Group Acceptance and Commitment Training (ACT) With Healthy Older Adults

Quality of Life Clinical Trial

Official title:

Well-being in ACTion: Examining the Impact of Acceptance and Commitment Training in Community-Dwelling Older Adults

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03839329
• Other study ID #: 201902715
• Status: Completed
• Phase: N/A
• Start date: April 17, 2019
• Est. completion date: September 1, 2020

Study information

• Verified date: November 2020
• Source: University of Iowa
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The current study aims to explore the impact of a two-session group Acceptance and Commitment Therapy (ACT) intervention compared to an assessment-only control on psychological outcomes in healthy older adults. The proposed study has two main objectives.

1. Examine the impact the intervention on targeted ACT processes over time

2. Examine the impact of the intervention on aspects of eudaimonic well-being over time

Description:

Older adults are a growing segment of our population, and this period of life presents a variety of physical, emotional, environmental, and cognitive changes, even for healthy individuals. The current study aims to explore the impact of a two-session group Acceptance and Commitment Therapy (ACT) intervention compared to an assessment-only control on psychological outcomes in healthy, community-dwelling older adults.

Participants will be randomly assigned (stratified by sex) to the ACT group condition or to an assessment-only control group. After randomization, those in the assessment-only control group will be asked to complete four assessments via mail (baseline, one-month, three-month, and six-month). The intervention group will participate in a brief group ACT intervention occurring over two sessions (90 minutes each, approximately one week apart). Intervention participants will also complete assessments at baseline and at one-month, three-months, and six-months post-intervention.

The specific aims and hypotheses of the current study are:

Specific Aim #1: To examine longitudinal between-group differences in targeted ACT processes including psychological flexibility (openness to experience, behavioral awareness, and valued action) and satisfaction with social roles and activities from baseline to follow-up. We hypothesize that there will be significant time by group interaction, such that psychological flexibility and satisfaction with social roles and activities will increase significantly more in the intervention group relative to the assessment-only control group.

Specific Aim #2: To examine longitudinal between-group differences in eudaimonic well-being (purpose in life and personal growth) from baseline to follow-up. We hypothesize that there will be significant time by group interactions, such that purpose in life and personal growth will increase significantly more in the intervention group relative to the assessment-only control group.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 81
• Est. completion date: September 1, 2020
• Est. primary completion date: September 1, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years to 99 Years

Eligibility

Inclusion Criteria:

• healthy, community-dwelling older adult (age 65-99)

Exclusion Criteria:

• significant primary psychiatric disease

• medications that have the potential to affect cognitive functioning

• neurological events

Related Conditions & MeSH terms

• Aging
• Quality of Life

Intervention

Behavioral:
• Acceptance and Commitment Training
Acceptance and Commitment Therapy is an acceptance- and mindfulness-based psychotherapy that aims to foster psychological flexibility.

Locations

Country	Name	City	State
United States	University of Iowa	Iowa City	Iowa

Sponsors (1)

Lead Sponsor	Collaborator
Anne Roche, MA

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Differences in change over time between conditions on The Comprehensive Assessment of Acceptance and Commitment Therapy processes (CompACT)	The CompACT is a self-report measure of psychological flexibility. Total scores on the measure range from 0-138 with higher scores indicative of greater psychological flexibility.	baseline, 1-month, 3-month, and 6-month post-intervention follow-up
Secondary	Differences in change over time between conditions on the Patient-Reported Outcomes Measurement Information System's (PROMIS) 8-item Satisfaction with Social Roles and Activities scale	The PROMIS 8-item Satisfaction with Social Roles and Activities scale is a self-report measure. Total scores on the measure are converted to T scores.	baseline, 1-month, 3-month, and 6-month post-intervention follow-up
Secondary	Differences in change over time between conditions on the Ryff's Scales of Psychological Well-Being 14-item Purpose in Life Scale	Ryff's Scales of Psychological Well-Being 14-item Purpose in Life Scale is a self-report measure. Total scores range from 14-84, with higher scores indicative of greater purpose in life.	baseline, 1-month, 3-month, and 6-month post-intervention follow-up
Secondary	Differences in change over time between conditions on the Ryff's Scales of Psychological Well-Being 14-item Personal Growth Scale	Ryff's Scales of Psychological Well-Being 14-item Personal Growth Scale is a self-report measure. Total scores range from 14-84, with higher scores indicative of greater personal growth.	baseline, 1-month, 3-month, and 6-month post-intervention follow-up