Developmental trajectories of experiential avoidance and depressive symptoms and association to health behaviors among adolescents during brief guide…

2021

Abstract While many children and adolescents experience psychological problems with up to 20 percent estimated to develop a mental health problem, only few receive treatment. Online interventions can help respond to the need of support among young people without requiring considerable resources. However, relatively few studies have examined the efficacy of online interventions for youth and more research is needed to understand individual differences in benefiting from these interventions. The current study sought to examine different developmental trajectories of experiential avoidance and depressive symptoms and their association to health behaviors measured at baseline during a brief gui…

The role of psychological inflexibility in adolescent satisfaction with the educational track and school dropout intentions

2022

This study aimed to obtain novel understanding of the associations between psychological inflexibility and adolescents' engagement with upper secondary studies. The participants were 885 Finnish adolescents (mean age 15.74 at the outset) whose psychological inflexibility was measured with the short form of the Acceptance and Fusion Questionnaire for Youth (AFQ-Y8) in the fall of the final (ninth) grade of basic education. School engagement was measured as satisfaction with the educational track and as school dropout intentions, and they were measured twice in the first study year after the transition to upper secondary education. The results showed that high psychological inflexibility in t…

Virtual reality acceptance and commitment therapy intervention for social and public speaking anxiety : A randomized controlled trial

2023

Virtual reality (VR) offers new and flexible ways to provide psychological interventions. The aim of this study was to develop and investigate the effectiveness of a VR intervention based on acceptance and commitment therapy (ACT) for social and public speaking anxiety. ACT is a process-based approach that aims to (a) increase individuals’ abilities to handle difficult emotional and cognitive experiences and (b) develop the motivation required for change to occur. In this study, a sample of university students with social interaction or communication anxiety (N = 76; age M = 24.95, SD = 6.50, 69.7% females) was blindly randomized into a total of 2 h of VR ACT training (VRACT; n = 37) or a w…

ACT for sleep - Internet-delivered self-help ACT for sub-clinical and clinical insomnia : A randomized controlled trial

2019

Background: Sleep disturbances are a common health problem. New and more accessible alternatives are needed to improve the availability of psychological treatments for insomnia. - Objective: The aim of the present study was to investigate the effects of a self-help Acceptance and Commitment Therapy-based web-intervention for sleep disturbances. - Method: Participants (N = 86) reporting symptoms of insomnia were randomly assigned to an Internet-delivered ACT (iACT, n = 43) or a control condition (WLC, n = 40) and assessed with standardized self-report measures related to sleep (ISI, BNSQ, ESS, DBAS), psychological symptoms (BDI-II, SCL-90), life satisfaction, and ACT-related processes (AAQ-2…

In the shadow of COVID-19: A randomized controlled online ACT trial promoting adolescent psychological flexibility and self-compassion.

2023

Background Although some adolescents managed to cope well with the challenges brought on by the COVID-19 pandemic, the well-being of many was adversely affected due to school closures, distance education, restrictions on gathering with friends, and limited access to mental health services. Many adolescents reported increased anxiety and depression as well as decreased psychological wellbeing due to the pandemic. Consequently, there is a need for psychological support that exceeds the strained resources available to schools to support young people during times of crisis and societal pressure. Objective The present study aimed to explore the effects of an online-delivered ACT intervention to …

Feasibility of a personal health technology-based psychological intervention for men with stress and mood problems: Randomized controlled pilot trial

2013

BackgroundWork-related stress is a significant problem for both people and organizations. It may lead to mental illnesses such as anxiety and depression, resulting in increased work absences and disabilities. Scalable interventions to prevent and manage harmful stress can be delivered with the help of technology tools to support self-observations and skills training. ObjectiveThe aim of this study was to assess the feasibility of the P4Well intervention in treatment of stress-related psychological problems. P4Well is a novel intervention which combines modern psychotherapy (the cognitive behavioral therapy and the acceptance and commitment therapy) with personal health technologies to deliv…

The Roles of Adherence and Usage Activity in Adolescents' Intervention Gains During Brief Guided Online Acceptance and Commitment Therapy.

