@article { , title = {Self-help Acceptance and Commitment Therapy for Carers of People with Multiple Sclerosis: A Feasibility Randomised Controlled Trial}, abstract = {Introduction: Acceptance and Commitment Therapy (ACT) is an established psychological therapy, but its effectiveness for carers of people with Multiple Sclerosis experiencing carer-related strain has not been established. This study assessed the acceptability and feasibility of conducting a randomised controlled trial comparing ACT self-help, telephone-supported ACT self-help, and usual care. Methods: We describe a mixed-method, parallel three-armed feasibility randomised controlled trial. Participants were carers (i.e. caregivers) of people with multiple sclerosis. The self-help group received an ACT self-help text (covered over eight weeks), the enhanced self-help group additionally received weekly telephone support. All participants completed questionnaires at baseline, three-months, and six-months post-randomisation, assessing carer strain, health-related quality of life, and ACT-related processes. A sample of participants were also interviewed. Results: Twenty-four carers were randomised. Participants found the study procedures to be acceptable, but highlighted difficulties with the self-help text and timing of the intervention. An exploratory, group-level analysis indicated effectiveness for the enhanced self-help group on carer strain (consistent across both follow-ups), with convergent qualitative reports to support this. Discussion: A full trial of ACT-based, telephone-supported self-help is warranted, including both the self-help and enhanced self-help design, following significant adaptions to the self-help itself. An internal pilot would, therefore, be recommended to further assess the feasibility after changes are incorporated.}, doi = {10.1007/s10880-020-09711-x}, eissn = {1573-3572}, issn = {1068-9583}, journal = {Journal of Clinical Psychology in Medical Settings}, note = {Check authors when published. VEA 04.03.2020. Needs volume, issue, pages. KJB 23.03.20}, pages = {279-294}, publicationstatus = {Published}, publisher = {Springer Verlag}, url = {https://nottingham-repository.worktribe.com/output/4004670}, volume = {28}, keyword = {Clinical Psychology}, year = {2021}, author = {Potter, Kristy-Jane and Golijana?Moghaddam, Nima and Evangelou, Nikos and Mhizha-Murira, Jacqueline and Nair, Roshan} }