Using Acceptance and Commitment Therapy (ACT) to Promote Mental Health and Transition Readiness in Youth With Sickle Cell Disease: A Community-Based Participatory Action Research (CBPAR) Approach
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Sickle Cell Self-Efficacy Scale
研究概览
简要总结
The current study seeks to build on previous research that demonstrates the efficacy of Acceptance and Commitment Therapy in combating stigma by investigating the feasibility and acceptability of a protocol to support Black adolescents and young adults in coping with race related stress. The study will consist of a small, purposeful, non-randomized sample (N = 30) of clients enrolled into a 10-session Acceptance and Commitment Therapy group. The group will be offered as part of regular clinical care at the Division of Adolescent and Young Adult Medicine. Three consecutive groups will be run with approximately 8-10 participants in each group over the next year.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 14 Years 至 21 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Youth Participant Inclusion and
排除标准
- •The inclusion criteria for study participation are Be an adolescent and/or young adult (age 14-21) who has Sickle Cell Disease Willing to enroll in the ACT group jointly provided by the Division of Adolescent and Young Adult Medicine/Department of Hematology and Oncology Participants can be active, waitlisted, or new patients at CHLA Participants must be able to understand and speak English, as the therapy will only be delivered in English Participants must have an English-speaking parent/guardian Able to provide consent/assent An adolescent or young adult that is pregnant is eligible to participate if consent can be obtained Participants must be developmentally typical Have a stable internet connection (via computer, tablet, or phone) with access to a webcam and a private space to engage in a group therapy sessions; Must consent to audio and video recording of initial interview. Must agree to attend 6 weekly ACT group session Youth participants will be asked to become a member of the CAB. To become a CAB member, the youth participant must consent/assent to participation in the ACT intervention. If a CAB member, they must be willing to engage in CAB interviews and meetings.
- •The exclusion criteria are:
- •Prisoners or youth in detention centers Unable to understand or speak English Does not have SCD Clients who are at significant risk for suicide and self-injury will be excluded due to the intense levels of support required to support these individuals which would interfere with study procedures.
- •Adolescents with families that require frequent intervention from the Department of Children and Family Services, are currently experiencing psychosis, or have severe health concerns that will impact study participation or attendance will be excluded.
研究组 & 干预措施
Control Group
Waitlist control group that will receive the intervention 3-4 months after the intervention group concludes.
Acceptance Commitment Therapy
This study will use a 10-session ACT protocol to support Black adolescents and young adults in coping with race related stress.
干预措施: ACT for SCD (Behavioral)
结局指标
主要结局
Sickle Cell Self-Efficacy Scale
时间窗: 6 mos
a 9-item, self-administered questionnaire that measures an adult's confidence in managing sickle cell disease (SCD) day-to-day, including pain, emotions, and daily functioning.
SCD Health-Related Internalized Stigma Scale
时间窗: 6 mos
an 11-item tool assessing internalized stigma and other factors in sickle cell disease (SCD) patients
Transition Readiness Assessment Questionnaire (TRAQ),
时间窗: 6 mos
measure acquisition of transition readiness skills across the five stages of change
Total Score on Index of Race-Related Stress (IRRS)-Brief Version
时间窗: 12 weeks
Higher scores on this measure indicate greater race-related stress. The minimum score on this measure is 0 and the maximum is 88.
次要结局
- Total Scores on Acceptance and Action Questionnaire-2(12 weeks)
- Total Score on Patient Health Questionaire-9(12 weeks)
- Total Scores on Multidimensional Inventory of Black Identity-Teen (MIBI-t)(12 weeks)
- Total Score on General Anxiety Disorder-7(12 weeks)
研究者
Xzania Lee
Principal Investigator
Children's Hospital Los Angeles