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An online acceptance, commitment, and self-compassion based treatment to decrease psychological distress in people

Ayşenur Kılıç1,2, Joanna Hudson2, Whitney Scott2,3

  • 1School of Pharmacy, University College London, London WC1H 9JP, UK.

Internet Interventions
|August 18, 2023
PubMed
Summary
This summary is machine-generated.

This study found that an online self-compassion and Acceptance and Commitment Therapy (ACT) program for type 2 diabetes (T2D) has limited feasibility due to low retention and completion rates. Further improvements are needed for future trials.

Keywords:
Diabetes mellitusPsychological flexibilityRandomised controlled trialSelf-compassionType 2

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Health Psychology

Background:

  • Psychological distress is common in individuals with type 2 diabetes (T2D).
  • Self-guided online interventions offer a potential avenue for managing distress in T2D.
  • Acceptance and Commitment Therapy (ACT) and self-compassion show promise in improving psychological well-being.

Purpose of the Study:

  • To explore the feasibility and acceptability of a self-guided, online self-compassion and ACT-focused treatment for individuals with T2D.
  • To assess the potential for a larger trial investigating this intervention to reduce psychological distress.

Main Methods:

  • A two-arm, parallel, feasibility randomized controlled trial with nested qualitative methods.
  • UK adults with T2D were randomized (1:1) to a five-week online self-compassion and ACT treatment or a waitlist control.
  • Feasibility outcomes included recruitment, retention, and treatment completion rates, alongside qualitative interviews for acceptability. Secondary outcomes measured psychological distress and treatment processes.

Main Results:

  • Out of 91 individuals who accessed the link, 55 were eligible, and 33 were randomized (19 to treatment, 14 to control).
  • Treatment completion was 47.37%, with trial retention rates at 39.39% (5-week) and 21.2% (9-week).
  • Low treatment completion and retention rates limit the interpretability of secondary feasibility outcomes.

Conclusions:

  • While an online self-compassion and ACT treatment may benefit individuals with T2D experiencing psychological distress, its current feasibility is limited.
  • Further research and modifications are necessary to enhance treatment acceptability and improve trial procedures for future studies.