multiple sclerosis, randomised controlled trial, Acceptance and Commitment Therapy, bibliotherapy, teletherapy, guided self-help
Subjects:C Biological Sciences > C840 Clinical Psychology
C Biological Sciences > C841 Health Psychology
Divisions:College of Social Science > School of Psychology
ID Code:32690
Deposited On:23 Jul 2018 10:34

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