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Saman Nonahal; shahram mohammadkhani; Jafar Hasani; mehdi akbari
Abstract
Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. ...
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Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. Method: The cultural adaptation study was conducted in five stages: Protocol Translation, Information Gathering, Preliminary Adaptation, Preliminary Test, and Final Adaptation. In stage 2, three professionals specializing in third-wave behavior therapy, one nutritionist, and one bodybuilding coach participated. In stage 4, five individuals with obesity were involved, and, in stage 5, seven professionals in third-wave behavior therapy participated. Data were analyzed quantitatively (mean and content validity index) and qualitatively. Results: A protocol consisting of 12 sessions was developed, assigning two sessions to each of the six steps of the acceptance and commitment therapy matrix. The adapted protocol differed from the original protocol in terms of metaphors, exercises, and materials. We added three metaphors: The Compass, the Noticing Muscle, and the Monsters on the Bus. Additionally, Matrix cards were introduced, including Goals & Directions, The Magic Wand, Who Is Important, Important, Stuff That Shows Up, Behavior, Toward Moves, Toward & Away, Surfing The Waves, Am I Important, Choosing My Life, Psychological Flexibility, Noticing Muscle, Practice, Stuck Loops, Monster Tug-Of-War, Don't Think of It, Don't Feel It, The 2 Rules, Dead Person's Goals, Hooks, Catch & Release, Verbal Aikido, U-Turn, Monsters on the Bus, Two Friends, Texting My Future Self. We also included four worksheets: The Compass, Who or What Is Important, Two Friends, and Texting My Future Self. Excluded items were The Hooky Words Game and Sorting Five-Senses and Inner Experience. The Monster Tug-Of-War metaphor was used instead of the Man in The Hole metaphor; for an experiential exploration of controlling thoughts, the term “pink elephant” was used instead of “purple unicorn;” the new version of the Verbal Aikido Worksheet was used instead of the existing one; and the Two Friend metaphor was replaced with the Mother Cat Exercise. Furthermore, a short video about physical aikido was added, and the perspective-taking dialogue shifted from verbal format to writing format. The content validity index for each session in the adapted protocol, as well as for the entire adapted protocol, was excellent. Conclusion: The study provides valuable insights into the use of the acceptance and commitment therapy matrix in the Iranian population with obesity. It underscores the importance of considering cultural nuances during intervention design.
fatemeh daemi; jafar hasani; mehdi akbari; shokoufeh hajsadeghi; mehdi akbarzadeh
Abstract
Objective: Quality of life compared to health or illness has a special position for policymakers and health-care specialists. The goal of this study was to evaluate the expanded model of health-related quality of life in patients with coronary artery disease. Method: This is a descriptive correlational ...
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Objective: Quality of life compared to health or illness has a special position for policymakers and health-care specialists. The goal of this study was to evaluate the expanded model of health-related quality of life in patients with coronary artery disease. Method: This is a descriptive correlational study that is based on structural equation modeling. The statistical population includes all patients with coronary artery disease who referred to Tehran and Karaj medical centers and received a diagnosis by a specialist. 650 persons were selected by available sampling method and responded to Illness Perception Questionnaire, Quality of Life Questionnaire, Self-Care of Heart Failure Index, Emotional Well-being Scale, Psychological Well-being Questionnaire of Reef, Social Well-being Questionnaire of Keyesand Seattle Angina Questionnaire. Findings: The results of this study showed that the developed model of Wilson has a good fit. That is, by adding self-management and psychological, social, and emotional well-being, this model can be adopted to explain the quality of life. However, compared to the original model of well-being indices, due to the multidimensionality and the multiple relationships, it should be considered as a comprehensive well-being construct. Self-management can also explain comprehensive well-being. Conclusion: Self-management and positive indicators of well-being can have a special role in the process of health-related quality of life in patients with coronary artery disease.
