Journal of Contextual Behavioral Science最新文献

{"title":"Evaluating the core processes of a hybrid trauma-informed acceptance and commitment therapy intervention for college students","authors":"Jacob Schachter,&nbsp;Alex A. Ajayi,&nbsp;Jesus E. Delgado","doi":"10.1016/j.jcbs.2024.100852","DOIUrl":"10.1016/j.jcbs.2024.100852","url":null,"abstract":"<div><div>Acceptance and commitment therapy (ACT) is based on the psychological flexibility model, underpinned by six core processes: contact with the present moment, acceptance, cognitive defusion, self as context, values, and committed action. The current study examined the roles of these processes in the first randomized controlled trial to examine the efficacy of a mental health promotion intervention for college students based on Trauma-Focused ACT (TFACT; Ajayi et al., 2024; Harris, 2021). The hybrid intervention combined web-based modules with peer coaching in a research laboratory setting. This current study aimed to extend those findings by empirically evaluating the theoretical components of the ACT model of psychological flexibility. Participants were 78 college students ranging between 18 and 32 years of age. It was found that the level of changes in awareness, self as context, values, and committed action were significantly different between the intervention and control groups, while psychological inflexibility, acceptance, and cognitive fusion were not. Simple regressions suggested that changes in psychological inflexibility significantly predicted changes in life satisfaction at post-intervention and 3-month follow-up. Whereas, changes in psychological inflexibility predicted changes in psychological distress only at follow-up. Furthermore, penalized regressions suggested awareness and cognitive fusion significantly predicted changes in psychological distress, but did not predict changes in psychological inflexibility or life satisfaction. The current study adds to the knowledge base regarding the process of change in ACT interventions to inform the design and implementation of more targeted and effective mental health interventions.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100852"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contextual-compassion training for borderline personality disorder with long lasting symptoms: A randomized clinical trial","authors":"Elisabet Casellas-Pujol ,&nbsp;Joaquim Soler ,&nbsp;Carlos Schmidt ,&nbsp;Anna Soria-Madrid ,&nbsp;Matilde Elices ,&nbsp;Juan Carlos Pascual","doi":"10.1016/j.jcbs.2024.100846","DOIUrl":"10.1016/j.jcbs.2024.100846","url":null,"abstract":"<div><div>Long-term follow-up studies have shown that the symptoms of borderline personality disorder (BPD) tend to remit over time. However, many patients present long lasting symptoms (LLS), including low mood, emptiness, and persistent impairment in psychosocial adjustment. Given the high rate of LLS in BPD patients, new treatment strategies are needed. We conducted a randomized clinical trial (RCT) to evaluate the efficacy of a novel intervention that combines self-compassion and contextual-based skills for patients with persistent symptoms. Sixty BPD individuals with LLS who had received dialectical behavior therapy skills training (DBT-ST) in the previous six months were recruited and randomized to receive the experimental intervention or treatment as usual (TAU) for 12 weeks. All participants were evaluated pre- and post-intervention and at 3-months follow-up. The primary outcome measure was self-reported well-being. Other clinical variables were also evaluated, including depressive symptoms, BPD symptoms, functionality, self-compassion, and self-criticism. Participants in the experimental arm showed a significant increase in indicators of well-being (e.g., happiness and quality of life) and a significant decrease in depressive symptoms. These results were sustained—and even continued to improve—at the three-month follow-up. No significant changes were observed in BPD severity, self-criticism, or self-compassion. More RCTs are needed to test the efficacy of new interventions targeting this population with persistent symptoms, not only to reduce symptoms but also to promote well-being and personal recovery.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100846"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding suicidal ideation through psychological flexibility and inflexibility: A network analysis perspective","authors":"Alberto Misitano ,&nbsp;Giovanni Michelini ,&nbsp;Annalisa Oppo","doi":"10.1016/j.jcbs.2024.100853","DOIUrl":"10.1016/j.jcbs.2024.100853","url":null,"abstract":"<div><h3>Background</h3><div>psychological flexibility and inflexibility represent complex sets of modifiable processes that may influence suicidal ideation, a major risk factor for suicide in clinical and non-clinical populations. The relationship between each psychological (in)flexibility process, suicidal ideation, and two ideation-specific risk factors (thwarted belongingness and perceived burdensomeness) was investigated.</div></div><div><h3>Methods</h3><div>409 Italian participants from the general population (M_age = 30.1, SD = 12.3, 76.5% female; 24.7% reporting recent suicidal ideation) completed an online battery of questionnaires, including the <em>Multidimensional Psychological Flexibility Inventory</em>, the <em>Patient Health Questionnaire-9</em>, and the <em>Interpersonal Needs Questionnaire-15</em>. Relationships between variables were explored using network analysis.