Virtual Acceptance and Commitment Therapy Impact on Social Adjustment and Work-Family Conflict Among Intern Nurses

NCT05721339 | Completed

• 1 other identifier: IRB00013620-50-9-2022
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Work and family are the two most influential aspects of a person's life. The conflict between work and family can adversely affect an organization's and an individual's health and well-being. Research is necessary to describe, understand, and address work-family conflict because it arises from how people perceive it. Studies on social adjustment for healthcare staff and nursing interns are scarce in Egypt, according to researchers. Recently, ACT has been utilized to treat various psychological issues and challenges at work, among others. Therefore, the present study aimed to evaluate the impact of virtual group-based acceptance and commitment therapy on intern nurses' social adjustment and work-family conflict. Research Hypothesizes Intern nurses who engaged in a virtual group-based acceptance and commitment therapy will exhibit lower level of family-work conflict than the control group. Intern nurses who engaged in a virtual group-based acceptance and commitment therapy will exhibit a higher level of social adjustment than the control group.

Conditions

Nurse's Role

Keywords

Acceptance and Commitment Therapy; Intern Nurses; Social Adjustment; Work-Family Conflict

Outcome Measures

Primary Outcomes (3)

• The Work-related Acceptance and Action Questionnaire

  It was developed to assess psychological flexibility in professional contexts. It consists of seven statements assessed on a Likert Scale from 1 (Never true) to 7 (Always true), such as "I can admit my faults at work and yet be successful," and "I can work efficiently even when I doubt myself." The items stand for people's ability to take goal-directed action in the face of unpleasant internal experiences. The Work-related Acceptance and Action Questionnaire scores range from 7 to 49, with higher scores suggesting greater psychological flexibility.

  up to 14 weeks

• The Social Adjustment Scale-Self Report

  The Social Adjustment Scale-Self Report is a popular 54-items self-reported social adjustment scale that assesses instrumental and expressive role performance over the previous two weeks. It addresses six areas of functioning: employment (as a paid worker, unpaid homemaker, or student), social and leisure activities, interactions with extended family, marital partner role, parenting role, and role within the family unit.The elements in each of the six categories encompass four sorts of content: performance at anticipated tasks, interpersonal friction, finer characteristics of interpersonal relationships, and emotions and satisfactions. The full-length Social Adjustment Scale-Self Report takes around 15-20 minutes to administer.The higher the score of Social Adjustment Scale-Self Report, the more impairment in social adjustment.

  up to 14 weeks

• Work-Family Conflict Scale

  Work-family conflict and family-work conflict were divided on the scale. Each subscale comprised five items that measured the level of conflict in that subscale. It is evaluated on a 7-point Likert scale, with 1 being "very strongly disagree" and 7 being "very strongly agree". The items for each subscale are totaled to supply the overall scores of Work-Family Conflict Scale (ranging from 7 to 35) and Family-Work Conflict Scale (ranging from 7 to 35); higher scores show higher degrees of conflict.

  up to 14 weeks

Study Arms (2)

Acceptance and commitment therapy

EXPERIMENTAL

Intern nurses will participate in acceptance and commitment therapy through virtual group-based eight sessions twice weekly with homework assignments between sessions and skills demonstration.

Behavioral: Acceptance and Commitment Therapy

control group

NO INTERVENTION

Intern nurses who will not participate in acceptance and commitment therapy. And they are undergoing the pre-and post-tests and the post-test follow-up test.

Interventions

Acceptance and Commitment Therapy BEHAVIORAL

ACT will be applied through 8 sessions by the psychological flexibility processes, which were grouped into three response styles: open, aware, and active. Openness is reflected by acceptance, which means the conscious embrace of psychological events without unnecessary attempts to change their frequency. Defusion means untangling unhelpful thoughts and responding to mental experiences as experiences rather than guides to action. The awareness set, which is reflected by applying self-as-context, which means a continuous and secure "I" from which events are experienced but distinct from those events. A present moment means ongoing, nonjudgmental contact with internal and external events as they occur in the present moment. The active set, which was reflected by making the intern nurses embrace their desired and chosen life values directions, and commit action to selected values.

Also known as: functional contextualism

Acceptance and commitment therapy

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• The beginner intern nurses at the academic year 2022-2023.
• Single candidates.
• Willing to participate in the study.

You may not qualify if:

• Intern nurses who diagnosed with any chronic medical diseases.
• Intern nurses who diagnosed with any mental illnesses.

Sponsors & Collaborators

• Alexandria University: lead

Study Sites (1)

Faculty of Nursing

Alexandria, 002, Egypt

Location

Related Publications (4)

• Prudenzi A, Graham CD, Flaxman PE, Wilding S, Day F, O'Connor DB. A workplace Acceptance and Commitment Therapy (ACT) intervention for improving healthcare staff psychological distress: A randomised controlled trial. PLoS One. 2022 Apr 20;17(4):e0266357. doi: 10.1371/journal.pone.0266357. eCollection 2022.

  PMID: 35442963 BACKGROUND

• Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006 Jan;44(1):1-25. doi: 10.1016/j.brat.2005.06.006.

  PMID: 16300724 BACKGROUND

• AlAzzam M, AbuAlRub RF, Nazzal AH. The Relationship Between Work-Family Conflict and Job Satisfaction Among Hospital Nurses. Nurs Forum. 2017 Oct;52(4):278-288. doi: 10.1111/nuf.12199. Epub 2017 Apr 13.

  PMID: 28407250 BACKGROUND

• El-Ashry AM, Elhay ESA, Taha SM, Salem ESAEHES, El-Sayed MM. Impact of virtual group-based acceptance and commitment therapy on social adjustment and work-family conflict among intern nurses: a randomized control trial. BMC Psychiatry. 2023 Aug 1;23(1):552. doi: 10.1186/s12888-023-05045-8.

  PMID: 37525125 DERIVED

Related Links

• a worldwide online learning and research community, and a living resource for anyone interested in Acceptance and commitment therapy and Contextual Behavioral Science.

MeSH Terms

Conditions

Social Adjustment

Interventions

Acceptance and Commitment Therapy

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Intervention Hierarchy (Ancestors)

Cognitive Behavioral Therapy; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Ayman M El-Ashry, PHD

  Faculty of nursing, Alexandria University, Egypt

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer at psychiatric and mental health nursing

Study Record Dates

• First Submitted: January 31, 2023
• First Posted: February 10, 2023
• Study Start: September 1, 2022
• Primary Completion: November 1, 2022
• Study Completion: January 15, 2023
• Last Updated: February 10, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)