2022

OBJECTIVEThis study investigated the roles of adherence and usage activity in adolescents’ (n = 161) gains during a 5-week web intervention program based on acceptance and commitment therapy (ACT).METHODProgram adherence was calculated as adherence percentage in relation to intended usage, whereas completion percentage, usage time, and usage weeks were used as indicators for usage activity. Subjective well-being was measured by self-reported life satisfaction and stress before and after the intervention.RESULTSFirst, regression analysis results showed that higher adherence predicted an increase in life satisfaction during intervention. Second, three subgroups of adolescents were identified …

Temperament and symptoms of stress and depression among adolescents: The mediating role of psychological flexibility

2023

Abstract Background Early appearing temperamental differences and the psychological flexibility skills of individuals are proposed factors influencing stress and depression among adolescents. We test the theoretical assumption that temperament may form a basis for facing the outer world, while the development of psychological flexibility being another such basis and a mediator in well-being outcomes. Methods Using data on 740 adolescents (Mage = 15.7 years, 57% female) assessed at the beginning and end of the final grade of basic education, structural equation modeling (SEM) with mediation analysis was conducted to examine the associations between the key temperament dimensions, changes in …

Managing Depression through a Behavior Change Support System without Face-to-Face Therapy

2014

We present results from a study that examines impact of persuasive reminders and virtual rehearsal on the effectiveness of a Behavior Change Support System. Good Life Compass is a web-based BCSS aimed at supporting people with mild to moderate depression without face-to-face therapy. The content of virtual rehearsal were drawn from Acceptance and Commitment Therapy. Eligible participants were randomized into an intervention study and a control wait-list group. In this paper, both groups shall be reported as intervention group 1 and 2 respectively. For data collection, we employed semi-structured questionnaires and post-study interviews. As a result, participants acknowledged persuasive remi…

A concept to empower self-management of psychophysiological wellbeing: preliminary user study experiences.

2009

In prevention of chronic diseases, health promotion and early interventions based on self-management should be emphasized. Mental health problems and stress cause a significant portion of healthcare costs, and also complicate the management of other chronic conditions. In addition to physical health, psychophysiological and social wellbeing should be equally promoted. Thus, we have previously designed and reported the P4Well or Pervasive Personal and PsychoPhysiological management of WELLness concept for working-age citizens. The concept supports the stress and recovery management on a daily basis through improved health management strategies, and combines psychological methods with persona…

Supported Web-Based Acceptance and Commitment Therapy for Older Family Caregivers (CareACT) Compared to Usual Care

2021

Objectives: The objective of the present study was to investigate whether an acceptance and commitment therapy (ACT)-based web-intervention (Group 1, CareACT), or a standardized rehabilitation in a rehabilitation center (Group 2) was effective in enhancing the psychological well-being of family caregivers aged 60 and over compared to support provided by voluntary caregiver associations (Group 3). Methods: Altogether, 149 family caregivers participated in this quasi-experimental study. Primary outcome measure was depression. Secondary outcomes included anxiety, sense of coherence, quality of life, psychological flexibility, experiential avoidance, and thought suppression. The questionnaires …

Effects of an Online Acceptance and Commitment Therapy Intervention on Children’s Quality of Life

2022

AbstractThe present study examined if an Acceptance and Commitment Therapy (ACT)–based online intervention for parents had indirect effects on their children’s quality of life mediated by changes in parental well-being, psychological flexibility and mindfulness skills. Participants were 74 adults, who either received an ACT-based guided online intervention or were allocated to the wait list control group, and their children (n = 66) who had type 1 diabetes or functional disabilities. Structural equation modeling (SEM) and a bias-corrected bootstrap approach were applied to examine the indirect effects of the treatment on children’s quality of life through changes in parents’ well-being and …

Reducing Stress and Enhancing Academic Buoyancy among Adolescents Using a Brief Web-based Program Based on Acceptance and Commitment Therapy : A Rand…

2018

Acceptance and commitment therapy programs have rarely been used as preventive tools for alleviating stress and enhancing coping skills among adolescents. This randomized controlled trial examined the efficacy of a novel Finnish web- and mobile-delivered five-week intervention program called Youth COMPASS among a general sample of ninth-grade adolescents (n= 249, 49% females). The intervention group showed a small but significant decrease in overall stress (between-group Cohen’s d = 0.22) and an increase in academic buoyancy (d= 0.27). Academic skills did not influence the intervention gains, but the intervention gains were largest among high-stressed participants. The results suggest that …

