Evidence map›Paper›PMID 35442963›Full record

Trial reportPloS one2022

A workplace Acceptance and Commitment Therapy (ACT) intervention for improving healthcare staff psychological distress: A randomised controlled trial.

Arianna Prudenzi, Christopher D Graham, Paul E Flaxman, Sarah Wilding, Fiona Day, Daryl B O'Connor

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05721339 (Impact of Virtual Group-Based Acceptance and Commitment Therapy on Social Adjustment and Work-Family Conflict Among Intern Nurses), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
13.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05721339 nacompletednot on this map

Impact of Virtual Group-Based Acceptance and Commitment Therapy on Social Adjustment and Work-Family Conflict Among Intern Nurses: A Randomized Control Trial

TypeinterventionalSponsorAlexandria UniversityRan2022 to 2023Enrolled70ConditionsNurse's RoleArmsAcceptance and Commitment Therapy
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Effectiveness of Organizational Interventions to Reduce Burnout in the Workplace: A Systematic Review.International journal of environmental research and public health · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. [Strategy for improving the distress level in healthcare workers].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Impact of Burnout on Anaesthesiologists.Turkish journal of anaesthesiology and reanimation · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Arianna PrudenziSchool of Psychology, University of Leeds, Leeds, United Kingdom.ORCID 0000-0002-5185-2807
Christopher D GrahamSchool of Psychology, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Paul E FlaxmanDepartment of Psychology, University of London, London, United Kingdom.
Sarah WildingSchool of Psychology, University of Leeds, Leeds, United Kingdom.
Fiona DayFiona Day Consulting LTD, Leeds, United Kingdom.
Daryl B O'ConnorSchool of Psychology, University of Leeds, Leeds, United Kingdom.
University of Leeds · GBQueen's University Belfast · GBUniversity of London · GB

Funding

Department of Health
6 · The paper itself

Abstract

The levels of psychological distress and burnout among healthcare staff are high, with negative implications for patient care. A growing body of evidence indicates that workplace programmes based on Acceptance and Commitment Therapy (ACT) are effective for improving employees' general psychological health. However, there is a paucity of research examining the specific psychological and/or behavioural processes through which workplace ACT programmes transmit their beneficial effects. The aim of this randomised controlled trial was to investigate the outcomes and putative processes of change in a 4-session ACT training programme designed to reduce psychological distress among healthcare staff (n = 98). Ninety-eight employees of a healthcare organisation were randomly allocated to the ACT intervention or to a waiting list control group. Study measures were administered on four occasions (baseline, mid-intervention, post-intervention, and follow-up) over a three-month evaluation period. Results showed that the ACT intervention led to a significant decrease in symptoms of psychological distress and a less pronounced reduction in burnout. These effects were mediated primarily via an improvement in mindfulness skills and values-based behaviour and moderated by participants' initial levels of distress. At four-week post-intervention, 48% of participants who received the ACT intervention showed reliable improvements in psychological distress, with just under half of the aforementioned improvements (46.15%) meeting criteria for clinically significant change. The results advance ACT as an effective stress management intervention for healthcare staff. The findings should be confirmed in a large scale randomised controlled trial with longer follow-up and cost-effectiveness analyses.

Indexed as

Acceptance and Commitment TherapyBurnout, ProfessionalPsychological DistressDelivery of Health CareHumansWorkplace

Identifiers

PMID35442963
PMCPMC9020690
OpenAlexW4224264108

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.