A preliminary evaluation of Acceptance and Commitment Therapy (ACT) training in Sierra Leone
Open accessIntegrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Third-wave approaches (such as ACT and mindfulness-based approaches) have been piloted previously in humanitarian settings, but this is the first randomised trial.
“Third-wave approaches (such as ACT and mindfulness-based approaches) have been piloted previously in humanitarian settings, 29-31 but this is-to the best of our knowledge-the first randomised trial.”
From Guided self-help to reduce psychological distress in South Sudanese female refugees in Uganda: A cluster randomised trial (2020) · cites this paper as [29]
A cadre of counselors in Sierra Leone were recently trained in acceptance and commitment therapy with high fidelity and uptake, which suggests feasibility in scaling up services conducted by paraprofessionals.
“A cadre of counselors in Sierra Leone were recently trained in ACT with high fidelity and uptake, which suggests feasibility in scaling up services conducted by paraprofessionals [53].”
Cites
The satisfaction with life scale
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985) · Journal of Personality Assessment · doi:10.1207/s15327752jpa4901_13 · Cited by 31,768 · see citing works
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587 · see citing works
(1999) · Cited by 5,934 · see citing works
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · see citing works
The Social Ecology of Resilience
Ungar, M. (2011) · Springer eBooks · doi:10.1007/978-1-4614-0586-3 · Cited by 1,033 · see citing works
Rahman, A., Malik, A., Sikander, S., Roberts, C., & Creed, F. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61400-2 · Cited by 993 · see citing works
Human resources for mental health care: current situation and strategies for action
Kakuma, R., Minas, H., van Ginneken, N., Dal Poz, M. R., Desiraju, K., Morris, J. E., Saxena, S., & Scheffler, R. M. (2011) · The Lancet · doi:10.1016/s0140-6736(11)61093-3 · Cited by 979 · see citing works
Multiple correlations and bonferroni’s correction
Curtin, F., & Schulz, P. (1998) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00043-2 · Cited by 764 · see citing works
Acceptance and Commitment Therapy as a Unified Model of Behavior Change
Hayes, S. C., Pistorello, J., & Levin, M. E. (2012) · The Counseling Psychologist · doi:10.1177/0011000012460836 · Cited by 718 · see citing works
(2009) · Cited by 655 · see citing works
Bolton, P., Bass, J., Betancourt, T., Speelman, L., Onyango, G., Clougherty, K. F., Neugebauer, R., Murray, L., & Verdeli, H. (2007) · JAMA · doi:10.1001/jama.298.5.519 · Cited by 589 · cited 3× · see citing works
“Research has indicated that psychological and psychosocial interventions can be adapted and implemented with positive outcomes across cultures, including in LMIC (Bolton et al., 2007; Rahman et al., 2008; Tol et al., 2008), although there is a need to ensure that this is done in a culturally appropriate way (de Jong &…”
BackgroundThe Treatment of Missing Values and its Effect on Classifier Accuracy
Acuña, E., & Rodriguez, C. (2004) · Springer eBooks · doi:10.1007/978-3-642-17103-1_60 · Cited by 576 · see citing works
van Ginneken, N., Tharyan, P., Lewin, S., Rao, G. N., Meera, S., Pian, J., Chandrashekar, S., & Patel, V. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009149.pub2 · Cited by 575 · see citing works
(2010) · Redalyc (Universidad Autónoma del Estado de México) · Cited by 542 · see citing works
Health workforce skill mix and task shifting in low income countries: a review of recent evidence
Fulton, B. D., Scheffler, R. M., Sparkes, S. P., Auh, E. Y., Vujicic, M., & Soucat, A. L. B. (2011) · Human Resources for Health · doi:10.1186/1478-4491-9-1 · Cited by 542 · see citing works
Hayes, S. C., Bissett, R. T., Roget, N. A., Padilla, M., Kohlenberg, B. S., L.Fisher, G., Masuda, A., Pistorello, J., Rye, A. K., Berry, K., et al. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80022-4 · Cited by 357 · see citing works
Lundgren, T., Dahl, J., Yardi, N., & Melin, L. (2008) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2008.02.009 · Cited by 301 · see citing works
Tol, W. A., Komproe, I. H., Susanty, D., Jordans, M. J. D., Macy, R. D., & De Jong, J. T. V. M. (2008) · JAMA · doi:10.1001/jama.300.6.655 · Cited by 286 · see citing works
Betancourt, T. S., Brennan, R. T., Rubin-Smith, J., Fitzmaurice, G. M., & Gilman, S. E. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2010.03.008 · Cited by 240 · see citing works
Classification, Clustering, and Data Mining Applications