Treating Sleep Disorders with an ACT-Based Behavior Change Support System

2017

Suitable duration and appropriate quality of sleep are essential for mental and cognitive wellbeing. Sleep disorders, whether mild or severe, have proven to have adverse effects on general wellbeing. One's quality of life could be disturbed as a consequence of various mental conditions, sleep disorders being one of them. Researchers have started paying attention to designing, implementing and evaluating eHealth interventions to address sleep disorders. In this chapter, we highlight findings from a field study that was conducted to evaluate effect of software features on a Web-based intervention for sleep disorders. Tyyne is a Web-based eHealth intervention that will be repeatedly mentioned …

Rehearsing to control depressive symptoms through a behavior change support system

2013

Depressive symptoms are generally coupled with distress and high treatment costs. We present our on-going research on a Web-based behavior change support system, which utilizes Acceptance and Commitment Therapy as a rehearsal tool. We present a summarized account of the research setting, studied persuasive software features, and a brief account of initial data analysis. Our work presents implications on design interventions for mental well-being and human-computer interaction.

Effectiveness of a web-based Acceptance and Commitment Therapy intervention for wellbeing of parents whose children have chronic conditions: A random…

2019

Effectiveness of a web-based acceptance and commitment therapy intervention for wellbeing of parents whose children have chronic conditions : A randomized controlled trial

EHealth Interventions for People Suffering From Sleep Problems and Depressive Symptoms

2017

This chapter highlights qualitative findings from two field studies that focused on supporting people with sleeplessness (Study 1) and moderate depression (Study II). Both the studies were designed to examine the prospective impact of reminders and rehearsal on the effectiveness of web- based eHealth interventions. The interventions were incorporated with Acceptance and Commitment Therapy. In this chapter, qualitative findings are reported with an aim to highlight issues that are at times overlooked. Further, the findings are expected to help researchers better understand eHealth interventions for mental health care. Results from the two studies uncover interesting contrasts. While the part…

Web-Based Acceptance and Commitment Therapy for Depressive Symptoms With Minimal Support : A Randomized Controlled Trial

2015

Low-intensity interventions for people suffering from depressive symptoms are highly desirable. The aim of the present study was to investigate the outcomes of a web-based acceptance and commitment therapy (ACT)–based intervention without face-to-face contact for people suffering from depressive symptoms. Participants ( N = 39) with depressive symptoms were randomly assigned to an Internet-delivered acceptance and commitment therapy (iACT) intervention or a waiting list control condition (WLC). Participants were evaluated with standardized self-reporting measures (Beck Depression Inventory [BDI-II], Symptom Checklist–90 [SCL-90], Acceptance and Action Questionnaire [AAQ-2], Five Facet Mind…

An online guided ACT intervention for enhancing the psychological wellbeing of university students: A randomized controlled clinical trial.

2015

Stress, anxiety and depression are relatively common problems among university students. This study examined whether an online psychological intervention aiming at enhancing the wellbeing of university students could be an effective and practical alternative for meeting the needs of a university population. University students (N = 68; 85% female; 19-32 years old) were randomly assigned to either a guided seven-week online Acceptance and Commitment Therapy (iACT) intervention or a waiting list control condition (WLC). A between-groups pre-post (iACT vs WLC) design with 12-month follow-up for the iACT participants was conducted. The intervention participants were offered two face-to-face mee…

The effectiveness of a five-session workshop on the distress of international students in Finland – a pilot study

2023

The mental health of international students has become a concern, as they face high levels of psychological distress. We designed a five-week acceptance and commitment therapy (ACT) workshop with two additional individual assessment meetings. The intervention aimed at helping international students attending a Finnish university to reduce their symptoms of stress, depression, and anxiety, and enhance skills of psychological flexibility. The post-assessment was conducted seven weeks after the pre-measurement. Using data from 53 participants, an evaluation indicated that statistically and clinically significant reductions in symptoms were observed, and the workshop was well received. Regressi…

Adolescents’ Stress and Depressive symptoms and Their Associations with Psychological Flexibility before Educational Transition

2023

Introduction: Relatively little is known about individual differences in adolescent psychological flexibility and its associations with symptoms of stress and depression. This study examined different profiles of adolescent stress and depressive symptoms and their associations with developing psychological flexibility before the critical educational transition. Methods: The data were derived from a general sample of 740 Finnish ninth-grade adolescents (Mage = 15.7 years, 57% female) who were assessed twice during the final grade of their basic education. The data were analyzed using growth mixture modeling. Results: Four profiles of stress and depressive symptoms were identified during a sc…

Usage activity, perceived usefulness, and satisfaction in a web-based acceptance and commitment therapy program among Finnish ninth-grade adolescents.

