Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing.

Background: Acceptance and Commitment Therapy is a form of Cognitive Behavioural Therapy which uses behavioural psychology, values, acceptance and mindfulness techniques to improve mental health and wellbeing. Acceptance and Commitment Therapy is efficacious in treating stress, anxiety and depressio...

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Published in:Palliative Medicine Vol. 37; no. 2; pp. 244 - 257
Main Authors: Finucane, Anne M, Hulbert-Williams, Nicholas J, Swash, Brooke, Spiller, Juliet A, Wright, Brigid, Milton, Libby, Gillanders, David
Format: research tables/charts Journal Article
Published: Sage Publications Inc. Feb2023
Online Access:View this record in EBSCOhost
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      dt: Feb2023
      vid: 37
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing.
      aug:
        au:
          Finucane, Anne M
          Hulbert-Williams, Nicholas J
          Swash, Brooke
          Spiller, Juliet A
          Wright, Brigid
          Milton, Libby
          Gillanders, David
        affil: Clinical Psychology, University of Edinburgh, UK
      sug:
        subj:
          Palliative Care
          Health Personnel Psychosocial Factors
          Behavior Therapy
          Cognitive Therapy
          Psychological Well-Being
          Internet-Based Intervention
          Human
          Questionnaires
          Comparative Studies
          Descriptive Statistics
          Burnout, Professional
          Stress, Psychological
      ab: Background: Acceptance and Commitment Therapy is a form of Cognitive Behavioural Therapy which uses behavioural psychology, values, acceptance and mindfulness techniques to improve mental health and wellbeing. Acceptance and Commitment Therapy is efficacious in treating stress, anxiety and depression in a broad range of settings including occupational contexts where emotional labour is high. This approach could help palliative care staff to manage work-related stress and promote wellbeing. Aim: To develop, and feasibility test, an online Acceptance and Commitment Therapy intervention to improve wellbeing of palliative care staff. Design: A single-arm feasibility trial of an 8-week Acceptance and Commitment Therapy based intervention for staff, consisting of three online facilitated group workshops and five online individual self-directed learning modules. Data was collected via online questionnaire at four time-points and online focus groups at follow-up. Setting/participants: Participants were recruited from Marie Curie hospice and nursing services in Scotland. Results: Twenty five staff commenced and 23 completed the intervention (93%). Fifteen participated in focus groups. Twelve (48%) completed questionnaires at follow-up. Participants found the intervention enjoyable, informative and beneficial. There was preliminary evidence for improvements in psychological flexibility (Cohen's d = 0.7) and mental wellbeing (Cohen's d = 0.49) between baseline and follow-up, but minimal change in perceived stress, burnout or compassion satisfaction. Conclusion: Online Acceptance and Commitment Therapy for wellbeing is acceptable to palliative care staff and feasible to implement using Microsoft Teams in a palliative care setting. Incorporating ways to promote long-term maintenance of behaviour changes, and strategies to optimise data collection at follow-up are key considerations for future intervention refinement and evaluation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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