The Effect of Acceptance Training on Psychological and Physical Health Outcomes in Elders with Chronic Conditions
Format of Original
National Black Nurses Association Inc.
Journal of the National Black Nurses Association
Original Item ID
Shelves: RT1 .J64 Raynor Memorial Periodicals
This pilot trial investigated the short and long-term effects of Acceptance Training (ACT) intervention on acceptance, perceived health, functional status, anxiety, and depression in elders with chronic conditions living in retirement communities (RCs). The ACT intervention combined Rational Emotive Behavior Therapy with music, relaxation, and guided imagery during six weekly 2-hour sessions. Face-to-face interviews were conducted with 16 African-American and 46 White elders across four data collection points in six randomly selected RCs using well-established measures of perceived health, functional status, anxiety, and depression, and a measure of acceptance of chronic conditions adapted from a previous measure of acceptance of diabetes. While changes were found in perceived health, functional status, anxiety, and depression, the most significant changes occurred in the elders' acceptance of chronic conditions immediately after the intervention (t = -2.62, P < .02), and these changes persisted for 6 and 12 weeks (t's = -2.74, -3.32, p's < .01), respectively. Although a 40% attrition rate reduced the sample size from 62 (N = 62) to 37 (N = 37), the significant increases in acceptance over time provide initial evidence for the fidelity of the ACT intervention.
McDonald, Patricia; Zauszniewski, Jaclene; Bekhet, Abir K.; DeHelian, Laura; and Morris, Diana L., "The Effect of Acceptance Training on Psychological and Physical Health Outcomes in Elders with Chronic Conditions" (2011). College of Nursing Faculty Research and Publications. 171.
Published version. Journal of the National Black Nurses Association, Vol. 22, No. 2 (2011): 11-19. Publisher's Link. © 2011 National Black Nurses' Association. Used with permission.