Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: JMIR Research Protocols

Date Submitted: Sep 24, 2021
Date Accepted: Dec 18, 2021

The final, peer-reviewed published version of this preprint can be found here:

Efficacy of a Digital Acceptance and Commitment Therapy Intervention for the Improvement of Self-management Behaviors and Psychological Flexibility in Adults With Cardiac Disease: Protocol for a Single Case Experimental Design

Moran O, Doyle J, Giggins O, McHugh L, Gould E, Smith S, Gavin S, Sojan N, Boyle G

Efficacy of a Digital Acceptance and Commitment Therapy Intervention for the Improvement of Self-management Behaviors and Psychological Flexibility in Adults With Cardiac Disease: Protocol for a Single Case Experimental Design

JMIR Res Protoc 2022;11(4):e33783

DOI: 10.2196/33783

PMID: 35363156

PMCID: 9015764

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Investigating the efficacy of a digital ACT intervention for the improvement of self-management behaviours and psychological flexibility in adults with cardiac disease: Protocol for a single case experimental design

  • Orla Moran; 
  • Julie Doyle; 
  • Oonagh Giggins; 
  • Louise McHugh; 
  • Evelyn Gould; 
  • Suzanne Smith; 
  • Shane Gavin; 
  • Nisanth Sojan; 
  • Gordon Boyle

ABSTRACT

Background:

Research indicates that management of distress levels in those with cardiac disease is not only important for improving quality of life and functioning but is also critical for condition management, adherence to treatment, and ultimately disease prognosis and progression. Acceptance and Commitment Therapy (ACT) has consistently demonstrated positive long-term outcomes across a wide array of conditions, including chronic illness. However, most empirical investigations conducted to date also involve in-person therapy, which can be difficult to access, particularly for those dealing with the demands of chronic disease.

Objective:

The objective of this research is to evaluate a digital ACT intervention to improve self-management behaviours and distress levels in those with cardiac conditions

Methods:

The digital ACT intervention will be delivered via a digital health self-management platform over 6 weeks. This will involve a randomized-multiple baseline Single Case Experimental Design (SCED) with approximately 3-15 adults with cardiac disease. The Independent Variable for each participant will be the pre- post intervention phase. Dependent variables will be a daily self report measure of psychological flexibility as well as objective measures of condition self-management (e.g. blood pressure readings) and engagement with the app (e.g. completing guided mindfulness).

Results:

Participant data recruitment and data collection will begin in October 2021 and it is projected that study findings will be available for dissemination by Spring 2022.

Conclusions:

Findings will be discussed in terms of how a digital ACT intervention can best meet the needs of cardiac patients.


 Citation

Please cite as:

Moran O, Doyle J, Giggins O, McHugh L, Gould E, Smith S, Gavin S, Sojan N, Boyle G

Efficacy of a Digital Acceptance and Commitment Therapy Intervention for the Improvement of Self-management Behaviors and Psychological Flexibility in Adults With Cardiac Disease: Protocol for a Single Case Experimental Design

JMIR Res Protoc 2022;11(4):e33783

DOI: 10.2196/33783

PMID: 35363156

PMCID: 9015764

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.