PMID- 34360420 OWN - NLM STAT- MEDLINE DCOM- 20210812 LR - 20210812 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 18 IP - 15 DP - 2021 Jul 31 TI - The Role of Acceptance and Commitment Therapy in Cardiovascular and Diabetes Healthcare: A Scoping Review. LID - 10.3390/ijerph18158126 [doi] LID - 8126 AB - Acceptance and commitment therapy (ACT) is an adapted form of cognitive behavioural therapy. ACT focuses on how thinking affects behaviour and promotes psychological flexibility. The prevalence of psychological distress among people living with cardiovascular disease (CVD) and/or type 2 diabetes mellitus (T2DM) is high, and ACT may offer an alternative treatment approach. This scoping review explored the use of ACT as an intervention to support adults living with CVD and/or T2DM. A systematic search of the literature resulted in the inclusion of 15 studies. Studies were reviewed using the Joanna Briggs Institute approach to conducting scoping reviews. Most studies (n = 13) related to people living with T2DM, and most (n = 10) used a pre-post design, four studies were randomised controlled trials, and one was a qualitative study. Eight studies reported an improvement in the outcome(s) assessed post-intervention, suggesting that ACT was an acceptable and valid intervention to support people living with CVD or T2DM. However, studies were underpowered and only limited studies involved people living with CVD. ACT was assessed as a valuable approach to improve a range of patient-reported outcomes for those living with CVD or T2DM, and further research involving robust study designs and larger cohorts are warranted. FAU - Rashidi, Amineh AU - Rashidi A AUID- ORCID: 0000-0001-7355-5216 AD - School of Nursing and Midwifery, Joondalup Campus, Edith Cowan University, Perth 6207, Australia. FAU - Whitehead, Lisa AU - Whitehead L AUID- ORCID: 0000-0002-6395-0279 AD - School of Nursing and Midwifery, Joondalup Campus, Edith Cowan University, Perth 6207, Australia. FAU - Newson, Lisa AU - Newson L AUID- ORCID: 0000-0002-5874-8762 AD - School of Psychology, Faculty of Health, Liverpool John Moores University, Liverpool L3 3AF, UK. FAU - Astin, Felicity AU - Astin F AD - Centre for Applied Research in Health, University of Huddersfield and Calderdale and Huddersfield National Health Service Foundation Trust, Huddersfield HD1 3DH, UK. FAU - Gill, Paramjit AU - Gill P AUID- ORCID: 0000-0001-8756-6813 AD - Division of Health Sciences, University of Warwick, Coventry CV4 7AL, UK. FAU - Lane, Deirdre A AU - Lane DA AD - Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L7 8TX, UK. FAU - Lip, Gregory Y H AU - Lip GYH AUID- ORCID: 0000-0002-7566-1626 AD - Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L7 8TX, UK. FAU - Neubeck, Lis AU - Neubeck L AUID- ORCID: 0000-0001-5852-1034 AD - School of Health and Social Care, Edinburgh Napier University, Edinburgh EH11 4BN, UK. FAU - Ski, Chantal F AU - Ski CF AUID- ORCID: 0000-0003-1324-2933 AD - Integrated Care Academy, University of Suffolk, Ipswich IP4 1QJ, UK. FAU - Thompson, David R AU - Thompson DR AUID- ORCID: 0000-0001-8518-6307 AD - School of Nursing and Midwifery, Queen's University Belfast, Belfast BT9 7BL, UK. FAU - Walthall, Helen AU - Walthall H AD - NIHR Oxford Biomedical Research Centre, The Joint Research Office, Second Floor, OUH Cowley, Unipart House Business Centre, Garsington Road, Oxford OX4 2PG, UK. FAU - Jones, Ian D AU - Jones ID AUID- ORCID: 0000-0002-3081-0069 AD - School of Nursing and Allied Health, Faculty of Health, Liverpool John Moores University, Liverpool L2 2ER, UK. LA - eng GR - DH_/Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210731 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - *Acceptance and Commitment Therapy MH - Adult MH - *Cardiovascular Diseases/epidemiology/therapy MH - *Cognitive Behavioral Therapy MH - Delivery of Health Care MH - *Diabetes Mellitus, Type 2/therapy MH - Humans MH - Randomized Controlled Trials as Topic PMC - PMC8345942 OTO - NOTNLM OT - acceptance and commitment therapy OT - cardiovascular OT - diabetes COIS- The authors declare that they have no conflict interest. EDAT- 2021/08/08 06:00 MHDA- 2021/08/13 06:00 PMCR- 2021/07/31 CRDT- 2021/08/07 01:06 PHST- 2021/05/26 00:00 [received] PHST- 2021/07/16 00:00 [revised] PHST- 2021/07/19 00:00 [accepted] PHST- 2021/08/07 01:06 [entrez] PHST- 2021/08/08 06:00 [pubmed] PHST- 2021/08/13 06:00 [medline] PHST- 2021/07/31 00:00 [pmc-release] AID - ijerph18158126 [pii] AID - ijerph-18-08126 [pii] AID - 10.3390/ijerph18158126 [doi] PST - epublish SO - Int J Environ Res Public Health. 2021 Jul 31;18(15):8126. doi: 10.3390/ijerph18158126.