A randomized control trial examining the effect of acceptance and commitment training on clinician willingness to use evidence-based pharmacotherapy
Abstract
This study evaluated the effectiveness of acceptance and commitment training (ACT) for increasing drug and alcohol counselors' willingness to use evidence-based agonist and antagonist pharmacotherapy. Fifty-nine drug and alcohol counselors were randomly assigned to either a 1-day ACT workshop or a 1-day educational control workshop. Both groups then attended a 2-day workshop on empirically supported treatments for substance abuse. Measures were taken at pre- and posttraining and 3-month follow-up on reported use of pharmacotherapy, willingness to use pharmacotherapy, perceived barriers to implementing new treatments, and general acceptance. As compared with those in the education alone condition, participants in the ACT condition showed significantly higher rates of referrals to pharmacotherapy at follow-up, rated barriers to learning new treatments as less believable at posttraining and follow-up, and showed greater psychological flexibility at posttraining and follow-up. Mediational analyses indicated that reduced believability of barriers and greater psychological flexibility mediated the impact of the intervention. Results support the idea that acceptance-based interventions may be helpful in addressing the psychological factors related to poor adoption of evidence-based treatments.
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Believability ratings are commonly used to assess defusion, and specific defusion questionnaires have emerged.
“Believability ratings are commonly used to assess defusion (e.g., Varra, Hayes, Roget, & Fisher, 2008) and specific defusion questionnaires have emerged (Wicksell, Renofalt, Olsson, Bond, & Melin, 2008).”
From Acceptance and Commitment Therapy and Contextual Behavioral Science: Examining the Progress of a Distinctive Model of Behavioral and Cognitive Therapy (2013) · cites this paper as Varra, Hayes, Roget, & Fisher, 2008
ACT interventions have been found to lead to improvements in various indicators of employee wellbeing and performance, including increasing innovation in the workplace.
“Moreover, ACT interventions have also been found to lead to improvements in various other indicators of employee wellbeing and performance including increasing innovation in the workplace [12, 15, 16].”
From A workplace Acceptance and Commitment Therapy (ACT) intervention for improving healthcare staff psychological distress: A randomised controlled trial (2022) · cites this paper as [16]
In only a small proportion of workplace studies, ACT has been found to improve performance-related outcomes.
“In only a small proportion of workplace studies, ACT has been found to improve performance-related outcomes [15, 16].”
From A workplace Acceptance and Commitment Therapy (ACT) intervention for improving healthcare staff psychological distress: A randomised controlled trial (2022) · cites this paper as [16]
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- Authors
- Varra, A. A., Hayes, S. C., Roget, N., & Fisher, G.
- Affiliations
- VA Puget Sound Health Care System (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008
- Volume
- 76
- Issue
- 3
- Pages
- 449-458
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2166309440
- Cited by
- 101
- References
- 63
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 7 · 2016: 5 · 2015: 7 · 2014: 9 · 2013: 8 · 2012: 9
- FWCI
- 10.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Substance Abuse and Mental Health Services Administration (TI12899)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- acceptance and commitment training, evidence-based pharmacotherapy, addiction counselors, treatment adoption, implementation barriers, psychological flexibility, acceptance-based interventions, medication-assisted treatment, naltrexone, bupropion, empirically supported treatments, counselor education
- MeSH terms
- Combined Modality Therapy, Drug Therapy, Education, Medical, Ethnicity, Female, Humans, Male, Middle Aged, Motivation, Patient Acceptance of Health Care, Psychotherapy, Social Support, Teaching, Evidence-Based Medicine, Substance-Related Disorders, Intention
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