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dc.contributor.authorPakenham, Kenneth I
dc.contributor.authorMawdsley, Matthew
dc.contributor.authorBrown, Felicity L
dc.contributor.authorBurton, Nicola W
dc.date.accessioned2019-05-29T13:08:34Z
dc.date.available2019-05-29T13:08:34Z
dc.date.issued2018
dc.identifier.issn0090-5550
dc.identifier.doi10.1037/rep0000167
dc.identifier.urihttp://hdl.handle.net/10072/381289
dc.description.abstractObjective: To evaluate the feasibility and psychosocial outcomes of an Acceptance and Commitment Therapy (ACT)–based group resilience training program for people with multiple sclerosis (PwMS). Research Method/Design: The study used a pre–post group intervention design with 3-month follow-up. The intervention consisted of 8 group sessions of 2.5 hours each with 7 weekly sessions plus a booster Session 5 weeks later. Thirty-seven PwMS completed questionnaires. Primary psychosocial outcomes were resilience, quality of life (QoL), and distress. Secondary outcomes were the ACT processes: mindfulness, defusion, values and acceptance. Results: Significant improvements were observed for resilience (p = .005; Hedge’s g = .47), physical health QoL (p < .001; g = −.76), mental health QoL (p = .006; g = −.46), depression (p = .009; g = .38), stress (p = .025; g = .33), and 3 ACT processes: defusion (p = .013; g = −.54), values (p = .010; g = −.38), and acceptance (p = .006; g = −.39). Values and defusion emerged as mediators of physical health QoL and stress (90% CI), respectively. Program feasibility was supported by positive participant feedback; high rates of recruitment, attendance, retention, and homework engagement; and good intervention fidelity. Conclusions: Findings provide preliminary support for the utility and feasibility of a community organization delivered ACT-based group resilience training program for improving resilience, QoL, depression, stress, and protective factors (defusion, values, acceptance) in PwMS.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherAmerican Psychological Association
dc.publisher.placeUnited States of America
dc.relation.ispartofpagefrom29
dc.relation.ispartofpageto42
dc.relation.ispartofissue1
dc.relation.ispartofjournalRehabilitation Psychology
dc.relation.ispartofvolume63
dc.subject.fieldofresearchPsychology not elsewhere classified
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode170199
dc.subject.fieldofresearchcode1701
dc.titlePilot evaluation of a resilience training program for people with multiple sclerosis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionPost-print
gro.rights.copyright© 2018 American Psycological Association. This article may not exactly replicate the final version published in the APA journal. It is not the copy of record. Reproduced here in accordance with publisher policy. Please refer to the journal link for access to the definitive, published version.
gro.hasfulltextFull Text
gro.griffith.authorBurton, Nicola W.


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