Internet-delivered guided self-help Acceptance and Commitment Therapy for family carers of people with dementia (iACT4CARERS): A feasibility study

Naoko Kishita, Rebecca L. Gould, Morag Farquhar, Milena Contreras, Elien Van Hout, Andres Losada, Isabel Cabrera, Michael Hornberger, Erica Richmond, Lance M. McCracken

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)
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Objective: The feasibility of research into internet-delivered guided self-help Acceptance and Commitment Therapy (ACT) for family carers of people with dementia is not known. This study assessed this in an uncontrolled feasibility study.
Methods: Family carers of people with dementia with mild to moderate anxiety or depression were recruited from primary and secondary healthcare services in the UK. Participants were offered eight, guided, self-help online ACT sessions adapted for the needs of family carers of people with dementia with optional online peer support groups. Pre-defined primary indicators of success included recruitment of 30 eligible carers over six months and ≥70% completing at least two online sessions.
Results: Thirty-three participants (110% of the target sample) were recruited over six months and 30 participants (91%) completed two or more sessions, and thus both indicators of success were met. Further, 70% of participants completed seven or all eight sessions, and 27% of participants were lost to follow-up, but none of the reasons for early withdrawal were related to the intervention.
Conclusion: This study supports the feasibility, including recruitment and treatment completion. A full-scale trial to assess the clinical- and cost-effectiveness of the intervention including its long-term effects is warranted.
Registration: ISRCTN trial registration 18956412
Original languageEnglish
Pages (from-to)1933-1941
Number of pages9
JournalAging & Mental Health
Issue number10
Early online date7 Oct 2021
Publication statusPublished - Oct 2022


  • CBT
  • caregivers
  • eHealth
  • mindfulness
  • online
  • web-based

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