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The present study aims to investigate the efficacy of acceptance and commitment therapy for the management of quality of life in patients post-myocardial infarction
The current quantitative study is carried out in two steps. A cross-sectional survey assesses quality of life and associated factors during the first step. A randomized controlled trial will be done during the second step where patients with myocardial infarction who are identified with type D personality characteristics, psychological distress, low level of medication adherence, low social support, low quality of life, low acceptance and psychological flexibility will be randomly assigned to two groups i.e. waitlist control group and intervention group. The acceptance and commitment therapy would be implemented on participants in the interventional group. As the control group is the waitlist control group; initially no intervention will be given to participants in the control group but the intervention will be given to the control group participants once the study is completed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental | Experimental | Who receives intervention i.e. Acceptance and Commitment Therapy |
|
| Waitlist Control | Active Comparator | Who would receive intervention after study completion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acceptance and commitment therapy | Other | Introduction: Build rapport and complete pre-assessment questionnaires. First Session: Introduce therapist, ACT principles, and MI complications. Provide psychoeducation and assign homework. Second Session: Review feedback and encourage change. Assign homework. Third Session: Discuss acceptance and coping strategies. Assign homework. Fourth Session: Discuss cognitive diffusion and unhelpful thoughts. Assign homework. Fifth Session: Explore self-concept and mindfulness. Assign homework. Sixth Session: Identify and elaborate on values. Assign homework. Seventh Session: Discuss values, goals, and barriers. Assign homework. Eighth Session: Discuss commitment to action and relapse prevention. Administer post-test and express gratitude. |
| Measure | Description | Time Frame |
|---|---|---|
| World Health Organization Quality of Life Scale Urdu Version | It has 26 items and four domains: physical health (7 items), psychological health (6 items), social relationships (3 items), and environmental health (8 items); it also contains quality of life and general health items. The minimum value is 26 and the maximum value is 130. Higher scores on the scale indicate higher quality of life and low scores indicate low quality of life. | 3 months |
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Inclusion Criteria:
First-time diagnosed, non-hospitalized patients with myocardial infarction (MI).
Patients attending follow-up visits at the hospital.
Patients experiencing distress.
Patients exhibiting features of Type D personality.
Patients reporting low levels of:
Patients aged 18 years and above.
Both genders.
Patients who can understand Urdu.
Patients who can provide informed consent.
Exclusion Criteria:
Hospitalized patients with myocardial infarction (MI).
Patients with myocardial infarction (MI) and other chronic co-morbid diseases, such as:
Patients with silent myocardial infarction.
Patients younger than 18 years.
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| Name | Affiliation | Role |
|---|---|---|
| Sehrish Khan, PhD Scholar | Fatima Jinnah women University, Rawalpindi, Pakistan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Armed Forces Institute of Cardiology | Rawalpindi | Punjab Province | 46000 | Pakistan | ||
| Rawalpindi Institute of Cardiology |
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|
| Rawalpindi |
| Punjab Province |
| 46000 |
| Pakistan |
| ID | Term |
|---|---|
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D064869 | Acceptance and Commitment Therapy |
| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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