The purpose of this preliminary study is to examine the effects of a guided online acceptance and commitment therapy (ACT) intervention combined with psychoeducation on people with spinal cord injury (SCI) who experience psychological distress.
This project will employ a one-group pretest-posttest design to investigate the effects of a guided online acceptance and commitment therapy (ACT) intervention combined with psychoeducation on quality of life and mental health of people with spinal cord injury (SCI) who experience psychological distress. After the pretest evaluation, eligible participants will receive 8 weekly sessions, including 6 ACT sessions and 2 psychoeducation sessions, delivered by trained coaches through Zoom videoconferencing. Each session lasts for one hour. Primary outcome measures will be psychological distress measured by the Depression, Anxiety and Stress Scale (DASS)- 21 and Spinal Cord Injury - Quality of Life (SCI-QOL). A one-time interview at the completion of the 8 sessions will be conducted to explore participants' experiences in the sessions.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Participants receive 8 weekly sessions, including 6 ACT sessions and 2 psychoeducation sessions, delivered by trained coaches through Zoom videoconferencing.
University of Alabama at Birmingham
Birmingham, Alabama, United States
Depression, Anxiety and Stress Scale (DASS) - 21
The Depression, Anxiety and Stress Scale (DASS)- 21 is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and stress. Higher scores represent greater symptomatology.
Time frame: Change from baseline to 8 weeks
World Health Organization Quality of Life Instruments (WHOQOL-BREF) - psychological health component
WHOQOL-BREF - psychological health component has 6 items measuring: bodily image and appearance; negative feelings; positive feelings; self-esteem; spirituality / personal beliefs; and thinking, learning, memory and concentration. Higher scores denote higher quality of life in terms of psychological health.
Time frame: Change from baseline to 8 weeks
Self-Compassion Scale- Short Form (SCS-SF)
Self-Compassion Scale- Short Form (SCS-SF) has 12 items assessing the relation of self-compassion to positive psychological health. Higher scores indicate higher levels of self-compassion.
Time frame: Change from baseline to 8 weeks
Engagement in Meaningful Activities Survey (EMAS)
The Engagement in Meaningful Activities Survey (EMAS) is a 12-item self-assessment instrument that measures a person's subjective experience of the meaningfulness of everyday activities. Higher scores indicate greater levels of engagement in meaningful activities.
Time frame: Change from baseline to 8 weeks
Action and Acceptance Questionnaire (AAQ)-II
The Action and Acceptance Questionnaire (AAQ)-II is a 7-item self-report questionnaire measuring psychological flexibility. Higher scores indicate poor psychological flexibility.
Time frame: Change from baseline to 8 weeks
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Cognitive Fusion Questionnaire (CFQ)-7
The Cognitive Fusion Questionnaire (CFQ)-7 is a 7-item self-report questionnaire measuring cognitive fusion. Higher scores indicate greater levels of cognitive fusion.
Time frame: Change from baseline to 8 weeks
Spinal Cord Injury - Quality of Life (SCI-QOL) Grief and Loss Short form
SCI-QOL Grief and Loss Short form has 9 items assessing grief and loss due to spinal cord injuries. Higher scores indicate more grief/loss.
Time frame: Change from baseline to 8 weeks
Spinal Cord Injury - Quality of Life (SCI-QOL) Resilience Short form
SCI-QOL Resilience Short form has 8 items assessing resilience. Higher scores indicate more resilience.
Time frame: Change from baseline to 8 weeks
Mindful Attention Awareness Scale (MAAS)
The MAAS is a 15-item scale assessing dispositional mindfulness (i.e., open or receptive awareness of and attention to what is taking place in the present). Higher scores reflect higher levels of dispositional mindfulness.
Time frame: Change from baseline to 8 weeks