An online, group Acceptance and Commitment Therapy is acceptable to stroke survivors: A qualitative interview study

Hannah Foote, Audrey Bowen, Sarah Cotterill, Emma Patchwood
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Abstract

Mental health difficulties are common post stroke and developing support for psychological adjustment is a research priority. Wellbeing After Stroke (WAterS) is a nine week, online, group based Acceptance and Commitment Therapy (ACT) informed intervention, delivered by trained third sector practitioners, supervised by a clinical neuropsychologist. This study aimed to explore the acceptability of WAterS from the stroke survivors perspective. Semi structured interviews were conducted with twelve stroke survivors who received WAterS. The interview schedule was informed by theorised components of acceptability, including understanding, burden and perception of effectiveness. The data were analysed inductively and deductively using Template Analysis. Six qualitative themes were generated. Results indicate the intervention was mostly understandable and participants were able to engage with ACT and apply it to life. Online delivery reduced burden in accessing the intervention, and was acceptable when supported by live facilitation and a physical handbook. Group cohesion and understanding was facilitated by practitioners. The social aspect of the group was beneficial. Attending WAterS supported some participants to seek further support; others were left feeling unsupported when the intervention ended. To conclude: Stroke survivors valued attending an online, group ACT informed intervention, delivered by practitioners. This is a promising avenue in increasing the reach of interventions to support wellbeing.
中风幸存者可以接受在线接受与承诺疗法:定性访谈研究
中风后出现心理健康问题很常见,为心理调整提供支持是研究的重点。中风后的幸福(WAterS)是一项为期九周、基于接受与承诺疗法(ACT)的在线小组干预措施,由训练有素的第三部门从业人员在临床神经心理学家的指导下实施。本研究旨在从中风幸存者的角度探讨 WAterS 的可接受性。研究人员对 12 名接受过 WAterS 的中风幸存者进行了半结构式访谈。访谈表参考了可接受性的理论要素,包括理解、负担和有效性感知。采用模板分析法对数据进行了归纳和演绎分析。得出了六个定性主题。结果表明,干预大多是可以理解的,参与者能够参与 ACT 并将其应用到生活中。在线提供减少了获取干预的负担,在现场协助和实物手册的支持下,在线提供是可以接受的。实践者促进了小组的凝聚力和理解力。小组的社交方面非常有益。参加 WAterS 有助于一些参与者寻求进一步的支持;而另一些参与者则在干预结束后感到缺乏支持。总结脑卒中幸存者非常重视参加由从业人员提供的在线小组 ACT 干预。这是一个很有前景的途径,可以扩大干预措施的覆盖范围,为健康提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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