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Testing the waters: A pilot trial of acceptance and commitment therapy (ACT) for alcohol use disorder
Nisha Khandelwal1, Karobi Das2, Renu Sharma2
1Department of Nursing, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Background:
Psychosocial interventions help maintain alcohol abstinence. Third-wave psychotherapies have emerged as an alternative to cognitive behavioral therapies for Alcohol Use Disorder (AUD) treatment. However, third-wave therapies have not been tested in non-western settings or via telehealth.
Aim:
We assessed the acceptability and feasibility of Acceptance and Commitment Therapy (ACT) in moderate/severe AUD.
Methods:
This was a pre- and post-study design. All those who met the eligibility (n = 40) criteria consented to participate. A trained nurse delivered four sessions of ACT, either in-person or via video-conferencing, per participants' preference. Alcohol use, craving, relapse signs, and psychological flexibility were assessed three months post-intervention.
Results:
Twenty-eight participants (70%) attended all four sessions. There was a significant increase in abstinence and a decrease in alcohol use, frequency of drinking/heavy drinking, craving, relapse signs, and improved psychological flexibility. Outcomes were positive for either mode of delivery.
Conclusion:
ACT is feasible, acceptable, and probably effective in AUD.
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