Research Evaluating Staff Training Online for Resilience (RESTORE): Protocol for a single-arm feasibility study of an online Acceptance and Commitment Therapy intervention to improve staff wellbeing in palliative care settings
Open accessAbstract
Background: Palliative care staff commonly experience workplace stress and distress. General stressors include unmanageable workloads and staff shortages. Stressors specific to palliative care include regular exposure to death, loss and grief. The COVID-19 pandemic exacerbated exhaustion and burnout across the healthcare system, including for those providing palliative care. Evidence based psychological support interventions, tailored to the needs and context of palliative care staff, are needed. Acceptance and Commitment Therapy (ACT) is an established form of cognitive behavioural therapy which uses behavioural psychology, values, acceptance, and mindfulness techniques to improve mental health and wellbeing. ACT is effective in improving workplace wellbeing in many occupational settings. Our study examines the acceptability and feasibility of an online ACT-based intervention to improve mental health and wellbeing in staff caring for people with an advanced progressive illness. Methods: A single-arm feasibility trial. We will seek to recruit 30 participants to take part in an 8- week online ACT-based intervention, consisting of three synchronous facilitated group sessions and five asynchronous self-directed learning modules. We will use convergent mixed methods to evaluate the feasibility of the intervention. Quantitative feasibility outcomes will include participant recruitment and retention rates, alongside completion rates of measures assessing stress, quality of life, wellbeing, and psychological flexibility. Focus groups and interviews will explore participant perspectives on the intervention. We will run a stakeholder workshop to further refine the intervention and identify outcomes for use in a future evaluation. Results: We will describe participant perspectives on intervention acceptability, format, content, and perceived impact, alongside rates of intervention recruitment, retention, and outcome measure completion. Conclusion: We will show whether a brief, online ACT intervention is acceptable to, and feasible for palliative care staff. Findings will be used to further refine the intervention and provide essential information on outcome assessment prior to a full-scale evaluation.
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“The study protocol was registered (https://doi.org/10.1186/ISRCTN14313559) and published. 30”
From Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing. (2023) · cites this paper as [30]
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Finucane, A. M., Hulbert-Williams, N. J., Swash, B., Spiller, J. A., Wright, B., Milton, L., & Gillanders, D. (2023) · Palliative Medicine · doi:10.1177/02692163221143817 · Cited by 15 · see citing works
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- Authors
- Finucane, A., Hulbert-Williams, N. J., Swash, B., Spiller, J. A., Lydon, B., & Gillanders, D.
- Affiliations
- Marie Curie (GB)
- University of Chester (GB)
- University of Lincoln (GB)
- Corresponding author
- Finucane, Anne
- Venue
- AMRC Open Research
- Publisher
- F1000 Research Ltd
- Published
- 2022-06-22
- Volume
- 3
- Pages
- 26
- ISSN
- 2517-6900 (ISSN-L)
- PMC
- PMC11064981
- OpenAlex
- W4283333256
- Cited by
- 2
- References
- 36
- Citations by year
- 2023: 1 · 2022: 1
- FWCI
- 0.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- AMRC Open Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Edge Hill University Research Information Repository (Edge Hill University) (publishedVersion, cc-by)
- Edinburgh Research Explorer (University of Edinburgh) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Marie Curie
- University of Edinburgh
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- acceptance and commitment therapy, palliative care staff, employee well-being, online psychological intervention, feasibility, acceptability, burnout, occupational stress, psychological flexibility, COVID-19 pandemic, intervention development
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