2020

Understanding adolescent usage activity and experiences in web-based psychological intervention programs helps in developing universal programs that can be adopted for promotion of adolescent well-being and prevention of mental health problems. This study examined the usage activity, perceived usefulness (i.e., learning of mindfulness, acceptance and value-related skills), and program satisfaction of 157 Finnish ninth-grade adolescents, who participated in a school-based five-week universal acceptance and commitment therapy web intervention called Youth Compass. Individual and growth environment-related antecedents were measured before the five-week intervention, adolescents' usage activity…

Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a prim…

2020

Abstract Aim: To explore what thoughts, feelings, and learning processes were involved in obese participants’ lifestyle change during an acceptance and commitment therapy (ACT) lifestyle intervention delivered in primary health care. Background: Previous studies have revealed that lifestyle interventions are effective at promoting initial weight loss, but reduced weight is often difficult to sustain because of the failure to maintain healthy lifestyle changes. Achieving and maintaining lifestyle changes requires to learn self-regulation skills. ACT-based lifestyle interventions combine many self-regulatory skill factors, and the results from previous studies are promising. Research on the i…

Digitaalisen Nuorten Kompassi plus -hyvinvointiohjelman soveltuvuus lukiolaisille

2022

Psyykkinen hyvinvointi on kulmakivi, johon nuoren oppiminen nojaa; hyvinvointi vaikuttaa merkittävättä tavalla nuoren opintosuoriutumiseen ja työelämävalmiuksien omaksumiseen. Tämä on tiedostettu nykyisessä lainsäädännössä, joka velvoittaa oppilaitoksia vahvistamaan opiskelijoiden hyvinvointia. Tarvitaan tutkittuja, vaikuttavia, helposti saatavilla olevia menetelmiä, jotta voidaan laaja-alaisesti tukea nuorten hyvinvointia erilaisista ammatillisista viitekehyksistä käsin. Jyväskylän yliopiston psykologian laitoksella on kehitetty tähän haasteeseen vastaava Nuorten Kompassi plus -hyvinvointiohjelma, joka perustuu hyväksyntä- ja tietoisuustaitojen harjoitteluun sekä arvotyöskentelyyn. Se toim…

Usage and Dose Response of a Mobile Acceptance and Commitment Therapy App: Secondary Analysis of the Intervention Arm of a Randomized Controlled Trial

2016

Background: Mobile phone apps offer a promising medium to deliver psychological interventions. A mobile app based on Acceptance and Commitment Therapy (ACT) was developed and studied in a randomized controlled trial (RCT). Objective: To study usage metrics of a mobile ACT intervention and dose-response relationship between usage and improvement in psychological flexibility. Methods: An RCT was conducted to investigate the effectiveness of different lifestyle interventions for overweight people with psychological stress. This paper presents a secondary analysis of the group that received an 8-week mobile ACT intervention. Most of the analyzed 74 participants were female (n=64, 86%). Their me…

A guided online ACT intervention may increase psychological well-being and support school engagement in adolescents

2023

Objective The aim of the present study was to investigate the extent to which initial levels and changes in ninth-grade adolescents' (n = 243) psychological well-being were associated with their school engagement after the transition to upper secondary education. In addition, we investigated whether a brief guided online acceptance and commitment therapy (ACT) intervention program delivered during ninth grade was associated with adolescents’ subsequent school engagement through changes in their psychological well-being. Method Latent growth modeling (LGM) was used to examine the levels of and changes in well-being during ninth grade. Next, school engagement (measured by school satisfaction …

"Mielimatka on ollut mieluisa matka": Yhdistelmäkuntoutus vs. perinteinen Silmu-kuntoutus mielenterveysongelmiin ja asiakkaiden kokemukset yhdistelmä…

2019

Hankkeen tavoitteena oli tutkia verkkopohjaisen, hyväksymis- ja omistautumisterapiamenetelmiin perustuvan yhdistelmämallin eli verkko-ohjelmasta ja kolmesta ryhmämuotoisesta kuntoutusjaksosta koostuvan kuntoutuksen vaikuttavuutta asiakkaiden mielenterveysoireiluun verrattuna Kelan Silmu-mielenterveyskuntoutukseen. Asiakkaat rekrytoitiin lehti-ilmoituksilla kesällä 2017. Tutkimus toteutettiin vuosien 2017–2019 aikana satunnaistetussa kontrolloidussa asetelmassa vertaamalla yhdistelmäkuntoutusryhmää (n = 32) ja perinteistä Silmu-kuntoutusryhmää (n = 27). Yhdistelmäkuntoutusryhmä sai 12 kuukauden kuntoutuksen, johon sisältyi 3 x 2 päivän lähijaksot Peurunka oy:n kuntoutuspalveluissa sekä verkk…

