The current study aims to conduct a comprehensive evaluation of a training curriculum designed for teaching low-intensity psychological interventions to bachelor's degree holders, specifically focusing on principles of Acceptance and Commitment Therapy (ACT) and its intervention effectiveness. This evaluation is divided into two integral parts. In the first part, the curriculum, which encompasses a 120-hour intensive teaching block followed by a nine-month placement, will be evaluated. To assess the trainees' competencies in applying the principles of ACT, a series of role-play examinations will be administered at various time points, including pre-training, pre-placement, mid-placement, and end-of-placement. Focus groups will be conducted. The second part of the evaluation is to examine the outcomes of low-intensity psychological interventions, delivered by the trainees, targeting adult individuals screened with mild to severe symptoms of depression and anxiety. To achieve this, a series of questionnaires will be administered at several stages: pre-intervention, during each session, and at a three-month follow-up. Outcome measures will include the assessment of depressive and anxiety symptom severity, quality of life, functional impairment, therapeutic alliance, and the level of experiential avoidance. Individual exit interviews and focus groups will be conducted. The aim of the study: 1. To evaluate the effectiveness of the training program 2. To evaluate the effectiveness of the low-intensity psychological intervention based on the Acceptance and Commitment Therapy (ACT) principle Hypotheses: It is hypothesised that the competency level of the training participants will increase after the intensive training block and the placement. It is also hypothesised that after receiving the low-intensity psychological intervention based on the ACT principle, the depression and anxiety scores, functioning impairment, and experiential avoidance level will reduce, and quality of life and therapeutic relationship will improve.
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ACT Fidelity Measure (ACT-FM)
Timeframe: Pre-training, post-training (2nd month), during mid-placement review (6th month), and during end-of-placement (11th month)
Enhancing Assessment of Common Therapeutic Factors (ENACT) scale
Timeframe: Pre-training, post-training (2nd month), during mid-placement review (6th month), and during end-of-placement (11th month)
Patient Health Questionnaire-9 (PHQ-9)
Timeframe: 1) During clients' enrolment 2) before intake interview (week 0) 3) weekly from session 1 to session 6, and 4) before follow-up (week 12).
Generalised Anxiety Disorder Assessment (GAD-7)
Timeframe: During clients' enrolment 2) before intake interview (week 0), weekly from session 1 to session 6, and before follow-up (week 12).
The Work and Social Adjustment Scale (WSAS)
Timeframe: Before intake interview (week 0), after session 6 (week 6), and before follow-up (week 12).
The World Health Organisation - Five Well-Being Index (WHO-5)
Timeframe: Before intake interview (week 0), after session 6 (week 6), and before follow-up (week 12).