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Chronic illness (CI) presents a significant and negative effect on quality of life and mental health. Further, emotion regulation has been considered of particular importance on the determination of chronic patients' well-being. Evidence suggests that Acceptance and Commitment Therapy (ACT) is an effective approach to improve psychological health in patients with CI. Further, there is some, although limited, evidence, that self-compassion training may be also useful in this context, and the inclusion of self-compassion elements in ACT interventions has even been the focus of attention by recent studies. Nevertheless, no study yet has compared the efficacy of these two types of intervention in CI. This is the aim of the present project - to analyse, in a low intensity eHealth intervention context, whether ACT or Compassion Focused Therapy (CFT) present superiority over the other in improving mental health and illness-related outcomes in CI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acceptance and Commitment Therapy | Experimental |
| |
| Compassion-Focused Therapy | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LIIT.CI ACT | Behavioral | 4-week online self-management intervention based on Acceptance and Commitment Therapy and adapted to people with chronic medical conditions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Depression and anxiety (Hospital Anxiety and Depression Scales; HADS) | Higher scores indicate more depression and anxiety symptoms (0-21) | Changes in results from: immediately pre-intervention and immediately post-intervention assessments |
| Measure | Description | Time Frame |
|---|---|---|
| Illness shame (Chronic Illness Shame Scale; CISS) | Higher scores indicate higher levels of illness shame (0-28) | Changes in results from: immediately pre-intervention and immediately post-intervention assessments |
| Psychological Flexibility (Comprehensive assessment of ACT processes; CompACT) |
| Measure | Description | Time Frame |
|---|---|---|
| Fear of contracting COVID-19 (Fear of contracting COVID-19 scale; FCCS) | Higher scores indicate more fear of contracting COVID-19 (9-45) | Changes in results from: immediately pre-intervention and immediately post-intervention assessments |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| InĂªs Trindade | Coimbra | 3000-115 | Portugal |
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| LIIT.CI CFT | Behavioral | 4-week online self-management intervention based on Compassion-Focused Therapy and adapted to people with chronic medical conditions |
|
Higher scores indicate higher levels of psychological flexibility (0-108) |
| Changes in results from: immediately pre-intervention and immediately post-intervention assessments |
| Self-compassion (Self-compassion scale; SCS) | Higher scores indicate higher levels of self-compassion (subscale of the Self-compassion scale) (13-65) | Changes in results from: immediately pre-intervention and immediately post-intervention assessments |
| Self-criticism (Self-compassion scale; SCS) | Higher scores indicate higher levels of self-cristicism (subscale of the Self-compassion scale) (13-65) | Changes in results from: immediately pre-intervention and immediately post-intervention assessments |
| Cognitive fusion (Cognitive Fusion Scale; CFQ-7) | Higher scores indicate higher levels of cognitive fusion (0-28) | Changes in results from: immediately pre-intervention and immediately post-intervention assessments |