, Volume 4, Issue 2, pp 113–121 | Cite as

A Controlled Pilot Evaluation of Acceptance and Commitment Training for Intellectual Disability Staff

  • J. Scott BethayEmail author
  • Kelly G. Wilson
  • Lindsay W. Schnetzer
  • Stephanie L. Nassar
  • Michael J. Bordieri
Original Paper


The present study pilot tested a mindfulness and acceptance-based work stress reduction intervention for intellectual disability staff. The intervention combined Acceptance and Commitment Training (ACT) with instruction in applied behavior analysis. This combined intervention was compared to a control condition consisting of applied behavior analysis training only. Considering both distressed and nondistressed participants, between-group differences were observed only for participants who reported that they had been consistently applying the techniques they had learned. In addition, ACT group participants with higher levels of psychological distress at pretest showed greater reductions in psychological distress from pretest to follow-up when compared to their control group counterparts. A concurrent decrease in the believability of burnout-related thoughts was observed in the ACT group from pretest to follow-up, relative to the control group. These results support and extend previous research on ACT interventions for intellectual disability staff.


Acceptance ACT Burnout Staff Stress 


  1. Bach, P., & Hayes, S. C. (2002). The use of Acceptance and Commitment Therapy to prevent the rehospitalization of psychotic patients: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 70(5), 1129–1139.PubMedCrossRefGoogle Scholar
  2. Bethay, J. S., Wilson, K. G., & Moyer, K. H. (2009). Acceptance and commitment therapy training for work stress and burnout in mental health direct care providers. In J. T. Blackledge, J. Ciarrochi, & F. P. Deane (Eds.), Acceptance and commitment therapy: contemporary theory, research, and practice (pp. 223–246). Bowen Hills: Australian Academic Press.Google Scholar
  3. Blackledge, J. T., & Hayes, S. C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child and Family Behavior Therapy, 28(1), 1–18.CrossRefGoogle Scholar
  4. Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88(6), 1057–1067.PubMedCrossRefGoogle Scholar
  5. Bond, F. W., & Hayes, S. C. (2002). ACT at work. In F. W. Bond & W. Dryden (Eds.), Handbook of brief cognitive behavior therapy (pp. 117–139). New York: Wiley.CrossRefGoogle Scholar
  6. Bond, F. W., Hayes, S. C., & Barnes-Holmes, D. (2006). Psychological flexibility, ACT, and organizational behavior. Journal of Organizational Behavior Management, 26(1/2), 25–54.CrossRefGoogle Scholar
  7. Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. C., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological flexibility and acceptance. Behavior Therapy, 42, 676–688.PubMedCrossRefGoogle Scholar
  8. Devereux, J. M., Hastings, R. P., Noone, S. J., Firth, A., & Totsika, V. (2009). Social support and coping as mediators or moderators of the impact of work stressors on burnout in intellectual disability support staff. Research in Developmental Disabilities, 30, 367–377.PubMedCrossRefGoogle Scholar
  9. Gardner, B., Rose, J., Mason, O., Tyler, P., & Cushway, D. (2005). Cognitive therapy and behavioral coping in the management of work-related stress: an intervention study. Work and Stress, 19(2), 137–152.CrossRefGoogle Scholar
  10. Goldberg, D. P. (1978). Manual of the general health questionnaire. Windsor: National Foundation for Educational Research.Google Scholar
  11. Goldberg, D. P., Gater, R., Sartorius, N., Ustun, T. B., Piccinelli, M., Gureje, O., et al. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27, 191–197.PubMedCrossRefGoogle Scholar
  12. Hastings, R. P., & Brown, T. (2002). Behavioral knowledge, causal beliefs, and self-efficacy as predictors of special educators' emotional reactions to challenging behaviors. Journal of Intellectual Disability Research, 46(2), 144–150.PubMedCrossRefGoogle Scholar
  13. Hastings, R. P., Horne, S., & Mitchell, G. (2004). Burnout in direct care staff in intellectual disability services: a factor analytic study of the Maslach Burnout Inventory. Journal of Intellectual Disability Research, 48(3), 268–273.PubMedCrossRefGoogle Scholar
  14. Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press.Google Scholar
  15. Hayes, S. C., Bissett, R., Roget, N., Padilla, M., Kohlenberg, B. S., Fisher, G., et al. (2004). The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors. Behavior Therapy, 35, 821–835.CrossRefGoogle Scholar
  16. Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behavior Research and Therapy, 44, 1–25.CrossRefGoogle Scholar
  17. Keyes, J. B., & Dean, S. F. (1988). Stress inoculation training for direct contact staff working with mentally retarded persons. Behavioral Residential Treatment, 3, 315–323.Google Scholar
  18. Lawson, D. A., & O'Brien, R. M. (1994). Behavioral and self-report measures of burnout in developmental disabilities. Journal of Organizational Behavior Management, 14, 37–54.CrossRefGoogle Scholar
  19. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). The Maslach Burnout Inventory manual (3rd ed.). Palo Alto: Consulting Psychologists Press.Google Scholar
  20. Miller, K. (2005). Principles of everyday behavior analysis. Monterey: Brooks/Cole.Google Scholar
  21. Noone, S. J., & Hastings, R. P. (2009). Building psychological resilience in support staff: pilot evaluation of an acceptance-based intervention. Journal of Intellectual Disabilities, 13(1), 43–53.PubMedCrossRefGoogle Scholar
  22. Noone, S. J., & Hastings, R. P. (2010). Using acceptance and mindfulness-based workshops with support staff caring for adults with intellectual disabilities. Mindfulness, 1, 67–73.CrossRefGoogle Scholar
  23. Noone, S. J., & Hastings, R. P. (2011). Values and psychological acceptance as correlates of burnout in support staff working with adults with intellectual disabilities. Journal of Mental Health Research in Intellectual Disabilities, 4, 79–89.CrossRefGoogle Scholar
  24. Rose, J., Jones, F., & Fletcher, C. B. (1998a). Investigating the relationship between stress and worker behavior. Journal of Intellectual Disability Research, 42, 163–172.PubMedCrossRefGoogle Scholar
  25. Rose, J., Jones, F., & Fletcher, C. B. (1998b). The impact of a stress management program on staff well-being and performance at work. Work and Stress, 12, 112–124.CrossRefGoogle Scholar
  26. Singh, N., Lancioni, G. E., Winton, A., Curtis, W. J., Wahler, R. G., Sabaawi, M., et al. (2006). Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities, 27, 545–558.PubMedCrossRefGoogle Scholar
  27. Skirrow, P., & Hatton, C. (2007). Burnout amongst direct care workers in services for adults with intellectual disabilities: a systematic review of research findings and initial normative data. Journal of Applied Research in Intellectual Disabilities, 20, 131–144.CrossRefGoogle Scholar
  28. Tabachnick, B. G., & Fidel, L. S. (1996). Using multivariate statistics. New England: Harper Collins.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • J. Scott Bethay
    • 1
    Email author
  • Kelly G. Wilson
    • 1
  • Lindsay W. Schnetzer
    • 1
  • Stephanie L. Nassar
    • 1
  • Michael J. Bordieri
    • 1
  1. 1.Department of PsychologyUniversity of MississippiUniversityUSA

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