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  • Kilic, AysenurUCL, Sch Pharm, London WC1H 9JP, England.;Kings Coll London, Dept Psychol, London SE1 9RT, England.;UCL, Sch Pharm, BMA House, London WC1H 9JP, England. (author)

An online acceptance, commitment, and self-compassion based treatment to decrease psychological distress in people with type 2 diabetes : A feasibility randomised-controlled trial

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Elsevier,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-522277
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-522277URI
  • https://doi.org/10.1016/j.invent.2023.100658DOI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background and purposeThis study explored the feasibility and acceptability of conducting a larger trial of a self-guided, online self-compassion and acceptance and commitment therapy (ACT) focused treatment among people with type 2 diabetes (T2D) to decrease psychological distress.Materials and methodsThis study was a two-arm, parallel, feasibility randomised controlled trial with nested qualitative methods. UK adults with T2D were randomly (1:1) allocated to a five-week online self-compassion and ACT treatment or waitlist control. Information regarding recruitment, trial retention, and treatment completion was collected, and post-treatment semi-structured interviews were conducted to assess feasibility and acceptability. Self-report measures of psychological distress (depression, anxiety, diabetes distress) and potential treatment processes (self-compassion and psychological flexibility) were completed as secondary feasibility outcomes.ResultsFifty-five (60.44 %) out of 91 people who accessed the study link were eligible to participate. Of these, 33 eligible participants (60 %) were randomly assigned to treatment (n = 19) or control arms (waitlist; n = 14). While treatment completion was 47.37 %, trial retention rates were 39.39 % (5-week follow-up) and 21.2 % (9-week follow-up). Secondary feasibility outcomes of treatment effect estimates are difficult to interpret in light of low treatment completion and trial retention rates.ConclusionA larger trial of the self-guided, online self-compassion treatment to decrease psychological distress in people with T2D may be beneficial, but it has limited feasibility in its current form. Further efforts are needed to improve treatment acceptability of online self-compassion and ACT focused treatment and trial procedures.

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  • Hudson, JoannaKings Coll London, Dept Psychol, London SE1 9RT, England. (author)
  • Scott, WhitneyKings Coll London, Dept Psychol, London SE1 9RT, England.;Guys & St Thomas NHS Fdn Trust, INPUT Pain Management Unit, London SE1 7EH, England. (author)
  • McCracken, Lance M.,1962-Uppsala universitet,Institutionen för psykologi(Swepub:uu)lanmc300 (author)
  • Hackett, Ruth A.Kings Coll London, Dept Psychol, London SE1 9RT, England. (author)
  • Hughes, Lyndsay D.Kings Coll London, Dept Psychol, London SE1 9RT, England. (author)
  • UCL, Sch Pharm, London WC1H 9JP, England.;Kings Coll London, Dept Psychol, London SE1 9RT, England.;UCL, Sch Pharm, BMA House, London WC1H 9JP, England.Kings Coll London, Dept Psychol, London SE1 9RT, England. (creator_code:org_t)

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  • In:Internet Interventions: Elsevier332214-7829

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