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A changed reality: Experience of an acceptance and commitment therapy (ACT) group after stroke
Rebecca Large1, Victoria Samuel1, Reg Morris1
1Psychology Department, Cardiff University, Cardiff, UK.
Neuropsychological Rehabilitation
|March 30, 2019
Summary
Acceptance and Commitment Therapy (ACT) helps stroke survivors adjust to limitations by facilitating acceptance of a changed reality. This qualitative study explored survivors' experiences, identifying helpful aspects of ACT for psychological distress.
Area of Science:
- Psychology
- Rehabilitation Medicine
- Neuroscience
Background:
- Acceptance and Commitment Therapy (ACT) shows promise for long-term conditions.
- Limited qualitative research exists on ACT for stroke survivors.
- Stroke survivors face challenges adjusting to residual disability.
Purpose of the Study:
- To explore stroke survivors' experiences with ACT.
- To identify facilitators of adjustment to life with a disability after stroke.
- To understand helpful and unhelpful aspects of a stroke-adapted ACT intervention.
Main Methods:
- Qualitative study using grounded theory.
- Semi-structured interviews with thirteen stroke survivors.
- Participants attended a stroke-adapted ACT group.
Main Results:
- A primary difficulty reported was "accepting a changed reality" post-stroke.
- ACT processes aided survivors in accepting symptoms and their altered life circumstances.
- Survivors identified beneficial and less beneficial elements of the ACT intervention.
Conclusions:
- Stroke survivors found ACT beneficial for adjusting to stroke-related limitations.
- ACT demonstrates potential as a psychological intervention for stroke survivors with distress.
- Suggestions for modifying ACT format to enhance its impact were identified.
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