Banks, D., McMorris, F. R., Arabie, P., & Gaul, W. (2004) · Springer eBooks · doi:10.1007/978-3-642-17103-1 · Cited by 216 · see citing works
Lundgren, T., Dahl, J., Melin, L., & Kies, B. (2006) · Epilepsia · doi:10.1111/j.1528-1167.2006.00892.x · Cited by 211 · see citing works
Betancourt, T. S., McBain, R. K., Newnham, E. A., & Brennan, R. T. (2012) · Child Development · doi:10.1111/j.1467-8624.2012.01861.x · Cited by 163 · see citing works
The global dissemination of psychological treatments: A road map for research and practice
Fairburn, C. G., & Patel, V. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.13111546 · Cited by 157 · see citing works
Strosahl, K. D., Hayes, S. C., Bergan, J., & Romano, P. (1998) · Behavior Therapy · doi:10.1016/s0005-7894(98)80017-8 · Cited by 137 · see citing works
High Hopes, Grim Reality: Reintegration and the Education of Former Child Soldiers in Sierra Leone
Betancourt, T. S., Simmons, S., Borisova, I., Brewer, S. E., Iweala, U., & de la Soudière, M. (2008) · Comparative Education Review · doi:10.1086/591298 · Cited by 137 · see citing works
Luoma, J. B., & Vilardaga, J. P. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2012.701662 · Cited by 88 · see citing works
Mo'tamedi, H., Rezaiemaram, P., & Tavallaie, A. (2012) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.2012.02192.x · Cited by 85 · cited 2× · see citing works
“…of the training workshops in Sierra Leone, a low-income country, adds to a growing literature exploring the potential acceptability and efficacy of ACT in middle-income countries (Hoseini et al., 2014; Hosseinaei et al., 2013; Mo’tamedi et al., 2012; Lundgren et al., 2008; Lundgren et al., 2006).”
BackgroundResultPost-traumatic stress symptoms among former child soldiers in Sierra Leone: follow-up study
Betancourt, T. S., Newnham, E. A., McBain, R. K., & Brennan, R. T. (2013) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.112.113514 · Cited by 78 · see citing works
Towards a more nuanced global mental health
White, R. G., & Sashidharan, S. P. (2014) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.113.139204 · Cited by 65 · see citing works
(2009) · Cited by 64 · see citing works
Exploring cultural competence in acceptance and commitment therapy outcomes.
Woidneck, M. R., Pratt, K. M., Gundy, J. M., Nelson, C. R., & Twohig, M. P. (2012) · Professional Psychology Research and Practice · doi:10.1037/a0026235 · Cited by 60 · see citing works
Mental Health Services in a Multicultural Society: Interculturalization and its Quality Surveillance
de Jong, J. T. V. M., & van Ommeren, M. (2005) · Transcultural Psychiatry · doi:10.1177/1363461505055625 · Cited by 46 · see citing works
Seeking cultural competence from the ground up
Hayes, S. C., Muto, T., & Masuda, A. (2011) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2011.01254.x · Cited by 38 · see citing works
Who Cares for Former Child Soldiers? Mental Health Systems of Care in Sierra Leone
Song, S. J., Yoder, H. N. C., & de Jong, J. T. V. M. (2013) · Community Mental Health Journal · doi:10.1007/s10597-013-9597-3 · Cited by 20 · see citing works
Hosseini, S. H., Rezaee, A. M., & Azadi, M. M. (2014) · Journal of Clinical Psycology · Cited by 19 · see citing works
Acceptance and Commitment Therapy training for clinicians: an evaluation
Richards, R., Oliver, J. E., Morris, E., Aherne, K., Iervolino, A. C., & Wingrove, J. (2011) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x11000043 · Cited by 18 · see citing works
Mental health policy and strategic plan
Funk, M. K., & Drew, N. (2015) · Eastern Mediterranean Health Journal · doi:10.26719/2015.21.7.522 · Cited by 8 · see citing works
Working globally, thinking locally: Providing psychosocial intervention training in Sierra Leone
White, R. G., & Ebert, B. (2014) · Clinical Psychology Forum · doi:10.53841/bpscpf.2014.1.258.41 · Cited by 7 · see citing works
EFFECTS OF GROUP ACCEPTANCE AND COMMITMENT THERAPY (ACT) -BASED TRAINING ON JOB STRESS AND BURNOUT
Ali, H., Ahadi, H., Fata, L., Heidarei, A., & Mohamadmehdi, M. (2013) · Iranian Journal of Psychiatry and Clinical Psychology · Cited by 7 · see citing works
Flagged first, then by citations
3 of the 42 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Tol, W. A., Leku, M. R., Lakin, D. P., Carswell, K., Augustinavicius, J., Adaku, A., Au, T. M., Brown, F. L., Bryant, R. A., Garcia-Moreno, C., et al. (2020) · The Lancet Global Health · doi:10.1016/s2214-109x(19)30504-2 · Cited by 249 · see citing works
“Third-wave approaches (such as ACT and mindfulness-based approaches) have been piloted previously in humanitarian settings, 29–31 but this is—to the best of our knowledge—the first randomised trial.”