</div></div><div><h3>Results</h3><div>cognitive fusion (responding to mental contents as objectively true) and Self-as-Context (flexible perspective-taking) emerged as the most central inflexibility and flexibility processes, respectively. Both processes were directly connected to suicidal ideation.</div></div><div><h3>Conclusion</h3><div>cognitive fusion and Self-as-Context may be suitable processes to be targeted in future research about suicidal ideation. Further long-term studies, possibly conducted with larger and more diverse samples and including a wider range of suicide-specific risk factors, are warranted to better elucidate the role of psychological (in)flexibility processes in suicidal individuals and to inform clinical practice.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100853"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Existential therapies and the extended evolutionary meta-model: Turning existential philosophy into process-based therapy","authors":"Ross G. Menzies ,&nbsp;Rachel E. Menzies","doi":"10.1016/j.jcbs.2024.100840","DOIUrl":"10.1016/j.jcbs.2024.100840","url":null,"abstract":"<div><p>This article reviews the central theoretical claims found in the various psychotherapeutic approaches broadly referred to as the existential therapies. Despite substantial differences across existential packages, these therapies broadly arise from the theoretical position that the pain and suffering common to our species arises, not from illnesses hypothesized in traditional medical and psychiatric accounts, but rather from a set of existential concerns that all humans must face. These ‘givens’ of existence include death, identity, isolation, meaning, and freedom. From this theoretical perspective, all branches and brands of psychotherapy need to include some procedures to address these issues. Evidence for the importance of these constructs in human experience is presented, followed by evidence for existential therapies themselves. A dearth of quality research trials establishing a strong evidence base for this branch of therapy was noted. Further, process-based research in this area was shown to be weak. That is, few researchers have sought to show that the hypothesized processes are responsible for the changes observed in existential therapy. We describe how viewing existential therapy through a Process-Based Therapy (PBT) framework and the Extended Evolutionary Meta-Model (EEMM) will encourage: (1) a greater examination of the processes of change occurring; (2) an expansion in the way in which existential therapies operate, enabling the inclusion of procedures drawn from other therapeutic modalities; and (3) more nuanced targeting of existential processes in any given case.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100840"},"PeriodicalIF":3.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724001200/pdfft?md5=63409ce5a89376292fe26f1b78d62ed2&pid=1-s2.0-S2212144724001200-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, acceptability and outcomes of a contextual schema therapy-based mobile program for depressive symptoms in adults","authors":"Paula I. Stroian ,&nbsp;Daniel O. David ,&nbsp;Adriana Hora ,&nbsp;Berfin Erenler ,&nbsp;Ella W. Tuominen ,&nbsp;Konstantinos Vlachantonis ,&nbsp;Tea Žagar","doi":"10.1016/j.jcbs.2024.100839","DOIUrl":"10.1016/j.jcbs.2024.100839","url":null,"abstract":"<div><h3>Background</h3><p>Given the high prevalence of depression worldwide, there is a pressing need for increasing treatment accessibility and identifying treatment modalities that can sustainably address depression. The present study aims to test the feasibility, acceptability, outcomes and mechanisms of a brief online self-help program for depressive symptoms in adults (nCompass), based on Contextual Schema Therapy principles.</p></div><div><h3>Method</h3><p>102 participants scoring above 14 on the Beck Depression Inventory – Second Version were recruited online and randomly allocated to either the 15-day nCompass intervention or a self-administered online psychoeducation group. Participants filled in self-report measures of depression, schema coping and psychological flexibility at baseline, immediately following the intervention and at a two-week follow-up. Additionally, nCompass participants were administered an instrument measuring the acceptability of the program.</p></div><div><h3>Results</h3><p>The nCompass intervention was overall feasible and acceptable, with most participants completing the intervention and assessing it as easy to use, satisfactory and useful. Furthermore, results indicate higher decreases in depression and schema coping in the nCompass group by follow-up, compared to the control group. Changes in depressive symptoms from pre-test to post-test and follow-up in the nCompass group were explained by changes in surrender coping. There were no significant differences in psychological flexibility between the groups at either post-test or follow-up.</p></div><div><h3>Discussion</h3><p>Our results highlight the nCompass program as a promising option for treating depressive symptoms in the general population.