A pilot trial of acceptance and commitment therapy for symptoms of depression and anxiety in older adults residing in long-term care facilities

ABSTRACT

Objectives: The aim of this study was to evaluate the efficacy and acceptability of a psychological intervention based on acceptance and commitment therapy (ACT) to improve symptoms of depression and anxiety among older adults living in long-term care.

Method: Forty one residents aged between 63 and 97 years (M = 85.3 years) participated in this study. Residents were allocated to receive either a 12 session ACT intervention implemented by trainee psychology therapists or a wait-list control group. Measures of depression and anxiety were collected at baseline and 8 week post-intervention, and residents who received the intervention were tracked for three months. A treatment satisfaction questionnaire was administered to residents who received the intervention and a sample of 10 facility staff members.

Results: Using an intention to treat approach and controlling for baseline scores, scores on depression measures were significantly lower after the ACT intervention than after the wait-list control. These outcomes were maintained at three-month follow-up. Treatment satisfaction was rated highly by both residents and their care staff.

Conclusion: This preliminary trial suggests that ACT shows promise as a therapeutic approach to address symptoms of depression in long-term care.

KEYWORDS:

• Acceptance and commitment therapy
• depression
• anxiety
• long-term care
• psychotherapy

Acknowledgments

The authors would like to thank the staff and residents of participating LTC care facilities, and Fiona Donald, Monica Chester and Samantha Law for implementing the clinical intervention.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by the Lions John Cockayne Memorial Fellowship Trust Fund. The Lions John Cockayne Memorial Fellowship Trust is jointly funded by Oakleigh Lions Club Elderly Peoples Home Inc. and Monash Health.