Effects of online group counseling based on acceptance and commitment therapy on resilience quotient among people with long COVID-19
Keywords:
acceptance and commitment therapy, counseling, Long COVID, resilienceAbstract
Objective: To study the effects of online group counseling based on acceptance and commitment therapy (ACT) on the resilience among people with long COVID-19 and their perspectives on life and resilience after participating in the program.
Methods: A quasi-experimental research was conducted among 20 participants with long COVID-19. The experimental group (n = 10) received eight sessions of online group counseling based on ACT. The control group received an online course on the concept of ACT without group sessions. Resilience before and after the program in both groups was evaluated using the Connor-Davidson Resilience Scale 10. The experimental group was interviewed on their perspectives and changes after participating in the program. Data were analyzed using descriptive statistics, independent t-test, dependent t-test, and content analysis.
Results: Before the experiment, the resilience scores between groups were not different. After the experiment, the resilience score of the experimental group was significantly higher than that of the control group (mean difference = 3.90, p = .024), with a large effect size (Cohen’s d = 1.10). In the experimental group, all domains of resilience score after the experiment were significantly higher than before the experiment; flexibility (mean difference = 1.20, p = .005), self-efficacy (mean difference = 3.50, p = .035), emotional regulation (mean difference = 1.20, p < .001), optimism (mean difference = 2.67, p = .015), and cognitive focus (mean difference = 0.60, p = .005). The experimental group reported that they developed perspectives and changes consistent with the concept of resilience and ACT.
Conclusion: Online group counseling based on ACT can improve the resilience among those who have experienced long COVID-19 symptoms.
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