PDF(Pubmed)
Abstract：
UNASSIGNED: Acceptance and Commitment Therapy (ACT) is a third-wave behavioral and cognitive therapy that increases psychological flexibility through mindfulness, acceptance, and value-driven behavior change. ACT has been successfully used to inform a variety of health interventions. Using non-therapists to deliver ACT-based behavioral health interventions offers an opportunity to provide cost efficient and integrated care, particularly among underserved populations experiencing barriers to mental health care, such as inadequate insurance, mental health stigma, and provider shortages. This systematic review aims to: 1) identify ACT-informed behavioral health interventions delivered by laypeople and 2) review the specific characteristics of each intervention including number and duration of sessions, delivery modality, interventionist training, and intervention outcomes.
UNASSIGNED: Two databases (PubMed and PsycINFO) were systematically searched for relevant literature. To further identify relevant studies, references of included manuscripts were checked, the Association for Contextual Behavioral Science\'s webpage was examined, and an email was sent to the ACBS Health Special Interest Group listserv. Study abstracts and full texts (in English) were screened, resulting in 23 eligible articles describing 19 different interventions.
UNASSIGNED: A total of 1,781 abstracts were screened, 76 were eligible for full-text review, and 23 were included in a narrative synthesis. There were 19 unique interventions identified and delivered by the following: general healthcare workers (n= 7), trained researchers (n = 5), women/mothers (n= 2), municipal workers (n= 2), and teachers (n = 3). Eleven studies were RCTs and eight utilized alternative study designs. Study quality varied, with two rated as high risk for bias and eight rated to have some concerns. Target populations included clinical and non-clinical samples. There was some consistency in the effects reported in the studies: increases in pain tolerance, acceptance, and identifying and engaging in value driven behavior, improvements in cognitive flexibility, and reductions in psychological distress.
UNASSIGNED: Findings suggest that ACT interventions can be successfully delivered by a variety of laypeople and effectively address psychological distress and increase health behaviors.
UNASSIGNED: Two databases (PubMed and PsycINFO) were systematically searched for relevant literature. To further identify relevant studies, references of included manuscripts were checked, the Association for Contextual Behavioral Science\'s webpage was examined, and an email was sent to the ACBS Health Special Interest Group listserv. Study abstracts and full texts (in English) were screened, resulting in 23 eligible articles describing 19 different interventions.
UNASSIGNED: A total of 1,781 abstracts were screened, 76 were eligible for full-text review, and 23 were included in a narrative synthesis. There were 19 unique interventions identified and delivered by the following: general healthcare workers (n= 7), trained researchers (n = 5), women/mothers (n= 2), municipal workers (n= 2), and teachers (n = 3). Eleven studies were RCTs and eight utilized alternative study designs. Study quality varied, with two rated as high risk for bias and eight rated to have some concerns. Target populations included clinical and non-clinical samples. There was some consistency in the effects reported in the studies: increases in pain tolerance, acceptance, and identifying and engaging in value driven behavior, improvements in cognitive flexibility, and reductions in psychological distress.
UNASSIGNED: Findings suggest that ACT interventions can be successfully delivered by a variety of laypeople and effectively address psychological distress and increase health behaviors.
摘要：
未经证实：接受和承诺疗法（ACT）是第三波行为和认知疗法，通过正念增加心理灵活性，接受,和价值驱动的行为改变。ACT已成功用于各种健康干预措施。使用非治疗师提供基于ACT的行为健康干预措施提供了提供成本有效和综合护理的机会。特别是在经历心理保健障碍的服务不足的人群中，例如保险不足，心理健康耻辱，和供应商短缺。本系统综述旨在：1）确定由外行人提供的行为健康干预措施，2）审查每个干预措施的具体特征，包括会议的数量和持续时间，交付方式，干预训练,和干预结果。
UNASSIGNED：系统检索两个数据库（PubMed和PsycINFO）的相关文献。为了进一步确定相关研究，包括手稿的参考文献进行了检查，上下文行为科学协会的网页进行了审查，并向ACBS健康特别兴趣小组listserv发送了一封电子邮件。研究摘要和全文（英文）进行了筛选，产生了23篇合格的文章，描述了19种不同的干预措施。
未经评估：共筛选了1,781篇摘要，76人符合全文审查条件，和23个被纳入叙事综合。有19种独特的干预措施由以下人员确定和实施：普通医护人员(n=7)，训练有素的研究人员(n=5)，妇女/母亲（n=2），市政工人(n=2)，教师（n=3）。11项研究是RCT，8项使用了替代研究设计。学习质量各不相同，其中两个被评为偏见高风险，八个被评为有一些担忧。目标人群包括临床和非临床样品。研究报告的效果有一定的一致性：疼痛耐受性增加，接受,识别和参与价值驱动的行为，认知灵活性的改善，减少心理困扰。
UNASSIGNED：研究结果表明，ACT干预措施可以由各种外行人成功实施，并有效解决心理困扰并增加健康行为。
UNASSIGNED：系统检索两个数据库（PubMed和PsycINFO）的相关文献。为了进一步确定相关研究，包括手稿的参考文献进行了检查，上下文行为科学协会的网页进行了审查，并向ACBS健康特别兴趣小组listserv发送了一封电子邮件。研究摘要和全文（英文）进行了筛选，产生了23篇合格的文章，描述了19种不同的干预措施。
未经评估：共筛选了1,781篇摘要，76人符合全文审查条件，和23个被纳入叙事综合。有19种独特的干预措施由以下人员确定和实施：普通医护人员(n=7)，训练有素的研究人员(n=5)，妇女/母亲（n=2），市政工人(n=2)，教师（n=3）。11项研究是RCT，8项使用了替代研究设计。学习质量各不相同，其中两个被评为偏见高风险，八个被评为有一些担忧。目标人群包括临床和非临床样品。研究报告的效果有一定的一致性：疼痛耐受性增加，接受,识别和参与价值驱动的行为，认知灵活性的改善，减少心理困扰。
UNASSIGNED：研究结果表明，ACT干预措施可以由各种外行人成功实施，并有效解决心理困扰并增加健康行为。