Effectiveness of a web-based acceptance and commitment therapy program for adolescent career preparation: A randomized controlled trial

2021

Abstract Acceptance and commitment therapy (ACT) programs have rarely been used as tools for promoting adolescents' career preparation. This randomized controlled trial examined the possibility to promote the career preparation of Finnish ninth-grade adolescents (n = 249, 49% females) with a web-based five-week ACT-based online intervention program. Participants were randomly assigned to three conditions, of which two groups received an iACT including support via SMS (iACTface: iACT+two face-to-face sessions; only iACT: iACT with no face-to-face sessions) and the third (control) group received no treatment. The results showed that career-related insecurity decreased as a result of the inter…

The role of thought suppression and psychological inflexibility in older family caregivers’ psychological symptoms and quality of life

2021

Abstract Background Family caregivers often report high levels of distress, including depressive symptoms, anxiety, and reduced quality of life. There is a need for a greater understanding of the factors influencing, explaining, and maintaining psychological distress in family caregivers. Aim The aim of this study was to examine whether avoidance strategies such as thought suppression (WBSI), psychological inflexibility (AAQ-II), and, and caregiver experiential avoidance (EACQ) predict psychological distress (BDI-II, GAD-7) and quality of life (WHOQOL) in family caregivers aged 60 and over. We hypothesized that these avoidance strategies would explain elevated levels of psychological sympto…

Can peer-tutored psychological flexibility training facilitate physical activity among adults with overweight?

2021

Objective An increase in psychological flexibility has been found to be associated with health behavior changes. Peer-led interventions have been advantageous in improving physical activity among individuals at health risk. This study aimed to discover whether an ACT-based peer-tutored online intervention can increase self-reported physical activity participation and psychological flexibility among adults with overweight. Design The study was a non-randomized longitudinal intervention study. The intervention participants (N = 177) were primary health care clients with overweight. They participated in a 24-month program provided by health services, including three online modules of ACT of si…

The Youth Compass -the effectiveness of an online acceptance and commitment therapy program to promote adolescent mental health: A randomized control…

2021

Abstract Purpose Mental health problems affect 10-20% of adolescents worldwide. Prevention and early interventions for promoting adolescent mental health are therefore warranted. The aim of this randomized controlled trial was to examine the effects of a 5-week web-intervention (Youth COMPASS) based on the principles of Acceptance and Commitment Therapy on adolescents’ depressive symptoms, life satisfaction and psychological flexibility. Methods The sample comprised 243 adolescents at the age of 15-16 years (51%females) from 15 lower secondary schools. Participants were randomly assigned to three groups of which two groups received an ACT-based online-intervention including support via What…

ACT Internet-based vs face-to-face? A randomized controlled trial of two ways to deliver Acceptance and Commitment Therapy for depressive symptoms: A…

2013

The aim of the present study was to investigate two interventions based on Acceptance and Commitment Therapy (ACT) for depressive symptoms: A face-to-face treatment (ACT group) was compared to a guided self-help treatment delivered via the Internet consisting of two assessment sessions (pre and post) and an ACT-based Internet program (iACT). Outpatients experiencing at least mild depressive symptoms were randomized to either approach. The iACT treatment group received access to an ACT-based Internet program and supportive web-based contact over a period of 6 weeks. The face-to-face group received ACT-based treatment once a week over the same period of time. In both groups, the results showe…

Museossa oppiminen : koulun ja museon yhteistyö luokanopettajien, oppilaiden ja museotyöntekijöiden kokemana

2005

CareACT - internet-based intervention for enhancing the psychological well-being of elderly caregivers – a study protocol of a controlled trial

2019

Abstract Background The rapid increase in the number of elderly family caregivers underlines the need for new support systems. Internet-delivered psychological interventions are a potential approach, as they are easy to access for family caregivers who are often homebound with their care recipient. This study examines the relative effectiveness of an internet-based acceptance and commitment therapy (ACT) intervention or a standardized institutional rehabilitation program, first, in reducing depressive symptoms, and second, in improving the well-being and quality of life of elderly family caregivers compared to a control group receiving support from voluntary family caregiver associations. M…

