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The impact and evaluation of an ACT-based aftercare intervention in addiction care : a mixed-method pilot study

Kattenberg, S.F. (2022) The impact and evaluation of an ACT-based aftercare intervention in addiction care : a mixed-method pilot study.

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Abstract:Objective. This mixed-method pilot study aimed to evaluate the effect and acceptability of an Acceptance and Commitment Therapy (ACT) based aftercare focusing on participants with substance use disorder (SUD) after primary treatment. In addition, implementation barriers and facilitators based on therapists’ aftercare experiences were identified. Method. 21 participants were recruited via convenience sampling as therapists examined their current caseload. Besides, therapists (n=4) providing the aftercare were recruited for the research. Quantitative data were gathered via an online questionnaire during pre-and post-intervention. Measures were self-reported substance use, refusal self-efficacy, wellbeing, psychological flexibility, and acceptability. Qualitative data were collected via semi-structured interviews and analysed via thematic analysis post-intervention. Results. Participants (n=4) maintained abstinence during treatment. Individual analysis of reliable change showed that refusal selfefficacy, wellbeing, and psychological flexibility maintained or improved during treatment. Acceptability of the aftercare was overall positive, with a satisfaction grade of 8.8 on a 1-10 scale. Implementation facilitators are adaptability of the intervention and the use of earlyadopter therapists to create awareness of the intervention. Barriers were organisational communication and planning. Conclusion. The ACT-based aftercare shows promising potential to be an effective and acceptable approach in the context of SUD despite a high drop-out rate. The facilitators and barriers can be used to improve the implementation process. Based on this pilot study, a randomized-controlled trial (RCT) with a larger sample and follow-up data is recommended
Item Type:Essay (Master)
Clients:
Tactus Verslavingszorg
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/90581
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