Pilot Effectiveness Trial of an ACT Self-help Workbook Tailored Specifically for Prisons

Purpose

The goal of this research study is to adapt an ACT-self-help workbook to the prison setting and determine the feasibility acceptability, and effectiveness of this workbook. Participants can expect to be in the study for 13 weeks.

Conditions

  • Anxiety
  • Depression
  • Depression, Anxiety
  • Anxiety Disorders

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • 18 years of age or older - Reading level of 6th grade or higher determined by the Wide Range Achievement Test - Moderate or severe anxiety and/or depression determined by the Beck Depression Inventory-II (BDI-II) and Beck Anxiety Inventory (BAI) - No active self-harm or active suicidal intent - No scheduled transfer or release for at least three months - Must be willing and able to participate, including having permission and ability to use study materials, such as paper and a writing utensil

Exclusion Criteria

  • Unable to provide informed consent - Active self-harm or suicidal intent - Scheduled transfer or release within three months

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Single (Care Provider)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
ACT workbook
  • Behavioral: Acceptance and Commitment Therapy (ACT)
    ACT: Therapy that builds in traditional cognitive behavioral therapy principles but emphasizes different processes in behavior change. Delivered over 8 weeks of self-guided study and homework assignments.
Active Comparator
Control workbook
  • Behavioral: Cognitive Behavioral Therapy (CBT)
    As control condition, CBT book "Feeling Good Self-Help Book" will be used

Recruiting Locations

More Details

Status
Recruiting
Sponsor
University of Wisconsin, Madison

Study Contact

Madilyn Michels
920-602-5612
mgmichels@wisc.edu

Detailed Description

The Specific Aims of the proposed study correspond directly to the three-step process. 1. In Step 1 (Specific Aim #1), identify the necessary adaptations to the content, language, and format of an ACT-based self-help workbook through stakeholder input. 2. In Step 2 (Specific Aim #2), refine the workbook and its delivery based on feedback from incarcerated individuals who complete the workbook. 3. In Step 3 (Specific Aim #3), determine the feasibility, acceptability and preliminary effectiveness of the ACT self-help workbook in a prison setting. Primary clinical outcome measure will be depression, secondary clinical outcome measure will be anxiety. For each participant assigned to a condition, a study team member will meet with them individually to provide them with a copy of the workbook. During this meeting, the study team member will inform the participant that they should complete one chapter per week. Participants will complete a Pre-Treatment Assessment prior to distribution of the workbook; a Mid-Treatment Assessment four weeks after the distribution of the workbook; a Post-Treatment Assessment #1 eight weeks after distribution of the workbook (when the workbook should be completed); Focus group (after completion of workbook) and, a Post-Treatment Assessment #2 twelve weeks after distribution of the workbook.