ACT With CF Self-Help Toolkit
Thomas Jefferson University
Summary
Acceptance and Commitment Therapy (ACT) tailored to meet the needs of adults living with cystic fibrosis (ACT with CF) is a newer form of talk therapy that has been shown to reduce anxiety \& depression and improve psychological flexibility, and value-based living. The investigators are now trying to find out whether a self-help version of this treatment (ACT with CF - Self Help Toolkit) is also effective in reducing anxiety and depression and improving psychological flexibility and value-based living in adults with CF. Adults with cystic fibrosis are at increased risk for anxiety and depression. This study examines whether a patient-facing therapy, ACT with CF - Self Help Toolkit can help to reduce anxiety and depression among adults with CF. This treatment can be accessed on the participant's smartphone.
Description
State the primary objective(s) of the study: The objective of the study is to assess the effectiveness of "ACT with CF Self Help Toolkit" in improving cognitive fusion, depression, anxiety, psychological flexibility and value-based living among adults with cystic fibrosis. State the secondary objectives(s) of the study: The investigators are aiming to examine whether the ACT with CF Self Help Toolkit improves medication adherence, and spirometry results among adults with cystic fibrosis. Data collected from electronic health records will be used for analysis. What benefit or knowledge will…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * 18 years or older * Existing diagnosis of cystic fibrosis * PHQ-9 score \>4 or GAD-7 score \>4 Exclusion Criteria: * History of suicide attempts or acute suicidal ideation on clinical assessment * Presence of psychotic disorder or symptoms * Presence of psychiatric disorders that interfere with participation in the study, judged by the study or treating clinician * Presence of other medical conditions that interfere with participation in the study, judged by the study or treating clinician
Interventions
- BehavioralACT with CF Self-Help Toolkit
The ACT with CF Self-Help Toolkit will include 6 main modules, each with 3 or 4 kernels, which will be short videos, in which participants will learn new ways to manage uncomfortable experiences and feelings (e.g., anxiety, depression) and to engage in positive behaviors. These videos are based on the main interventions in our ACT with CF individual therapy protocol. For example, the first main module focuses on how the participant wants to live their life (Values Clarification Intervention), and the kernels in this module are 1-3 minute video clips demonstrating different ways to figure this out (Card Sort, 70th Birthday exercise, accessing barriers). This intervention is directly adapted from the ACT with CF manual, which has been studied previously in several forms and studies.
- OtherWaitlist
Participants in the waitlist condition will wait for six weeks before receiving the ACT with CF Self-Help Toolkit
Location
- Thomas Jefferson University HospitalPhiladelphia, Pennsylvania