Clinical trial NCT06548282: Efficacy of Acceptance and Commitment Therapy for the Management of Quality of Life in Patients Post Myocardial Infarction
Official title: Efficacy of Acceptance and Commitment Therapy for the Management of Quality of Life in Patients Post Myocardial Infarction
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Psychological Distress
Type D Personality
Medication Adherence
Quality of Life
Lead sponsor: Fatima Jinnah Women University
Sponsor class: OTHER
First posted: 2024-08-12
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The present study aims to investigate the efficacy of acceptance and commitment therapy for the management of quality of life in patients post-myocardial infarction

Detailed description: The current quantitative study is carried out in two steps. A cross-sectional survey assesses quality of life and associated factors during the first step. A randomized controlled trial will be done during the second step where patients with myocardial infarction who are identified with type D personality characteristics, psychological distress, low level of medication adherence, low social support, low quality of life, low acceptance and psychological flexibility will be randomly assigned to two groups i.e. waitlist control group and intervention group. The acceptance and commitment therapy would be implemented on participants in the interventional group. As the control group is the waitlist control group; initially no intervention will be given to participants in the control group but the intervention will be given to the control group participants once the study is completed.

Eligibility criteria: Inclusion Criteria:

1. First-time diagnosed, non-hospitalized patients with myocardial infarction (MI).
2. Patients attending follow-up visits at the hospital.
3. Patients experiencing distress.
4. Patients exhibiting features of Type D personality.
5. Patients reporting low levels of:

   * Quality of Life (QoL)
   * Medication adherence
   * Social support
   * Acceptance
   * Psychological flexibility
6. Patients aged 18 years and above.
7. Both genders.
8. Patients who can understand Urdu.
9. Patients who can provide informed consent.

Exclusion Criteria:

1. Hospitalized patients with myocardial infarction (MI).
2. Patients with myocardial infarction (MI) and other chronic co-morbid diseases, such as:

   * Cancer
   * Cognitive deficits
   * Chronic psychological disorders
3. Patients with silent myocardial infarction.
4. Patients younger than 18 years.

Primary outcomes:
measure: World Health Organization Quality of Life Scale Urdu Version
timeFrame: 3 months
Secondary outcomes:
Other outcomes:
Locations:
city: Rawalpindi
country: Pakistan
facility: Armed Forces Institute of Cardiology
state: Punjab
city: Rawalpindi
country: Pakistan
facility: Rawalpindi Institute of Cardiology
state: Punjab
Study officials:
affiliation: Fatima Jinnah women University, Rawalpindi, Pakistan
name: Sehrish Khan, PhD Scholar
role: PRINCIPAL_INVESTIGATOR
References: