{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:07:00Z","timestamp":1772168820735,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/amrcopenres.13035.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T00:00:00Z","timestamp":1655856000000}}],"reference-count":36,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T00:00:00Z","timestamp":1655856000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000654","name":"Marie Curie","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000654","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000848","name":"University of Edinburgh","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000848","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["amrcopenresearch.org"],"crossmark-restriction":false},"short-container-title":["AMRC Open Res"],"abstract":"<ns4:p>\n                    <ns4:bold>Background:\u00a0<\/ns4:bold>\n                    Palliative care staff commonly experience workplace stress and distress. General stressors include unmanageable workloads and staff shortages. \u00a0Stressors specific to palliative care include regular exposure to death, loss and grief.\u00a0 The COVID-19 pandemic exacerbated exhaustion and burnout across the healthcare system, including for those providing palliative care.\u00a0 Evidence based psychological support interventions, tailored to the needs and context of palliative care staff, are needed. \u00a0Acceptance and Commitment Therapy (ACT) is an established form of cognitive behavioural therapy which uses behavioural psychology, values, acceptance, and mindfulness techniques to improve mental health and wellbeing. ACT is effective in improving workplace wellbeing in many occupational settings. \u00a0Our study examines the acceptability and feasibility of an online ACT-based intervention to improve mental health and wellbeing in staff caring for people with an advanced progressive illness.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Methods:\u00a0<\/ns4:bold>\n                    A single-arm feasibility trial.\u00a0 We will seek to recruit 30 participants to take part in an 8- week online ACT-based intervention, consisting of three synchronous facilitated group sessions and five asynchronous self-directed learning modules.\u00a0 We will use convergent mixed methods to evaluate the feasibility of the intervention. Quantitative feasibility outcomes will include participant recruitment and retention rates, alongside completion rates of measures assessing stress, quality of life, wellbeing, and psychological flexibility. \u00a0Focus groups and interviews will explore participant perspectives on the intervention. We will run a stakeholder workshop to further refine the intervention and identify outcomes for use in a future evaluation.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Results:\u00a0<\/ns4:bold>\n                    We will describe participant perspectives on intervention acceptability, format, content, and perceived impact, alongside rates of intervention recruitment, retention, and outcome measure completion.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Conclusion:\u00a0<\/ns4:bold>\n                    We will show whether a brief, online ACT intervention is acceptable to, and feasible for palliative care staff. \u00a0Findings will be used to further refine the intervention and provide essential information on outcome assessment prior to a full-scale evaluation.\n                  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development and validation of the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT).","volume":"5","author":"A Francis","year":"2016","journal-title":"J Contextual Behav Sci."},{"key":"ref-36","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1186\/1471-2288-13-117","article-title":"Using the framework method for the analysis of qualitative data in multi-disciplinary health research.","volume":"13","author":"N Gale","year":"2013","journal-title":"BMC Med Res Methodol."}],"container-title":["AMRC Open Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/amrcopenresearch.org\/articles\/3-26\/v2\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/amrcopenresearch.org\/articles\/3-26\/v2\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/amrcopenresearch.org\/articles\/3-26\/v2\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T04:16:08Z","timestamp":1655957768000},"score":1,"resource":{"primary":{"URL":"https:\/\/amrcopenresearch.org\/articles\/3-26\/v2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,22]]},"references-count":36,"URL":"https:\/\/doi.org\/10.12688\/amrcopenres.13035.2","relation":{"has-review":[{"id-type":"doi","id":"10.21956\/amrcopenres.14151.r26972","asserted-by":"subject"},{"id-type":"doi","id":"10.21956\/amrcopenres.14151.r26972","asserted-by":"object"},{"id-type":"doi","id":"10.21956\/amrcopenres.14151.r26973","asserted-by":"object"}]},"ISSN":["2517-6900"],"issn-type":[{"value":"2517-6900","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,22]]},"assertion":[{"value":"Indexed","URL":"https:\/\/amrcopenresearch.org\/articles\/3-26\/v2#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.21956\/amrcopenres.14151.r26972, Jason Mills, School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Caboolture, Qld, Australia, 23 Jun 2022, version 2, indexed","URL":"https:\/\/amrcopenresearch.org\/articles\/3-26\/v2#referee-response-26972","order":0,"name":"referee-response-26972","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/amrcopenres.14110.r26967, David Dawson, School of Psychology, University of Lincoln, Lincoln, UK, 19 May 2022, version 1, 1 approved, 1 approved with reservations","URL":"https:\/\/amrcopenresearch.org\/articles\/3-26\/v1#referee-response-26967","order":1,"name":"referee-response-26967","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Anne Finucane<\/b>; \n<i>Posted: 31 May 2022<\/i>; Thank you very much for the helpful comments and suggestions. These will be very informative as we plan follow-up work.&nbsp; We have provide some additional justifications and clarifications in response to your comments below.&nbsp;  We did not specify a primary outcome or pre-screen participants as this was a small-scale feasibility study. We were keen to explore a range of outcomes to see which might be most suitable for inclusion in future large-scale evaluations. We were also unsure about the extent to which would be able to recruit participants in light of COVID, so were hesitant to pre-screen participants, but we will explore the question of whether or not to pre-screen in future studies as we analyse the data collected and share the findings with stakeholders. As this was a small-scale study, undertaken during the COVID pandemic, we were keen to keep it simple. We did not have the capacity to link in with clinical trials unit, and to randomise participants. However, we agree with Reviewer 2 that this will be essential in future studies. Thank for this useful suggestion which we will need to consider for future studies. For the present study, the intervention was delivered by a Peer Reviewed ACT Trainer and Fellow of the Association for Contextual Behavioural Science, but for future studies we will need to consider fidelity assessments. We aimed to collect data via focus groups as this method allows the generation of a range of responses regarding the intervention in an efficient and pragmatic manner. Furthermore, participants were used to exchanging views in a facilitated group format, and while we appreciate that in some instances this can hinder the freedom with people exchange views, given the nature of the topics covered in the focus groups, it was felt that the benefits of the group interaction and sharing of ideas outweighed this. We also offered interviews to participants who did not complete the intervention. Given the timing of intervention delivery (during the height of the COVID pandemic) offering a variety of participation approaches, while minimising overall staff time commitment, was important.&nbsp; Thank you for the helpful suggestion in relation to using shorter assessment tools which we will consider in future studies. Adherence was monitored via self-report questionnaires and explored further during qualitative data collection. We set up 4 separate questionnaires to gather data at each timepoint; and merge on completion of data collection (using participant ID not linked to the participants name) - any limitations of the JISC platform have not been a problem. Thank you for the helpful suggestion in relation to the RE-Aim framework.","URL":"https:\/\/amrcopenresearch.org\/articles\/3-26\/v2#referee-comment-3101","order":2,"name":"referee-comment-3101","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The RESTORE study has been funded by a Marie Curie small grant (\u00a39804.59) to AF and DG (7.02.20).  An additional small grant from the University of Edinburgh (\u00a32177) was awarded to AF to support the design and production of the RESTORE workbook (22.03.21). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}