Efficacy of Acceptance and Commitment Therapy for the Management of Quality of Life in Patients Post Myocardial Infarction

Fatima Jinnah Women University60 enrolled

Overview

The present study aims to investigate the efficacy of acceptance and commitment therapy for the management of quality of life in patients post-myocardial infarction

The current quantitative study is carried out in two steps. A cross-sectional survey assesses quality of life and associated factors during the first step. A randomized controlled trial will be done during the second step where patients with myocardial infarction who are identified with type D personality characteristics, psychological distress, low level of medication adherence, low social support, low quality of life, low acceptance and psychological flexibility will be randomly assigned to two groups i.e. waitlist control group and intervention group. The acceptance and commitment therapy would be implemented on participants in the interventional group. As the control group is the waitlist control group; initially no intervention will be given to participants in the control group but the intervention will be given to the control group participants once the study is completed.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE

Enrollment

Conditions

Psychological Distress Type D Personality Medication Adherence Quality of Life

Interventions

Acceptance and commitment therapyOTHER

Introduction: Build rapport and complete pre-assessment questionnaires. First Session: Introduce therapist, ACT principles, and MI complications. Provide psychoeducation and assign homework. Second Session: Review feedback and encourage change. Assign homework. Third Session: Discuss acceptance and coping strategies. Assign homework. Fourth Session: Discuss cognitive diffusion and unhelpful thoughts. Assign homework. Fifth Session: Explore self-concept and mindfulness. Assign homework. Sixth Session: Identify and elaborate on values. Assign homework. Seventh Session: Discuss values, goals, and barriers. Assign homework. Eighth Session: Discuss commitment to action and relapse prevention. Administer post-test and express gratitude.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. First-time diagnosed, non-hospitalized patients with myocardial infarction (MI). 2. Patients attending follow-up visits at the hospital. 3. Patients experiencing distress. 4. Patients exhibiting features of Type D personality. 5. Patients reporting low levels of: * Quality of Life (QoL) * Medication adherence * Social support * Acceptance * Psychological flexibility 6. Patients aged 18 years and above. 7. Both genders. 8. Patients who can understand Urdu. 9. Patients who can provide informed consent. Exclusion Criteria: 1. Hospitalized patients with myocardial infarction (MI). 2. Patients with myocardial infarction (MI) and other chronic co-morbid diseases, such as: * Cancer * Cognitive deficits * Chronic psychological disorders 3. Patients with silent myocardial infarction. 4. Patients younger than 18 years.

Locations (2)

Armed Forces Institute of Cardiology

Rawalpindi, Punjab Province, Pakistan

Rawalpindi Institute of Cardiology

Rawalpindi, Punjab Province, Pakistan

Outcomes

Primary Outcomes

World Health Organization Quality of Life Scale Urdu Version

It has 26 items and four domains: physical health (7 items), psychological health (6 items), social relationships (3 items), and environmental health (8 items); it also contains quality of life and general health items. The minimum value is 26 and the maximum value is 130. Higher scores on the scale indicate higher quality of life and low scores indicate low quality of life.

Time frame: 3 months

Data from ClinicalTrials.gov

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