The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for implementation in a typical hospital setting to prepare for a larger clinical trial. The sample consisted of 26 inpatients diagnosed with psychotic-spectrum disorders. Using an open trial design, patients received individual and group ACT-IN sessions during their stay. We assessed the feasibility/acceptability of ACT-IN and preliminary changes on patient outcomes at baseline, discharge, and 4-month follow-up. We successfully recruited and retained participants as planned. Patients reported satisfaction with treatment, and routine hospital staff showed adoption and fidelity to the intervention. Relative to baseline, patients demonstrated significant improvements in symptoms and functioning across the 4-month follow-up. The current study shows that ACT-IN may be feasible and acceptable for inpatients with psychotic disorders in a psychiatric intensive care setting and should be tested in a future effectiveness-implementation trial.

中文翻译：

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在临床精神病学重症监护环境中对患有精神病性谱系障碍的住院患者实施接受和承诺治疗的可行性和初步效果。

本研究的目的是调整住院患者接受和承诺治疗 (ACT-IN)，以便在典型的医院环境中实施，为更大规模的临床试验做准备。该样本由 26 名被诊断患有精神病谱系障碍的住院患者组成。使用开放试验设计，患者在住院期间接受了个人和团体 ACT-IN 会议。我们评估了 ACT-IN 的可行性/可接受性以及基线、出院和 4 个月随访时患者结果的初步变化。我们按计划成功招募并留住了参与者。患者报告对治疗感到满意，常规医院工作人员表现出对干预措施的采用和忠诚。相对于基线，患者在 4 个月的随访中表现出症状和功能的显着改善。