Abstract

Background and aim: Individuals with inflammatory bowel disease (IBD) suffer higher rates of anxiety and depression than the general population, however, few psychological interventions are designed for this population. Acceptance and Commitment Therapy (ACT), aimed to increase psychological flexibility, may be useful to address the unique concerns of IBD sufferers. This study aimed to explore stakeholder perspectives on an ACT-based intervention prototype tailored to people with IBD and comorbid anxiety and/or depressive symptoms.

Methods: An Intervention Mapping methodology guided intervention design. A qualitative exploratory design was used to investigate the perspectives of stakeholders. Focus groups or interviews obtained feedback from IBD patients of a major regional hospital, and health providers to IBD patients Australia-wide.

Results: Findings were analysed using template analysis. Data saturation was reached at 19 participants (11 patients and 8 health professionals). Participants’ perspectives on the ACT-based intervention were distributed across four themes: (1) Barriers to access and participation; (2) Timing in the illness trajectory; (3) ACT is useful for IBD; and (4) The more support, the better.

Conclusion: The findings suggest that an ACT modality and blended delivery design is well received by patients and health professionals, providing recommendations to future researchers and clinicians on intervention design.

摘要

背景和目的：炎症性肠病（IBD）的人比普通人群遭受焦虑和抑郁的几率更高，但是，针对该人群的心理干预措施很少。旨在提高心理灵活性的接受和承诺疗法（ACT）可能有助于解决IBD患者的独特担忧。这项研究旨在探讨利益相关者对基于ACT的干预原型的观点，该干预原型是为IBD和合并症焦虑症和/或抑郁症状患者量身定制的。

方法：干预图法指导干预设计。定性的探索性设计被用来调查利益相关者的观点。焦点小组或访谈从一家主要区域医院的IBD患者以及健康服务提供者那里获得了澳大利亚全国IBD患者的反馈。

结果：使用模板分析对结果进行分析。19名参与者（11名患者和8名卫生专业人员）达到了数据饱和。参与者对基于ACT的干预的观点分布在四个主题中：（1）获取和参与的障碍；（2）疾病轨迹的时机；（3）ACT对IBD有用；（4）支持越多越好。

结论：研究结果表明，ACT方式和混合分娩设计受到患者和卫生专业人员的好评，为未来的研究人员和临床医生提供了干预设计方面的建议。