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Feasibility, Acceptability, and Preliminary Efficacy of Acceptance Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress

journal contribution
posted on 2023-08-16, 06:42 authored by Daniel Romano, Susan Chesterman, Matthew Fuller-TyszkiewiczMatthew Fuller-Tyszkiewicz, Subhadra EvansSubhadra Evans, Madeleine Dober, Richard Gearry, Peter R Gibson, Simon Knowles, Andrew McCombie, O Eric, Lisa OliveLisa Olive, Leanne Raven, Leesa Van Niekerk, Antonina Mikocka-WalusAntonina Mikocka-Walus
Abstract Background The bidirectional relationship between inflammatory bowel disease (IBD) flare-ups and depression/anxiety symptoms has prompted investigations into psychotherapy to improve health-related quality of life (HRQoL) by targeting depression and anxiety. Acceptance commitment therapy (ACT) is effective in improving symptoms of depression and anxiety in people with chronic diseases, yet minimal research has examined ACT’s effectiveness for IBD. This study examines the feasibility, acceptability, and preliminary efficacy of the ACTforIBD program, an online program codesigned with consumers to deliver ACT to those with IBD. Methods Adults with IBD and symptoms of mild-moderate distress were randomized to ACTforIBD or an active control (psychoeducation) condition. Participants completed 8 weekly, 1-hour sessions, 4 of which were therapist facilitated. Feasibility was based on recruitment and retention and acceptability was derived from postprogram satisfaction measures. Preliminary efficacy was determined by group differences in rate of change in study outcomes from baseline to postprogram. Results Of 62 participants (89% women, 11% men; mean age  33 years), 55 completed the program (ACTforIBD: n = 26 [83.9%]; active control: n = 29 [93.5%]). Adherence and acceptability were high in the ACTforIBD group, with 80% of participants completing all self-directed modules and 78% of participants expressing satisfaction with the program. Significant and marginally significant group × time interactions were found for anxiety symptoms (b = -1.89; 95% confidence interval, -3.38 to -0.42) and psychological HRQoL (b = -0.04; 95% confidence interval, -0.07 to 0.01), showing decreased anxiety and increased psychological HRQoL in the intervention group. Conclusions ACTforIBD is feasible, acceptable, and improved anxiety symptoms, and psychological HRQoL. This highlights the need for a full-scale randomized controlled trial to further examine the program’s efficacy.

History

Journal

INFLAMMATORY BOWEL DISEASES

Article number

izad122

Location

England

ISSN

1078-0998

eISSN

1536-4844

Language

English

Publication classification

C1 Refereed article in a scholarly journal

Publisher

OXFORD UNIV PRESS INC