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100839"},"PeriodicalIF":3.4,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avoiding the unwanted: A cross-cultural comprehensive analysis of experiential avoidance and a meta-analysis","authors":"Sunkyung Yoon ,&nbsp;Sooyeon Kim ,&nbsp;Sinhae Cho ,&nbsp;Hyewon Choi","doi":"10.1016/j.jcbs.2024.100838","DOIUrl":"10.1016/j.jcbs.2024.100838","url":null,"abstract":"<div><p>Experiential avoidance, a central treatment target of Acceptance and Commitment Therapy (ACT), involves avoiding uncomfortable internal states and trying to control them. While some researchers suggest several components of ACT align with East Asian values, indicating the possibility of lower experiential avoidance among East Asians compared to Westerners, previous cross-cultural studies have challenged this notion. This study aimed to draw conclusions regarding cultural differences in experiential avoidance between East Asian and Western cultures through two studies. Using a meta-analysis in Study 1, we systematically reviewed previous cross-cultural studies that compared experiential avoidance between the two cultures. Six cross-cultural studies were included in the meta-analysis. In Study 2, we sought to replicate the findings using a large sample of college students. Across studies, East Asians reported greater experiential avoidance compared to Westerners, with significant heterogeneity in effect sizes observed (Study 1). Results from Study 2 showed that being an East Asian predicted greater experiential avoidance when accounting for distress and other covariates. Further, the correlation between experiential avoidance and distress was weaker among East Asian students relative to White students. Our results highlight that elevated levels of experiential avoidance in East Asians may need to be interpreted differently in clinical setting, while within-culture individual differences also need to be considered.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100838"},"PeriodicalIF":3.4,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limited effects of phone coaching in an RCT of online self-guided acceptance and commitment therapy for chronic pain","authors":"Emily P. Rabinowitz ,&nbsp;Grant Ripley ,&nbsp;Michael E. Levin ,&nbsp;Philip A. Allen ,&nbsp;Douglas L. Delahanty","doi":"10.1016/j.jcbs.2024.100828","DOIUrl":"10.1016/j.jcbs.2024.100828","url":null,"abstract":"<div><h3>Introduction</h3><p>Over 80% of patients with Chiari Malformation (CM) struggle with moderate to severe disability due to neck pain and headaches. Self-guided online Acceptance and Commitment Therapy (ACT) is efficacious in addressing chronic pain. However, it is unclear whether adjunctive weekly phone coaching (a cost- and labor-intensive component of the intervention) contributes to, or provides additional benefit to, ACT's success.</p></div><div><h3>Method</h3><p>This study randomized 112 participants with CM to ACT + Coaching, ACT-Only, or WC (WC) groups. Participants completed a baseline survey, weekly assessments, a self-guided online ACT intervention, and a one-month follow-up survey. Primary outcomes were psychological flexibility (PF) and chronic pain acceptance; secondary outcomes included pain intensity, pain interference, depression, and anxiety.</p></div><div><h3>Results</h3><p>There were no differences between the ACT + Coaching and ACT-Only groups on chronic pain acceptance, pain interference, or anxiety; however, there was a small but statistically significant effect favoring ACT + Coaching for depression and PF. Compared to the WC group, both the ACT + Coaching and ACT-Only groups significantly improved in chronic pain acceptance, and anxiety. Adherence was high (91% completed all sessions) and equivalent between conditions. Participants reported coaching was helpful and important, but there were no group differences in intervention satisfaction.</p></div><div><h3>Discussion</h3><p>There were no differences between treatment groups on most outcomes, intervention satisfaction, engagement, or adherence. Online ACT without adjunctive phone coaching may be a cost- and time-efficient option to address chronic pain acceptance and anxiety, but additional research is needed to establish and improve efficacy for other outcomes.</p></div><div><h3>Clinical Trials Registration</h3><p>NCT05581472</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100828"},"PeriodicalIF":3.4,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221214472400108X/pdfft?md5=c13d85d139de397588e62afba11ade77&pid=1-s2.0-S221214472400108X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An acceptance and commitment therapy and mindfulness group intervention for the psychological and physical well-being of adults with body mass indexes in the overweight or obese range: The Mind&Life randomized controlled trial","authors":"Idoia Iturbe ,&nbsp;Iratxe Urkia-Susin ,&nbsp;Enrique Echeburúa ,&nbsp;Ane Miren Barbón ,&nbsp;Edurne Maiz","doi":"10.1016/j.jcbs.2024.100827","DOIUrl":"10.1016/j.jcbs.2024.100827","url":null,"abstract":"<div><p>This trial aimed to assess the effect of an acceptance and commitment therapy (ACT) and mindfulness-based intervention on the various psychological and physical issues associated with obesity. A parallel group randomized controlled trial was conducted with 142 adults with body mass indexes in the overweight or obesity range seeking treatment. Participants were assigned either to the ACT and mindfulness-based group intervention (Mind&amp;Life intervention) plus treatment as usual (TAU) or the TAU-only condition. Individuals receiving the Mind&amp;Life intervention with TAU showed more adherence to the Mediterranean diet, and greater decrease in external eating, weight, and visceral fat both at posttreatment and at 6-month follow-up. Moreover, they displayed a greater reduction in total protein and animal protein intake and GPT enzymes level. By 6-month follow-up, the Mind&amp;Life group experienced a lower impact of weight on quality of life than TAU participants. However, Mind&amp;Life intervention completers showed greater restrained eating levels at follow-up. Overall, this study suggests that an ACT and mindfulness-based group intervention could produce improvements in the impact of weight on quality of life, some eating behaviors, dietary habits, and weight and body composition parameters of people facing weight-related challenges.