Supporting parents of children with chronic conditions: A randomized controlled trial of web-based and self-help ACT interventions

2021

Objective Many parents of children with chronic conditions and developmental disabilities experience high rates of burnout and psychological distress. The aim of the current study was to examine the effects of two differently delivered interventions based on acceptance and commitment therapy (ACT) on symptoms of burnout, depression, quality of life, psychological flexibility, and mindfulness skills. Method A total of 110 parents of children aged 0.8 to 17 years with chronic conditions and developmental disabilities participated in a randomized controlled trial lasting 13 weeks with two intervention groups: (1) an iACT intervention, including three psychologist-led video conferencing session…

Effectiveness of a web-based acceptance and commitment therapy program for adolescent career preparation : A randomized controlled trial

2021

Acceptance and commitment therapy (ACT) programs have rarely been used as tools for promoting adolescents' career preparation. This randomized controlled trial examined the possibility to promote the career preparation of Finnish ninth-grade adolescents (n = 249, 49% females) with a web-based five-week ACT-based online intervention program. Participants were randomly assigned to three conditions, of which two groups received an iACT including support via SMS (iACTface: iACT+two face-to-face sessions; only iACT: iACT with no face-to-face sessions) and the third (control) group received no treatment. The results showed that career-related insecurity decreased as a result of the intervention i…

Mediators of change in online acceptance and commitment therapy for psychological symptoms of parents of children with chronic conditions : An invest…

2020

Highlights: Parents of children with chronic conditions can benefit from an ACT web intervention. Cognitive defusion and acting with awareness mediated effects on psychological symptoms. General psychological flexibility did not mediate effects on outcomes. Improving mindfulness skills aid in optimizing treatment effects in online interventions. peerReviewed

Act, accept and be mindful : evaluation of three technology- and internet-delivered psychological interventions for mood and well-being

2015

Nuorten KOMPASSI näyttää tietä, kun stressi käy liian kovaksi

2019

Psychological inflexibility explains distress in parents whose children have chronic conditions

2018

Experiential avoidance, cognitive defusion, and mindfulness have all been associated with psychological disorders and well-being. This study investigates whether they predict psychological distress, i.e., symptoms of burnout, depression, stress and anxiety, in parents of children with chronic conditions. We hypothesized that these factors would exhibit a large degree of common variance, and that when compared to mindfulness and defusion, experiential avoidance on its own would predict a larger proportion of unique variance. 75 parents of children with chronic conditions having burnout symptoms who participated in an intervention study completed measures of burnout, stress, anxiety, depressi…

Kokemustieto yhteiskehittämisessä : hyppy asiakaslähtöisyyteen terveyspalveluissa

2021

Psychological Processes in the Social Interaction and Communication Anxiety of University Students : The Role of Self-Compassion and Psychological Fl…

2022

University students often experience difficulties in social interactions. The current study examined the role of self-compassion and psychological flexibility among university students (N= 76) reporting high levels of social interaction and communication anxiety. We observed that high social interaction (SIAS) and communication anxiety (PRCA-24) were associated with low levels of self-compassion and psychological flexibility. Upon further investigating the specific predictors for social interaction and communication anxiety, we found that self-judgment, over-identification and openness to experiences were the key components in self-compassion and psychological flexibility, respectively. How…

"Ei tää hullumpi ole" : yli 60-vuotiaiden omaishoitajien etäkuntoutuksen vaikuttavuus ja kuntoutujien kokemukset

2019

Hankkeen tavoitteena oli tutkia verkkopohjaisen, hyväksymis- ja omistautumisterapiamenetelmiin perustuvan etäkuntoutusohjelman vaikutuksia yli 60-vuotiaiden omaishoitajien psyykkiseen hyvinvointiin. Hanke toteutettiin näennäiskokeellisessa asetelmassa vertaamalla keskenään ryhmiä, joista yksi osallistui 12 viikon etäkuntoutusohjelmaan (n = 60), yksi omaishoitajien laitoskuntoutukseen (n = 52) ja yksi omaishoitoyhdistysten tarjoamiin toimintoihin (n = 39). Omaishoitajien psyykkistä hyvinvointia arvioitiin tutkimuksen alussa, etäkuntoutusohjelman jälkeen 4 kuukauden välimittauksissa sekä 10 kuukauden kuluttua tutkimuksen alusta. Tässä artikkelissa raportoidaan tuloksia ja kokemuksia hankkeen …