Outcomes from a pilot online acceptance and commitment therapy program for dementia family caregivers

Fauth, Elizabeth B.; Novak, Josh R.; Levin, Michael E.

doi:10.1080/13607863.2021.1942432

Cited by 38Mindfulness and Compassion InterventionsDementia and Cognitive Impairment ResearchDigital Mental Health Interventions

Outcomes from a pilot online acceptance and commitment therapy program for dementia family caregivers

Fauth, Elizabeth B., Novak, Josh R., Levin, Michael E.·2022·Aging & Mental Health

DOI 10.1080/13607863.2021.1942432

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Abstract

Objectives Psychosocial and cognitive-behavioral dementia caregiver interventions are effective, yet accessing counselor/therapist-led programs can be costly and difficult. Face-to-face therapist-led Acceptance and Commitment Therapy (ACT) is highly effective in dementia caregivers, as established by two different randomized control trials. The current study evaluates a pilot ACT for Caregivers program, which is a community-based, self-guided, online adaptation of ACT.Method Participants (N = 51; Mage=66.0 S. D =11.7, 80% women) completed 10 self-guided sessions teaching ACT, along with accessing an online dementia education library.Results Repeated measures ANOVA from pre-, posttest, and 4-week follow-up demonstrated decreased depressive symptoms, burden, and stress reactions to behavioral symptoms, and increased positive aspects of caregiving and quality of life. ACT-specific measures improved, with decreases in cognitive fusion and psychological inflexibility (AAQ-II), and improvements in living according to personal values (ValuingProgress increased; ValuingObstruction decreased). All outcomes were statistically significant (at p < .01) and sustained over 4-week follow-up. Although this was a non-clinical sample, the program demonstrated clinical significance, as average depressive symptoms were at the clinical cutoff at baseline, but one standard deviation below clinical cut-off at post-test and 4-week followup. Use of education materials was low (29% of participants used these, albeit rating them helpful), suggesting that ACT likely contributed more to overall improvements.Conclusion The online ACT for Caregivers pilot program offers an empirically supported translation of traditional ACT, improving accessibility, and affordability for family dementia caregivers.

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Embedding qualitative components and more personal retention approaches (e.g., telephone calls) might enhance intervention adherence in online ACT studies.
“embedding qualitative components and more personal retention approaches (eg, telephone calls) might enhance intervention adherence in online ACT studies.12”
From Blended intervention based on acceptance and commitment therapy for informal caregivers of people with dementia (ACT-IC): Protocol of a mixed-methods feasibility study (2023) · cites this paper as [12]
Baseline ZBI-12, AAQ-2, and EMAS scores aligned with prior research, indicating high burden and low-to-moderate engagement in meaningful activities.
“Baseline ZBI-12, AAQ-2, and EMAS scores aligned with prior research, indicating high burden and low-to-moderate engagement in meaningful activities (Bédard et al., 2001; Fauth et al., 2022; Goldberg et al., 2002).”
From Acceptance and Commitment Therapy Tele-Counselling Program With Care Partners of Persons Living With Dementia: A Pilot Feasibility RCT. (2026) · cites this paper as Fauth et al., 2022

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Preliminary efficacy of an online intervention based on Acceptance and Commitment Therapy for family caregivers of people with dementia: a feasibility study
Atefi, G., van Knippenberg, R. J. M., Bartels, S. L., Losada‐Baltar, A., Márquez‐González, M., Verhey, F. R. J., & de Vugt, M. E. (2025) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2025.2477600 · Cited by 9 · see citing works
An Evaluation of Web-Based Acceptance and Commitment Therapy for Dementia Caregivers
Cragun, H. R. (2020) · Digital Commons - USU (Utah State University)
ACCEPTABILITY AMONG DEMENTIA CAREGIVERS OF THE ONLINE SELF-GUIDED ACT FOR CAREGIVERS PROGRAM
Green, G., Batura, J., Kelley, H. H., Gossner, J. D., Aller, T. B., Levin, M., & Fauth, E. B. (2024) · Innovation in Aging · doi:10.1093/geroni/igae098.4106
Online ACT for Caregivers: A Longitudinal Mixed Methods Study
Gossner, J. D. (2024) · Digital Commons - USU (Utah State University) · doi:10.26076/49f9-855d
QUALITY OF LIFE IN DEMENTIA CAREGIVERS AFTER USING ONLINE SELF-GUIDED ACCEPTANCE AND COMMITMENT THERAPY
Batura, J., Gossner, J. D., Aller, T. B., & Fauth, E. B. (2024) · Innovation in Aging · doi:10.1093/geroni/igae098.2420

Authors: Fauth, E. B., Novak, J. R., & Levin, M. E.
Affiliations: Utah State University (US)
Auburn University (US)
Corresponding author: Fauth, Elizabeth B.
ORCID: Fauth, Elizabeth B.
Novak, Josh R.
Levin, Michael E.
Venue: Aging & Mental Health
Publisher: Informa UK Limited
Published: 2021-07-07
Volume: 26
Issue: 8
Pages: 1620-1629
ISSN: 1360-7863 (ISSN-L)
1364-6915
DOI: 10.1080/13607863.2021.1942432
OpenAlex: W3178061155
Cited by: 38
References: 51
Citations by year: 2026: 6 · 2025: 8 · 2024: 9 · 2023: 10 · 2022: 4 · 2021: 1
FWCI: 4.10
Type: journal article
Language: en
Open access: closed
Locations: Aging & Mental Health (publishedVersion)
PubMed (publishedVersion)
Funders: Utah State University Extension
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords: acceptance and commitment therapy, dementia caregivers, online intervention, caregiver depression, caregiver burden, behavioral symptoms, quality of life, cognitive fusion, psychological inflexibility, values-based living, dementia education
MeSH terms: Dementia, Female, Humans, Male, Quality of Life, Cognitive Behavioral Therapy, Caregivers, Acceptance and Commitment Therapy

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Outcomes from a pilot online acceptance and commitment therapy program for dementia family caregivers

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