Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing
Authors
Finucane, Anne M.Hulbert-Williams, Nicholas J.
Swash, Brooke
Spiller, Juliet A.
Lydon, Brigid
Milton, Libby
Gillanders, David
Affiliation
Edge Hill University; University of Chester; Marie Curie Hospice Edinburgh; University of EdinburghPublication Date
2022-12-28
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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. Acceptance and Commitment Therapy 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: 25 staff commenced and 23 completed the intervention (93%). 15 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.Citation
Finucane, A., Hulbert-Williams, N. J., Swash, B., Spiller, J., Lydon, B., Milton, L., & Gillanders, D. (2022). Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing. Palliative Medicine, vol(issue), pp. https://doi.org/10.1177/02692163221143817Publisher
Sage PublicationsJournal
Palliative MedicineAdditional Links
https://journals.sagepub.com/home/PMJhttps://journals.sagepub.com/doi/full/10.1177/02692163221143817
Type
ArticleDescription
Finucane, A., Hulbert-Williams, N. J., Swash, B., Spiller, J., Lydon, B., Milton, L., & Gillanders, D., Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing, Palliative Medicine (Journal Volume Number and Issue Number) pp. xx-xx. Copyright © [2022] (The Authors). Reprinted by permission of SAGE Publications.ISSN
0269-2163EISSN
1477-030Xae974a485f413a2113503eed53cd6c53
10.1177/02692163221143817
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