MethodA systematic review of values measures in acceptance and commitment therapy research
Reilly, E. D., Ritzert, T. R., Scoglio, A. A. J., Mote, J., Fukuda, S. D., Ahern, M. E., & Kelly, M. M. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.10.004 · Cited by 72 · see citing works
Prudenzi, A., Graham, C. D., Clancy, F., Hill, D., O'Driscoll, R., Day, F., & O'Connor, D. B. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.07.084 · Cited by 64 · see citing works
A contextual behavioral approach for responding to moral dilemmas in the age of COVID-19
Borges, L. M., Barnes, S. M., Farnsworth, J. K., Drescher, K. D., & Walser, R. D. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.06.006 · Cited by 29 · see citing works
Brown, F. L., Carswell, K., Augustinavicius, J., Adaku, A., Leku, M. R., White, R. G., Ventevogel, P., Kogan, C. S., Garcia‐Moreno, C., Bryant, R. A., et al. (2018) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2018.17 · Cited by 24 · see citing works
Contextual behavioral science and global mental health: synergies and opportunities
White, R. G., Gregg, J., Batten, S., Hayes, L. L., & Kasujja, R. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.07.001 · Cited by 22 · see citing works
Self-citationBerghoff, C. R., Gratz, K. L., Portz, K. J., Pinkston, M. M., Naifeh, J. A., Evans, S. D., Konkle‐Parker, D. J., & Tull, M. T. (2017) · AIDS and Behavior · doi:10.1007/s10461-017-1745-2 · Cited by 21 · see citing works
The Emergence of Counseling in Sierra Leone
Akinsulure‐Smith, A. M., & Conteh, J. A. (2018) · Journal of Counseling & Development · doi:10.1002/jcad.12206 · Cited by 18 · see citing works
Lakin, D. P., García-Moreno, C., & Roesch, E. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052916 · Cited by 18 · see citing works
“A cadre of counselors in Sierra Leone were recently trained in ACT with high fidelity and uptake, which suggests feasibility in scaling up services conducted by paraprofessionals [53].”
