To read this content please select one of the options below:

Are acceptance and commitment therapy-based interventions effective for reducing burnout in direct-care staff? A systematic review and meta-analysis

Andy Reeve (University of Nottingham, Nottingham, UK)
Anna Tickle (Division of Psychiatry and Applied Psychology, University of Nottingham, Nottingham, UK) (Nottinghamshire Healthcare NHS Trust, Nottingham, UK)
Nima Moghaddam (University of Lincoln, Lincoln, UK)

Mental Health Review Journal

ISSN: 1361-9322

Article publication date: 4 July 2018

Issue publication date: 15 August 2018

827

Abstract

Purpose

Work-related stress amongst staff working in direct care roles in mental health and intellectual disability settings is associated with a range of problematic outcomes. There has been a proliferation of research into the use of acceptance and commitment therapy (ACT)-based interventions in this staff population. The purpose of this paper is to review the extant literature.

Design/methodology/approach

A systematic search of the literature was conducted, and seven studies identified which met the criteria for inclusion in the review, of which four were eligible for meta-analysis.

Findings

Results of the meta-analysis were most convincing for the effectiveness of ACT-interventions to reduce psychological distress within a subgroup of those with higher distress at baseline. There was no statistically significant effect for the amelioration of burnout, nor for an increase in psychological flexibility (a key ACT construct).

Research limitations/implications

Conceptual issues are considered including the purpose and treatment targets of ACT interventions, such as supporting valued living rather than diminishing stress per se. Methodological issues are discussed around the measurement of psychological flexibility.

Originality/value

This review makes recommendations for future research and for the implementation of ACT-interventions for work-related stress in these settings.

Keywords

Citation

Reeve, A., Tickle, A. and Moghaddam, N. (2018), "Are acceptance and commitment therapy-based interventions effective for reducing burnout in direct-care staff? A systematic review and meta-analysis", Mental Health Review Journal, Vol. 23 No. 3, pp. 131-155. https://doi.org/10.1108/MHRJ-11-2017-0052

Publisher

:

Emerald Publishing Limited

Copyright © 2018, Emerald Publishing Limited

Related articles