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IRCT20200113046118N1 IRCT 2020-02-11 Salman Farsi University of Kazerun The Effectiveness of Acceptance and Commitment Therapy for Reducing Interference and improving Verbal and Visual Working Memory in Patients with Multiple Sclerosis The Effectiveness of Acceptance and Commitment Therapy for Reducing Interference and improving Verbal and Visual Working Memory in Patients with Multiple Sclerosis 2018-04-21 anticipated 40 Complete https://irct.ir/trial/45234 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Simple individual randomization with random number table that create one- digit column in the random number table, by the size of population, and then units are randomly selected. Finally, any number smaller than or equal to the size of the population was considered as the sample of choice. Also, by using sequentially numbered opaque sealed envelopes (SNOSE). according to the order of entry of eligible participants, one of the envelopes was opened sequentially and their assigned group was identified. N/A Multiple Sclerosis. Intervention 1: The intervention was acceptance and commitment therapy for Multiple sclerosis. The experimental group according to the model adapted from ACT’s six-session protocol for chronic illness in the form of 120-minute sessions once a week and the control group received no therapeutic intervention. Following the completion of the sessions, both groups were given a post-test. At the end of the sessions, post-test was performed on both groups. The main content of the intervention was psychoeducation about MS’s thoughts, emotions and behavior, avoidance, relaxation via mindfulness and cognitive restructuring (e.g. Introducing values by purpose, Cognitive Fusion, Problem-solving strategies, Establishing effective relationships to valuable life, Identify obstacles in the path of values and The practice of conscious acceptance ). The practice of each session was reviewed via whatsapp for the group between the sessions. Intervention 2: Control group: The control group did not receive any treatment during the treatment period, but after running the post-test the control and groups received therapy in one session. No - There is not a plan to make this available Justification or reason for not sharing IPD is The data is not important for release, but the result obtained from the data is important and release
public Maryam Davoodi
Babune Avenue, alley 6, Davoodi’s house
Kazerun Iran (Islamic Republic of) 7315654486 +98 71 4225 2956 Dr.s.davoodi2010562@gmail.com Salman Farsi University of Kazerun scientific Maryam Davoodi
Babune Avenue, alley 6, Davoodi’s house
Kazerun Iran (Islamic Republic of) 7315654486 +98 71 4225 2956 Dr.s.davoodi2010562@gmail.com Salman Farsi University of Kazerun Iran (Islamic Republic of) The participants were selected with regard to the inclusion having a history of the disease for over 3 years and being diagnosed with mild Ms no limit no limit Both not having addiction not having cancer not having epilepsy not having renal failure not having heart disease not having major psychological problems such as psychosis G35 Multiple sclerosis Other Other The intervention was acceptance and commitment therapy for Multiple sclerosis. The experimental group according to the model adapted from ACT’s six-session protocol for chronic illness in the form of 120-minute sessions once a week and the control group received no therapeutic intervention. Following the completion of the sessions, both groups were given a post-test. At the end of the sessions, post-test was performed on both groups. The main content of the intervention was psychoeducation about MS’s thoughts, emotions and behavior, avoidance, relaxation via mindfulness and cognitive restructuring (e.g. Introducing values by purpose, Cognitive Fusion, Problem-solving strategies, Establishing effective relationships to valuable life, Identify obstacles in the path of values and The practice of conscious acceptance ). The practice of each session was reviewed via whatsapp for the group between the sessions. Control group: The control group did not receive any treatment during the treatment period, but after running the post-test the control and groups received therapy in one session. Interference is the relative processing speed, which is most simply argued as the fact that faster processes can affect slower ones, but the opposite is not true. Timepoint: The evalution of this variable was when patient only receive drug therapy and didn't receive psychological. Method of measurement: Computerized Stroop Test evaluates the capacity to attend to specific characteristics of a stimulus, ignoring characteristics irrelevant to the task. In this test, 48 matching and 48 mismatching colored words (red, blue, yellow and green) were shown to the subjects. The term matching words refers to the words whose color and name are the same, and mismatching words refer to those whose color and name are different. A total of 96 words were randomly and sequentially presented. The subjects were asked to say each word’s color, regardless of its meaning. Each stimulus was shown on the screen for two seconds, and the stimuli were presented at the intervals of 800 milliseconds. According to the researchers, the mismatching color-word task (second phase of the experiment) measured interference. The degree of interference was obtained by subtracting the number of correct mismatching words from that of correct matching ones. Working memory resources include verbal and visual working memory. Visual memory plays a key role in the formation and manipulation of mental images. On the other hand, verbal memory covers the phonological loop. The verbal information provided verbally enters the phonological loop directly, immediately and automatically, and is stored phonologically for a short time. Timepoint: The evalution of this variable was when patient only receive drug therapy and didn't receive psychological. Method of measurement: Wechsler Memory Scale - Third Edition (WMS-III) has 18 subscales (11 primaries and 7 optional subscales), and 8 scores are obtained from the 11 primary subscales. In this research, only two subscales were used to measure verbal and visual working memory. Visual Memory Subscale is a visual rehabilitation test, in which the subject is asked to use his/her memory to draw the simple shapes provided to him/her for 10 seconds. The total scores of forward and reverse digit span subtest were also used to measure verbal working memory. Maryam Davoodi Approved 2020-01-11 Islamic Azad University of Kazerun 5 km Kazeroon- Bushehr road Kazerun Fars Iran (Islamic Republic of)