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Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing
Finucane, Anne M. Hulbert-Williams, Nicholas J. Swash, Brooke Spiller, Juliet A. Lydon, Brigid Milton, Libby Gillanders, David
Finucane, Anne M.
Hulbert-Williams, Nicholas J.
Swash, Brooke
Spiller, Juliet A.
Lydon, Brigid
Milton, Libby
Gillanders, David
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Other Contributors
EPub Date
Publication Date
2022-12-28
Submitted Date
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Abstract
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. (2023). Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing. Palliative Medicine, 37(2), 244-256. https://doi.org/10.1177/02692163221143817
Publisher
SAGE Publications
Journal
Palliative Medicine
Research Unit
DOI
10.1177/02692163221143817
PubMed ID
PubMed Central ID
Type
Article
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Description
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 37 and Issue Number 2) pp. 244-256. Copyright © [2022] (The Authors). Reprinted by permission of SAGE Publications.
Series/Report no.
ISSN
0269-2163
EISSN
1477-030X