Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

A changed reality: Experience of an acceptance and commitment therapy (ACT) group after stroke

Large, Rebecca, Samuel, Victoria and Morris, Reg 2020. A changed reality: Experience of an acceptance and commitment therapy (ACT) group after stroke. Neuropsychological Rehabilitation 30 (8) , pp. 1477-1496. 10.1080/09602011.2019.1589531

PDF - Accepted Post-Print Version
Download (600kB) | Preview


Copious research on the utility of Acceptance and Commitment Therapy (ACT) in long-term conditions has demonstrated promising results. However, little research has been conducted on ACT within stroke, particularly studies that are qualitative in nature. The aim of this paper was to gain insight into stroke survivors’ experiences of ACT and to explore what processes help facilitate adjustment in living with residual disability. Interviews with thirteen stroke survivors following their attendance at a stroke-adapted ACT group were analysed using a grounded theory approach. Stroke survivors varied in age, severity of stroke, limitations and duration since stroke. Interviews revealed a main difficulty of “accepting a changed reality” following stroke. Survivors’ narratives regarding their experiences of ACT revealed insight into which processes helped facilitate movement towards accepting symptoms and a changed reality and into helpful and less helpful aspects of the intervention. Stroke survivors find ACT helpful in adjusting to stroke limitations. ACT appears to have potential as a psychological intervention for stroke survivors experiencing psychological distress. Amendments to the format of the intervention to enhance the impact of ACT impact are identified.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Publisher: Taylor & Francis
ISSN: 0960-2011
Date of First Compliant Deposit: 16 April 2019
Date of Acceptance: 27 February 2019
Last Modified: 27 Nov 2020 01:55

Actions (repository staff only)

Edit Item Edit Item


Downloads per month over past year

View more statistics