BackgroundPerry, A., Gardener, C., Oliver, J. E., Taş, Ç., & Özenç, C. (2019) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x18000041 · Cited by 16 · see citing works
The Role of Social Determinants of Health in Moral Injury: Implications and Future Directions
Borges, L. M., Desai, A., Barnes, S. M., & Johnson, J. P. S. (2022) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-022-00272-4 · Cited by 15 · see citing works
Geda, Y. E., Krell‐Roesch, J., Fisseha, Y., Tefera, A., Beyero, T., Rosenbaum, D., Szabo, T. G., Araya, M., & Hayes, S. C. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.732800 · Cited by 13 · see citing works
Soltani, E., Hosseini, Z., & Naghizadeh, P. (2018) · Shiraz E-Medical Journal · doi:10.5812/semj.62496 · Cited by 11 · see citing works
Cultural Adaptations of Acceptance and Commitment Therapy
Masuda, A., Morgan, L., Spencer, S. D., Qinaʻau, J., & Jo, D. (2022) · The Oxford Handbook of Acceptance and Commitment Therapy · doi:10.1093/oxfordhb/9780197550076.013.30 · Cited by 12 · see citing works
امیریان, ک., Mami, S., Ahmadi, V., & Mohammadzadeh, J. (2018) · Journal of Education and Community Health · doi:10.21859/jech.5.2.53 · Cited by 8 · see citing works
Perry, A., Gardener, C., Shieh, J., Hồ, Q. T., Doan, A., & Bhui, K. (2024) · Transcultural Psychiatry · doi:10.1177/13634615241228071 · Cited by 7 · see citing works
Values in Acceptance and Commitment Therapy
LeJeune, J. T., & Luoma, J. B. (2021) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197550076.013.12 · Cited by 7 · see citing works
Musanje, K., Flaxman, P. E., McIntosh, R., & Kasujja, R. (2024) · PLOS mental health. · doi:10.1371/journal.pmen.0000127 · Cited by 5 · see citing works
Rad, Y., Prudenzi, A., Zernerova, L., Gerson, J., & Flaxman, P. E. (2025) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2025.100915 · Cited by 6 · see citing works
Jailobaeva, K., Horn, R., Bah, A. J., Loffreda, G., & Ager, A. (2021) · Humanities and Social Sciences Communications · doi:10.1057/s41599-021-00845-3 · Cited by 4 · see citing works
Abiade, J. T., & Moliski, J. (2020) · ASEE Annual Conference & Exposition · doi:10.18260/1-2--35705 · Cited by 4 · see citing works
commit and act in Sierra Leone
Stewart, C., Ebert, B., & Bockarie, H. (2017) · Palgrave Macmillan UK eBooks · doi:10.1057/978-1-137-39510-8_31 · Cited by 3 · see citing works
Arch, J. J., Finkelstein, L. B., & Dindo, L. N. (2022) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197550076.013.29 · Cited by 1 · see citing works
Literature Review of Psychological Treatments among Victims of Intimate Partner Violence
Ojiakor, F., Kasande, A., & Arasa, E. (2023) · Journal of Sociology Psychology & Religious Studies · doi:10.53819/81018102t6048 · Cited by 1 · see citing works
Psikiyatri Hemşireliği Dersinin Öğrencilerin Psikolojik Esneklik ve Öz-Anlayış Düzeyine Etkisi
Teze, S., Ayhan, F., & Burhan, H. Ş. (2025) · Bingöl Üniversitesi Sağlık Dergisi · doi:10.58605/bingolsaglik.1598279 · Cited by 1 · see citing works
Future Directions of Contextual Behavioral Science
Wicksell, R. K., Törneke, N., McCracken, L. M., Bricker, J. B., Murrell, A. R., Masuda, A., & Biglan, A. (2022) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197550076.013.32
Acceptance and Commitment Therapy: Current State of the Literature and Future Directions
Simsion, D. D., Caruana, E., & Morris, E. M. J. (2025) · Springer eBooks · doi:10.1007/978-3-032-00353-9_7
Mukasa, M. N., Donahue, M. L., Levin, M. E., Rodríguez, M. M. D., Kasujja, R., Damulira, C., & Vance, J. (2026) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2026.101017
Russin, N. H., Pardon, K., Sander, J., O’Donnell, R. R., & Martin, M. P. (2026) · Healthcare · doi:10.3390/healthcare14193232
- Authors
- Stewart, C., G. White, R., Ebert, B., Mays, I., Nardozzi, J., & Bockarie, H.
- Affiliations
- Ollscoil na Gaillimhe – University of Galway (IE)
- Trinity College Dublin (IE)
- Corresponding author
- Stewart, Corinna
- ORCID
- Stewart, Corinna
- Venue
- Journal of Contextual Behavioral Science
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 5
- Issue
- 1
- Pages
- 16-22
- ISSN
- 2212-1447 (ISSN-L)
- OpenAlex
- W2281633166
- Cited by
- 30
- References
- 42
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 1 · 2018: 5 · 2017: 4
- FWCI
- 4.47
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Journal of Contextual Behavioral Science (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc-nd)
- Arrow@dit (Dublin Institute of Technology) (submittedVersion)
- University of Galway Research Repository (submittedVersion, cc-by-nc)
- Research Repository UCD (University College Dublin) (cc-by-nc)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- acceptance and commitment therapy, psychological inflexibility, psychological flexibility, training acceptability, NGO workers, healthcare workers, life satisfaction, well-being, global mental health, low- and middle-income countries, Sierra Leone
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
