Lilian Dindo1, Adrienne L Johnson2, Brent Lang3, Merlyn Rodrigues3, Lindsey Martin4, Ricardo Jorge5. 1. Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States of America; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States of America. Electronic address: lilian.dindo@bcm.edu. 2. William S. Middleton Memorial Veterans Hospital, Madison, WI, United States of America; Center for Tobacco Research and Intervention, University of Wisconsin, Madison, WI, United States of America. 3. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States of America. 4. Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States of America; Department of Medicine, Baylor College of Medicine, Houston, TX, United States of America. 5. Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, United States of America; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States of America.
Abstract
OBJECTIVES: To 1) develop and refine a 1-day trans-diagnostic psychotherapeutic "ACT on Life" workshop tailored for Veterans with mild traumatic brain injury, stress-based psychopathology, and pain; 2) examine the feasibility, acceptability, and preliminary effects of this intervention. SETTING: A Veterans Health Administration medical center. PARTICIPANTS: Veterans returning from Operations Iraqi Freedom, Enduring Freedom, and New Dawn with mild TBI, stress-based psychopathology, and chronic pain. DESIGN: Phase I involved development of the intervention by experts and subsequent refinement based on Veteran feedback (N = 11). Phase II was a pilot randomized controlled trial comparing the effects of the revised intervention (N = 20) to treatment as usual (TAU; N = 12). MAIN MEASURES: For phase I, qualitative feedback at 2 weeks and 3 months post-workshop was obtained from Veterans. For phase II, quantitative measures included the PTSD Checklist, Depression Anxiety and Stress Scale, Military-to-Civilian Questionnaire, WHO-Disability Assessment Schedule, Brief Pain Inventory, Acceptance and Action Questionnaire. RESULTS: Veterans found the workshop acceptable, innovative and useful. Quantitative data from phase II suggested that participants in the ACT group, relative to TAU, showed improvement in psychiatric symptoms, functioning, and reintegration 3 months post-workshop. Unexpectedly, pain interference was lower in the TAU group at follow-up. CONCLUSIONS: Preliminary results support the feasibility, acceptability, and promising effects on psychological distress and community reintegration of this 1-day, transdiagnostic workshop for Veterans. Future research examining the effectiveness of this workshop with a larger sample size is necessary. Published by Elsevier Inc.
OBJECTIVES: To 1) develop and refine a 1-day trans-diagnostic psychotherapeutic "ACT on Life" workshop tailored for Veterans with mild traumatic brain injury, stress-based psychopathology, and pain; 2) examine the feasibility, acceptability, and preliminary effects of this intervention. SETTING: A Veterans Health Administration medical center. PARTICIPANTS: Veterans returning from Operations Iraqi Freedom, Enduring Freedom, and New Dawn with mild TBI, stress-based psychopathology, and chronic pain. DESIGN: Phase I involved development of the intervention by experts and subsequent refinement based on Veteran feedback (N = 11). Phase II was a pilot randomized controlled trial comparing the effects of the revised intervention (N = 20) to treatment as usual (TAU; N = 12). MAIN MEASURES: For phase I, qualitative feedback at 2 weeks and 3 months post-workshop was obtained from Veterans. For phase II, quantitative measures included the PTSD Checklist, Depression Anxiety and Stress Scale, Military-to-Civilian Questionnaire, WHO-Disability Assessment Schedule, Brief Pain Inventory, Acceptance and Action Questionnaire. RESULTS: Veterans found the workshop acceptable, innovative and useful. Quantitative data from phase II suggested that participants in the ACT group, relative to TAU, showed improvement in psychiatric symptoms, functioning, and reintegration 3 months post-workshop. Unexpectedly, pain interference was lower in the TAU group at follow-up. CONCLUSIONS: Preliminary results support the feasibility, acceptability, and promising effects on psychological distress and community reintegration of this 1-day, transdiagnostic workshop for Veterans. Future research examining the effectiveness of this workshop with a larger sample size is necessary. Published by Elsevier Inc.
Authors: Juliette M Mott; Kathleen M Grubbs; Shubhada Sansgiry; John C Fortney; Jeffrey A Cully Journal: J Rural Health Date: 2014-12-03 Impact factor: 4.333
Authors: Jacqueline G L A-Tjak; Michelle L Davis; Nexhmedin Morina; Mark B Powers; Jasper A J Smits; Paul M G Emmelkamp Journal: Psychother Psychosom Date: 2014-12-24 Impact factor: 17.659
Authors: Charles W Hoge; Sasha H Grossman; Jennifer L Auchterlonie; Lyndon A Riviere; Charles S Milliken; Joshua E Wilk Journal: Psychiatr Serv Date: 2014-08-01 Impact factor: 3.084
Authors: Shannon M Blakey; H Ryan Wagner; Jennifer Naylor; Mira Brancu; Ilana Lane; Meghann Sallee; Nathan A Kimbrel; Eric B Elbogen Journal: J Pain Date: 2018-03-08 Impact factor: 5.820
Authors: Catherine Brawn Fortier; Melissa M Amick; Laura Grande; Susan McGlynn; Alexandra Kenna; Lindsay Morra; Alexandra Clark; William P Milberg; Regina E McGlinchey Journal: J Head Trauma Rehabil Date: 2014 Jan-Feb Impact factor: 2.710