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Efficacy of an ACT ...
Efficacy of an ACT and Compassion-Based eHealth Program for Self-Management of Chronic Pain (iACTwithPain) : Study Protocol for a Randomized Controlled Trial
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- Carvalho, Sérgio A. (author)
- University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Coimbra, Portugal
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- Trindade, Inês A., 1990- (author)
- University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Coimbra, Portugal
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- Duarte, Joana (author)
- Lund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences
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- Menezes, Paulo (author)
- University of Coimbra, Department of Electrical and Computer Engineering, Coimbra, Portugal; Institute of Systems and Robotics, Coimbra, Portugal
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- Patrão, Bruno (author)
- University of Coimbra, Department of Electrical and Computer Engineering, Coimbra, Portugal; Institute of Systems and Robotics, Coimbra, Portugal
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- Nogueira, Maria Rita (author)
- Institute of Systems and Robotics, Coimbra, Portugal; University of Coimbra, College of Arts, Coimbra, Portugal
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- Guiomar, Raquel (author)
- University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Coimbra, Portugal
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- Lapa, Teresa (author)
- Coimbra Hospital and University Center, Pain Unit, Coimbra, Portugal; Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal
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- Pinto-Gouveia, José (author)
- University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Coimbra, Portugal
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- Castilho, Paula (author)
- University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Coimbra, Portugal
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(creator_code:org_t)
- 2021-03-09
- 2021
- English.
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In: Frontiers in Psychology. - : Frontiers Media S.A.. - 1664-1078. ; 12
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Abstract
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- Background: Chronic pain (CP) has serious medical and social consequences and leads to economic burden that threatens the sustainability of healthcare services. Thus, optimized management of pain tools to support CP patients in adjusting to their condition and improving their quality of life is timely. Although acceptance and commitment therapy (ACT) is considered an evidence-based psychological approach for CP, evidence for the efficacy of online-delivered ACT for CP is still scarce. At the same time, studies suggest that self-compassion mediates the change in disability and psychopathological symptoms in ACT interventions for CP, although self-compassion is not a specific target in ACT. Thus, an explicit focus on self-compassion might increase the efficacy of ACT interventions for CP, although this hypothesis has not been tested. This study aims to develop an eHealth ACT and compassion-based self-management intervention for CP, the iACTwithPain, and to compare its efficacy in improving health outcomes to a similar ACT-only intervention and a medical TAU group.Methods: The eHealth platform that will host the interventions will be developed using a flat design identity and will be interactive. The iACTwithPain intervention will comprise eight weekly self-management sessions and will be developed taking into consideration the psychological flexibility model applied to CP, with the addition of explicit compassion-based components. To analyze whether the iACTwithPain intervention will present superiority in improving CP's impact and related health markers over the two other conditions, this study will follow an RCT design with three arms. CP patients will be recruited through direct contact with patient associations and healthcare services and a national press release in Portugal. Outcome measurement will be conducted at baseline, post-intervention and at 3- and 6-month follow-ups. The interventions' acceptability will also be assessed.Discussion: The iACTwithPain intervention is expected to improve CP patients' psychosocial functioning, quality of life, and empowerment, by promoting adaptive disease management and regulation of pain-related internal experiences. Results will contribute to a better understanding on the pertinence of adding compassion elements to ACT for CP and to reach an optimized intervention for CP.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- acceptance and commitment therapy
- chronic pain
- compassion-based intervention
- eHealth
- ICT-delivered interventions
- mindfulness
- self-management
- acceptance and commitment therapy
- chronic pain
- compassion-based intervention
- eHealth
- ICT-delivered interventions
- mindfulness
- self-management
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Carvalho, Sérgio ...
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Trindade, Inês A ...
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Duarte, Joana
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Menezes, Paulo
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Patrão, Bruno
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Nogueira, Maria ...
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show more...
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Guiomar, Raquel
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Lapa, Teresa
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Pinto-Gouveia, J ...
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Castilho, Paula
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- About the subject
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Applied Psycholo ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
- Articles in the publication
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Frontiers in Psy ...
- By the university
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Örebro University
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Lund University