The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial.

Background: Coronavirus disease-19 (COVID-19) is a widespread disease all over the world that has caused many psychological complications such as health anxiety (HA) and low quality of life (QOL). Mindfulnessbased approaches could improve these complications. Therefore, this study aimed to investiga...

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Publicado en:International Journal of Community Based Nursing & Midwifery Vol. 11; no. 2; pp. 110 - 122
Autores principales: Shahidi, Shokooh, Zargar, Fatemeh, Khajelangi, Hassan Aghaee, Tarrahi, Mohmmad Javad
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Shiraz University of Medical Sciences Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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        10.30476/IJCBNM.2023.97271.2172
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        atl: The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial.
      aug:
        au:
          Shahidi, Shokooh
          Zargar, Fatemeh
          Khajelangi, Hassan Aghaee
          Tarrahi, Mohmmad Javad
        affil: Department of Nursing, School of Medicine, Khomein University of Medical Sciences, Khomein, Iran
      sug:
        subj:
          COVID-19 Iran
          Caregivers Psychosocial Factors
          Anxiety Therapy
          Quality of Life
          Acceptance and Commitment Therapy
          Stress Management Methods
          Mindfulness
          Internet-Based Intervention
          Combined Modality Therapy
          Treatment Outcomes
          Attitude to Health
          Human
          Randomized Controlled Trials
          Random Assignment
          Iran
          Random Sample
          Scales
          Questionnaires
          Descriptive Statistics
          Data Analysis Software
          Chi Square Test
          Paired T-Tests
          Analysis of Covariance
          Male
          Female
          Adult
          Middle Age
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Coronavirus disease-19 (COVID-19) is a widespread disease all over the world that has caused many psychological complications such as health anxiety (HA) and low quality of life (QOL). Mindfulnessbased approaches could improve these complications. Therefore, this study aimed to investigate the effect of Internet-delivered mindfulness stress reduction combined with acceptance and commitment therapy (IMSRACT) on QOL and HA of caregivers of patients infected by COVID-19. Methods: In this randomized clinical trial, 72 people from Golpayegan city, Iran, who had a patient with COVID-19 in their family were selected from March to June 2020. A caregiver with a score above 27 on the Health Anxiety inventory (HAI-18) was selected using simple random sampling. Participants were assigned in the intervention or control group by permuted block random allocation. The intervention group was trained by MSR and ACT techniques for 9 weeks accomplished via WhatsApp. All participants completed the QOLQuestionnaire-12 (SF-12) items and HAI-18 before and after completing IMSR-ACT sessions. The data were analyzed through SPSS-23 software, using Chi square, independent and paired t-test, and analysis of covariance, and P-value<0.05 was considered as significant. Results: The results showed that the intervention group compared to the control group had a significant decrease in all subscales of HAI after the intervention including worry about consequences (5.78±2.66 vs. 7.37±1.34, P=0.004) and awareness of bodily sensation or changes (8.90±2.77 vs. 11.75±2.30, P=0.001), worry about health (10.94±2.38 vs. 13.09±1.92, P=0.001), and total score of HAI (25.62±4.93 vs. 32.25±3.93, P=0.001). Also, the intervention group compared to the control group had better QOL after the intervention in general health perceptions (3.03±0.96 vs. 2.43±0.95, P=0.01), mental health (7.12±2.25 vs. 6.34±1.85 and P=0.01) and mental component summary) 16.78±3.75 vs. 15.43±3.05, P=0.01), physical component summary (16.06±2.66 vs. 15.19±2.25, P=0.01), and total score of SF-12 (32.84±5.39 vs. 30.62±4.34, P=0.004). Conclusion: Internet-delivered MSR combined with ACT could improve the HA and QOL of caregivers with patients infected by COVID-19. Thus, it can used in other similar situations for now and future. Also, it seems to be a useful approach for caregivers of the other illnesses.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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