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Given the limited number of randomised controlled trials of ACT interventions for chronic pain and specifically internet-guided ACT interventions, the present study aims to examine the clinical-effectiveness and cost-effectiveness of an internet-delivered ACT treatment programme among a sample of people with chronic pain.
A number of core ACT interventions were modified to treat couples in a conjoint format.
The main areas of concern identified were awareness, consent, ownership, control, the obligations to act, interventions, triage, and the impacts on student behaviour (Sclater 2014).
This systematic review aimed to: collate all ACT interventions with chronic disease/long-term conditions, evaluate their quality, and comment on efficacy.
A number of recent UK studies have demonstrated no benefit from ACT interventions compared with the CMHT control groups and have concluded that the approach may no longer be justifiable, considering the cost [ 1, 8].
To date, ACT interventions have been successfully used to enhance quality of life and promote positive lifestyle behaviours for a range of health conditions (chronic pain [ 33], diabetes [ 34], epilepsy [ 35], smoking [ 36], and obesity or weight management [ 37- 39]) but this approach has not previously been used for those at high risk of CRC.
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16 23 A wide array of methods of programme delivery have been evaluated, including variations of duration of treatment sessions, method of delivery of ACT sessions (group, one-to-one, internet-delivered or self-help) and length of ACT intervention (ranging from 4 to 10 sessions).
The ACT intervention was not significantly different from the CBT intervention on the standard outcome measures.
Furthermore, our study showed that improved psychological flexibility mediated the effects of the ACT intervention.
To conclude, our study showed the importance of targeting psychological flexibility during an ACT intervention for a reduction in depressive and anxiety symptoms.
The present preliminary investigation examined the effects of a brief Acceptance and Commitment Therapy (ACT) intervention for the treatment of public health sector workers who showed chronic stress/pain and were at risk for high sick leave utilization.
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