Journal
JMIR RESEARCH PROTOCOLS
Volume 11, Issue 4, Pages -Publisher
JMIR PUBLICATIONS, INC
DOI: 10.2196/33783
Keywords
cardiac disease; acceptance and commitment therapy; distress management; self-management; single case experimental design; digital health
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This research aims to evaluate a digital acceptance and commitment therapy (ACT) intervention for improving self-management behaviors and distress levels in individuals with cardiac conditions. The intervention will be delivered through a digital health self-management platform, and the study will utilize a randomized multiple baseline single case experimental design. The findings will contribute to understanding how a digital ACT intervention can best meet the needs of cardiac patients.
Background: Research indicates that the management of distress levels in those with cardiac disease is not only important for improving quality of life and functioning but also critical for condition management; adherence to treatment; and, ultimately, disease prognosis and progression. Acceptance and commitment therapy (ACT) has consistently demonstrated positive long-term outcomes across a wide array of conditions, including chronic illness. However, most empirical investigations conducted to date have also involved in-person therapy, which can be difficult to access, particularly for those dealing with the demands of chronic disease. Objective: The objective of our research is to evaluate a digital ACT intervention for improving self-management behaviors and distress levels in those with cardiac conditions. Methods: The digital ACT intervention will be delivered via a digital health self-management platform over 6 sessions. This will involve a randomized, multiple baseline, single case experimental design with approximately 3 to 15 adults with cardiac disease. The independent variable for each participant will be the pre-post intervention phase. The dependent variables will be a daily self-report measure of psychological flexibility as well as objective measures of condition self-management (eg, blood pressure readings) and engagement with the app (eg, completing guided mindfulness). One-to-one qualitative interviews will also be conducted to further examine participants' experiences with using the intervention and what factors contribute to or impede successful outcomes. Results: Participant recruitment and data collection began in October 2021, and it is projected that the study findings will be available for dissemination by spring 2022. Conclusions: The findings will be discussed in terms of how a digital ACT intervention can best meet the needs of cardiac patients.
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