Efficacy of Acceptance and Commitment Therapy for the Management of Quality of Life in Patients Post Myocardial Infarction

Not Applicable

Completed

• Conditions: Psychological Distress; Quality of Life; Type D Personality; Medication Adherence
• Interventions: Other: Acceptance and commitment therapy

• Registration Number: NCT06548282
• Lead Sponsor: Fatima Jinnah Women University

Brief Summary

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

Detailed Description

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.

Study Timeline

• Study Start: 2024-06-21
• Study First Submitted: 2024-08-07
• Study First Submitted QC: 2024-08-07
• Study First Posted: 2024-08-12
• Primary Completion: 2024-09-21
• Study Completion: 2024-09-21
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-03
• Last Update Posted: 2025-03-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

1. First-time diagnosed, non-hospitalized patients with myocardial infarction (MI).

2. Patients attending follow-up visits at the hospital.

3. Patients experiencing distress.

4. Patients exhibiting features of Type D personality.

5. Patients reporting low levels of:

   • Quality of Life (QoL)
   • Medication adherence
   • Social support
   • Acceptance
   • Psychological flexibility

6. Patients aged 18 years and above.

7. Both genders.

8. Patients who can understand Urdu.

9. Patients who can provide informed consent.

Exclusion Criteria

1. Hospitalized patients with myocardial infarction (MI).

2. Patients with myocardial infarction (MI) and other chronic co-morbid diseases, such as:

   • Cancer
   • Cognitive deficits
   • Chronic psychological disorders

3. Patients with silent myocardial infarction.

4. Patients younger than 18 years.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental	Acceptance and commitment therapy	Who receives intervention i.e. Acceptance and Commitment Therapy
Waitlist Control	Acceptance and commitment therapy	Who would receive intervention after study completion

Primary Outcome Measures

Name	Time	Method
World Health Organization Quality of Life Scale Urdu Version	3 months	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.

Trial Locations

Locations (2)

Armed Forces Institute of Cardiology; 🇵🇰 Rawalpindi, Punjab, Pakistan

Rawalpindi Institute of Cardiology; 🇵🇰 Rawalpindi, Punjab, Pakistan