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The authors express their sincere gratitude to all family caregivers who participated in this research, acknowledging their enthusiasm and willingness to share their experiences. We also appreciate the presence of Roos Roberts for their dedication during screening and coaching sessions, which has made valuable contributions to this study. The research presented in this paper received funding from the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement 813196 and was carried out within the framework of the Dementia: Intersectorial Strategy for Training and Innovation Network for Current Technology (DISTINCT) Innovative Training Network.

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A Web-Based Intervention Based on Acceptance and Commitment Therapy for Family Caregivers of People With Dementia: Mixed Methods Feasibility Study

Publicado en:JMIR AGING. 7 e53489- - 2024-01-01 7(), DOI: 10.2196/53489

Autores: Atefi, Golnaz L; van Knippenberg, Rosalia J M; Bartels, Sara Laureen; Losada-Baltar, Andres; Marquez-Gonzalez, Maria; Verhey, Frans R J; de Vugt, Marjolein E

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Background: Acceptance and commitment therapy (ACT), as an empirically based third -wave cognitive behavioral therapy, has shown promise in enhancing well-being and functioning across diverse populations. However, in the context of caregiving, the effect size of available ACT interventions remains at best moderate, sometimes accompanied by high dropout rates, highlighting the need for more effective and feasible intervention designs. Objective: The objective of our study was to evaluate the feasibility and acceptability of a fully online ACT program designed for family caregivers of people with dementia. This study aimed to boost psychological flexibility and support caregivers, enabling them to realize and prioritize their own life values alongside their caregiving responsibilities. Methods: A mixed methods feasibility study using an uncontrolled pretest -posttest design was conducted. This intervention included a 9 -week web -based self-help program based on ACT incorporating collaborative goal setting and weekly web -based motivational coaching for family caregivers of people with dementia. This study involved 30 informal caregivers recruited through memory clinics and social media platforms in the Netherlands and received approval from the Medical Ethics Committee of the Maastricht University Medical Center+ (NL77389.068.21/metc21-029). Results: A total of 24 caregivers completed the postintervention assessment, indicating a high adherence rate (24/29, 83%). Caregivers reported positive feedback regarding collaborative goal setting, but some found challenges in implementing new skills due to their own habitual responses or the unpredictable context of dementia caregiving. Personalizing the intervention based on individual value preferences was highlighted as beneficial. Conclusions: Compared to other web -based self-help ACT interventions for family caregivers, this intervention showed a high adherence and sufficient level of feasibility, which underscores the use of personalization in delivering web -based interventions. Moreover, the potential of this ACT -based intervention for family caregivers of people with dementia was demonstrated, suggesting that further research and a larger -scale controlled trial are warranted to validate its effectiveness. International Registered Report Identifier (IRRID): RR2-10.1136/bmjopen-2022-070499

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