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100827"},"PeriodicalIF":3.4,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212144724001078/pdfft?md5=093334dc78b3765e9901e82fae644bfc&pid=1-s2.0-S2212144724001078-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral interventions for teaching perspective-taking skills: A scoping review","authors":"Gisell Andrea Diaz-Borda ,&nbsp;Sebastian Garcia-Zambrano ,&nbsp;Eileen Pfeiffer Flores","doi":"10.1016/j.jcbs.2024.100816","DOIUrl":"10.1016/j.jcbs.2024.100816","url":null,"abstract":"<div><p>This scoping review examines 29 experimental studies on behavioral interventions aimed at teaching perspective-taking (PT) skills, identified through a comprehensive search strategy (PROSPERO: CRD42021252722) and adhering to the PRISMA-ScR guidelines. The review aimed to (1) identify PT enhancement protocols and their components, (2) assess behavioral measures of protocol efficacy, and (3) describe demographic, bibliometric, and ethical study characteristics. Key findings include a diversity in PT conceptualization aligned with two main theoretical approaches, the Non-Derived and the Derived Response approach, which can hinder comparability. Despite methodological differences, common teaching strategies such as prompting, modeling, and differential reinforcement are prevalent. The results indicate a notable shift from the Non-Derived to the Derived Response approach over time. Most participants were boys under ten with autism or other neurodivergences, and Single-Subject Designs were predominant. Additionally, many studies did not report the geographical origins of participants, which is crucial for understanding the cultural context in perspective-taking research. There were also notable shortcomings in some methodological and ethical aspects, including the lack of participant diversity, insufficient assent from minors, and inadequate reporting of social validity and conflict of interest. The review underscores the need for improved methodological rigor and ethical standards to enhance study comparability and replicability. Future research should calculate effect sizes to provide quantitative measures of intervention effectiveness, thereby advancing the field's understanding of the practical implications of behavioral interventions for PT skills.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"34 ","pages":"Article 100816"},"PeriodicalIF":3.4,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focused Acceptance and Commitment Therapy Skills Training (FACT-ST) program for paraprofessionals serving families of children with special health care needs: A service evaluation study","authors":"Yuen Yu Chong ,&nbsp;Wing Chung Lam ,&nbsp;Kit Sum Wong ,&nbsp;Ching Yee Wong ,&nbsp;Patrick Chun Ming Lam ,&nbsp;Siu Man Hsu ,&nbsp;Wai Tong Chien","doi":"10.1016/j.jcbs.2024.100806","DOIUrl":"10.1016/j.jcbs.2024.100806","url":null,"abstract":"<div><p>Addressing mental health needs among parents of children with Special Health Care Needs (SHCN) requires improved access to effective interventions. This study assessed the satisfaction, skills implementation intention, and psychological flexibility of frontline paraprofessionals providing family and child rehabilitation services for families of children with SHCN in Hong Kong following participation in a Focused Acceptance and Commitment Therapy Skills Training (FACT-ST) program. The training program comprised two phases: an initial foundation training stage (i.e., the FT group), which provided theoretical instruction on ACT, and a subsequent supervised practice stage (i.e., the FT + SP group), during which participants were required to conduct at least three video-conferencing FACT sessions with parents of children with SHCN under supervision. A diverse sample of 317 paraprofessionals participated, with 246 completing the foundation training and an additional 71 completing both training phases. The FACT-ST program was positively received, as indicated by high average client satisfaction questionnaire scores. In the FT + SP group, paired sample <em>t</em>-test indicated that the mean total skills implementation intention score remained consistent at the 3-month follow-up (<em>M</em> = 36.65, <em>SD</em> = 7.56) when compared to the 2-week follow-up (<em>M</em> = 36.00, <em>SD</em> = 8.28, <em>P</em> = 0.063). Repeated measures analysis of covariance showed significant improvements in psychological flexibility from baseline to the 3-month follow-up in both the FT (F = 57.57, <em>P</em> = &lt; 0.001, ηp² = 0.20) and the FT + SP groups (F = 19.06, <em>P</em> = &lt; 0.001, ηp² = 0.24). Qualitative feedback highlighted the utility of live demonstrations, experiential exercises, and collaborative interactions during training. Our findings are one of the first affirming both the feasibility and acceptability of the FACT-ST program for paraprofessionals working with parents of children with SHCN. The findings underscore the potential of paraprofessionals to become crucial contributors to the mental health care system, addressing service gaps within the community.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100806"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}