Acceptance and Commitment Therapy for Coronary Artery Bypass Graft Surgery Patients
This study is looking at how Acceptance and Commitment Therapy (ACT) can help patients undergoing coronary artery bypass graft (CABG) surgery. CABG is a surgery for heart disease that helps improve chest pain. ACT is a type of therapy that helps people become more flexible in their thinking and accept difficult thoughts and feelings. Researchers want to see if ACT can help patients after CABG surgery. You might be able to join if you are between 18 and 80 years old, are having CABG surgery at the University of Iowa Hospitals and Clinics, can speak English, and have a phone or device for video/audio calls. The study will measure how acceptable the therapy is, how satisfied participants are, and how well they stick with the therapy, all at 8 weeks after starting.
- Study design
- This study is an interventional study with a planned enrollment of 30 participants.
- What's involved
- Not specified in the trial record.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for at least 8 weeks to assess the therapy's acceptability, satisfaction, and adherence.
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Acceptance and Commitment Therapy for Patients Undergoing Coronary Artery Bypass Graft Surgery
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Sara J Diesel, MA · PRINCIPAL_INVESTIGATOR · University of Iowa
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Theoretical Framework of Acceptability (TFA) questionnaire8 weeks
The TFA is comprised of seven constructs: affective attitude, burden, ethicality, perceived effectiveness, intervention coherence, self-efficacy, and opportunity costs, and also includes an overall acceptability rating. The TFA can be used to generate a single acceptability score and/or to assess the unique domains of acceptability included in the model. Scale scores range from minimum values of 7, and maximum values of 35, with higher scores indicating higher acceptability.
- Participant Satisfaction measure8 weeks
Participants will answer five questions on a 5-point Likert-type scale (1 = not at all, 5 = extremely). Scale scores range from minimum values of 5, and maximum values of 25, with higher scores indicating higher satisfaction.
- Participant Adherence measure8 weeks
The extent to which participants adhere to the intervention will be assessed via a self-rated measure in which completion of between-session mindfulness and reflection exercises will be reported. Participants will answer four yes/no items. Scale scores range from minimum values of 0, and maximum values of 4, with higher scores indicating higher adherence.
- Participant EnrollmentBaseline
The number and percentage of patients undergoing CABG who are eligible for the study will be tracked as well as the number of participants enrolled in the study. These values will be used to determine the enrollment rate. Additionally, the investigators will track basic patient characteristics such that representativeness of the enrolled sample may be compared to all eligible patients who were approached.
- Intervention Delivery8 weeks
Treatment fidelity will be assessed via coder-rated evaluation of interventionist adherence to the manualized treatment protocol. The coder will be a licensed therapist with specific expertise in ACT therapeutic principles and psychotherapy. A randomly selected 20% of sessions will be assessed for treatment fidelity and intervention adherence.
- Completion of Study Procedures8 weeks
Completion of all psychological, acceptance, satisfaction, and adherence measures will also be assessed. This will include completion of the entire measure as well as per-item completion which will be recorded for each participant in order to quantify missing data. Attendance will be recorded by the interventionist at each session.
- Retention8 weeks
The investigators will assess retention rate by tracking the proportion of enrolled participants who complete all intervention sessions and study procedures.