Evidence map›Paper›PMID 38418964›Full record

ArticleBMC palliative care2024

Practitioner perspectives on the use of acceptance and commitment therapy for bereavement support: a qualitative study.

Nikolaus Willi, Anna Pancoast, Ioanna Drikaki, Xueying Gu, David Gillanders, Anne Finucane

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.5field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. 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 2 institutions in 1 country.

Nikolaus WilliClinical Psychology, University of Edinburgh, Edinburgh, UK. nik.m.willi@gmail.com.
Anna PancoastClinical Psychology, University of Edinburgh, Edinburgh, UK.
Ioanna DrikakiClinical Psychology, University of Edinburgh, Edinburgh, UK.
Xueying GuClinical Psychology, University of Edinburgh, Edinburgh, UK.
David GillandersClinical Psychology, University of Edinburgh, Edinburgh, UK.
Anne FinucaneClinical Psychology, University of Edinburgh, Edinburgh, UK.
University of Edinburgh · GBMarie Curie Hospice · GB

Funding

Marie Curie MC-21-808
6 · The paper itself

Abstract

backgroundThere is currently a high demand for bereavement support coupled with inconclusive findings as to the efficacy of existing approaches. Acceptance and Commitment Therapy (ACT) aims to improve human functioning and has shown efficacy across a wide range of conditions. ACT may be a promising means of supporting bereaved people, yet evidence on the use of ACT for bereavement support is lacking. The aim of this study is to explore how ACT is currently used for bereavement support and practitioner perspectives of how it helps following bereavement.

methodsSemi-structured interviews were conducted online via MS Teams with practitioners experienced in using ACT for bereavement support. Data were analysed thematically guided by a framework approach.

resultsNine participants were recruited. Three themes were identified: (i) creating psychological space around grief; (ii) using psychological space for value-directed action in the midst of grieving, and (iii) adapting ACT for bereavement support. Practitioners indicated that ACT improves clients' relationship with distressing internal experiences. Metaphors and mindfulness techniques were used to encourage acceptance of grief responses, taking perspective on distressing thoughts and images, and contact with the present moment. Better relationships with distressing experiences were regarded as less psychologically taxing, improving coping and well-being, while providing the psychological space to engage in value-directed action. Values exploration, sometimes using metaphors and exercises, was seen as supporting the bereaved person to rediscover a sense of purpose and engage in meaningful activities alongside their grief. Practitioners used ACT flexibly, integrating other interventions, and adapted ACT to the perceived sensitivities of bereaved people, and age-related and developmental factors.

conclusionACT is used to support people who have been bereaved to live effectively with the difficult thoughts and feelings associated with grieving and to enable them to gradually identify, reconnect with, and act in line with their values after loss.

Indexed as

Acceptance and Commitment TherapyBereavementCoping SkillsGriefHumansQualitative ResearchAcceptance and commitment therapyACTBereavementCoping behaviourCoping skillsCoping strategiesGriefPsychological adaptationPsychological well-beingQualitative research

Identifiers

PMID38418964
PMCPMC10900636
OpenAlexW4392239049

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.