Randomized controlled trial of a brief acceptance and commitment training for parents of individuals diagnosed with autism spectrum disorders

Hahs, Adam D.; Dixon, Mark R.; Paliliunas, Dana

doi:10.1016/j.jcbs.2018.03.002

Cited by 61 publications

(58 citation statements)

References 29 publications

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“…Participants were family caregivers who provided care to: children with chronic conditions ( n = 5); family members with dementia ( n = 2); and family members with an advanced lung cancer ( n = 1). ACT interventions were delivered individually ( n = 4; Losada et al., 2015; Márquez-González et al., 2020; Mosher et al., 2019; Sairanen et al., 2019) or in a group format ( n = 4; Brown et al., 2015; Chong et al., 2019; Hahs et al., 2019; Whittingham et al., 2016). Of the 8 RCTs, ACT sessions were delivered by face-to-face ( n = 6), telephone (Mosher et al., 2019), or online guided by a personal coach (Sairanen et al., 2019).…”

Section: Resultsmentioning

confidence: 99%

Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis

2020

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Acceptance and commitment therapy is an emerging evidenced-based practice, but no systematic review regarding the effects of ACT on family caregivers has been conducted. This article examined the effects of ACT on family caregivers by conducting meta-analysis with a random effects model. Twenty-four articles were identified from four electronic databases searched up to 30 March 2020. Meta-analyses found moderate effects of ACT on depressive symptoms and quality of life, small effects on anxiety, and small to moderate effects on stress. Further ACT studies should be conducted to measure effects on different outcomes for various family caregiver populations.

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Section: Resultsmentioning

confidence: 99%

Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis

2020

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“…Gould et al ( 2018 ) reported a significant increase in overt value-derived behavior among parents with children diagnosed with autism following six sessions of ACT. Recently, Hahs, Dixon, and Paliliunas ( 2019 ) examined the effect of ACT-based intervention on parents of children with autism using a randomized controlled trial design. Results indicated that the two 2-hr ACT workshops produced significant clinical outcomes on various measures of psychological flexibility and parental stress.…”

Section: Discussionmentioning

confidence: 99%

Developing and Enhancing Adherence to a Telehealth ABA Parent Training Curriculum for Caregivers of Children with Autism

Dixon

2020

Behav Analysis Practice

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The current COVID-19 pandemic poses unique challenges to the delivery of applied behavior analysis (ABA) services, and there has been a growing demand for evidence-based practices on how to develop a telehealth ABA service model. The current article provides a detailed technological guide on how to develop a telehealth ABA parent training curriculum. Our model also includes a series of brief acceptance and commitment training (ACT) protocols to enhance parental adherence. We provide the details for replicating our telehealth model and also demonstrate its effectiveness. To begin, a step-by-step guide on how to develop this curriculum is presented, as well as protocols used in a 60-day telehealth ABA parent training program. Afterward, we describe a randomized controlled trial design to examine the effectiveness of this protocol. Thirteen families from the southern Illinois region participated in the curriculum before the COVID-19 outbreak. Obtained data indicated training was effective to teach skills, and parents with supplemental ACT material made significantly more progress than those in the control group, t (11) = 2.36, p = .038. Halfway through the training, the outbreak of COVID-19 occurred, and parents in the ACT group were more likely to continue the program, whereas parents in the control group were significantly more likely to postpone their participation, χ 2 = 6.96, p = .008. Social validity measures indicated that parents rated the curriculum favorably. Limitations and suggestions for practitioners are discussed.

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“…A relatively new procedure rooted in RFT principles that combines mindfulness and behavioral-based procedures called acceptance and commitment therapy (ACT) stems from the early 1980s (see Zettle, 2005, for a historical and empirical review). In the past few years, researchers have published studies on acceptance and commitment training (ACTr) for parent training (Corti et al, 2018;Gould, Tarbox, & Coyne, 2018;Hahs, Dixon, & Paliliunas, 2018;Pennefather, Hieneman, Raulston, & Caraway, 2018), gambling (Dixon, Wilson, & Habib, 2016), decreasing impulsivity (Dixon et al, 2019), reducing inflexible behavior (Szabo, 2019), teaching job interview skills (Brazeau et al, 2017), training staff (Castro, Rehfeldt, & Root, 2016;Chancey et al, 2018), and increasing academic performance (Paliliunas, Belisle, & Dixon, 2018). ACT may also help us intervene on critical social issues related to racial bias (Levin et al, 2016;Lillis & Hayes, 2007).…”

Section: Part Iii: Interventions To Reduce Racial Prejudicementioning

confidence: 99%

“…The studies reviewed here suggest we can have a positive effect on race and prejudice using the tools and strategies described. The number of ACTr-related studies published by behavior analysts is on the rise (e.g., Brazeau et al, 2017;Castro et al, 2016;Eilers & Hayes, 2015;Enoch & Dixon, 2017;Gould et al, 2018;Hahs et al, 2018;Paliliunas et al, 2018;Rosales, Jowett Hirst, Garcia, & Rehfeldt, 2019), and the topic is in at least one commonly used behavior analysis textbook (Cooper, Heron, & Heward, 2020). However, it is unclear how many behavior analysts are aware of or competent in the use of ACTr-related and mindfulness strategies.…”

Section: Part Iv: Call For Collaboration Around Racismmentioning

confidence: 99%

Can Behavior Analysis Help Us Understand and Reduce Racism? A review of the Current Literature

Matsuda

García

Catagnus

et al. 2020

Behav Analysis Practice

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Despite ongoing efforts to eradicate racism, it persists globally, negatively affecting education, mental health, community relations, and economic development. Every behavior analyst can, and should, contribute to the reduction of racism in some way. Unfortunately, little behavior-analytic research exists to guide us. This article proposes ways that members of our scientific community can learn about racism from a behavioral perspective, extend experimental analyses of prejudice, and intervene to reduce racism in varied settings. It describes both traditional behavior-analytic and functionalcontextualist accounts of racism and summarizes the small amount of related empirical and applied research. The review suggests that combining traditional behavior-analytic methods with acceptance and commitment training techniques may attenuate racism more effectively. The article ends with a call to collaborate around this globally important issue-and to do more to reduce racism.

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Randomized controlled trial of a brief acceptance and commitment training for parents of individuals diagnosed with autism spectrum disorders

Cited by 61 publications

References 29 publications

Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis

Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis

Developing and Enhancing Adherence to a Telehealth ABA Parent Training Curriculum for Caregivers of Children with Autism

Can Behavior Analysis Help Us Understand and Reduce Racism? A review of the Current Literature

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