Behavior Change Process Research Articles

The Application of Self-Determination Theory in Psychological Counseling Process

Self Determination Theory (SDT) is an important theoretical framework used in psychological counseling to increase intrinsic motivation, strengthen psychological well-being and support behavioural changes. This study examines the applications and effects of SDT in psychological counseling in detail. Deci and Ryan SDT focuses on the needs for autonomy, competence and relatedness to increase the intrinsic motivation of individuals. Meeting these basic needs has positive effects on the psychological well-being of clients. SDT applications in psychological counseling stand out with their effectiveness in increasing client engagement and commitment to therapy. The autonomy-supportive approaches of SDT encourage clients to participate more actively in the therapy processes, which positively affects therapeutic outcomes. Research shows that SDT increases clients' intrinsic motivation and this motivation leads to high success rates in therapeutic processes. In the study, the application examples and case studies section shows how SDT is applied in various therapeutic contexts and what results it yields. The case studies illustrate how SDT supports clients' psychological well-being and is effective in behavioural change processes. Clinical research and meta-analyses provide important findings supporting the general validity and effectiveness of SDT. In conclusion, SDT is an effective approach in psychological counseling to increase clients' intrinsic motivation, strengthen their psychological well-being and support long-term changes.

Knowledge gaps and opportunities for conservation with orchid collectors in Vietnam

AbstractUnsustainable harvesting of orchid species is a critical, global threat to orchid diversity and abundance, fueled by domestic and global demand. However, drivers of demand continue to be under‐explored, despite opportunities for proactive engagement and/or behavior change strategies with and/or directed at orchid collectors. In this study, we surveyed self‐identified Vietnamese orchid collectors, some of whom were also known to engage in wild harvesting of endangered species, to understand sociological dimensions including motivations, knowledge, attitudes, behaviors, and conservation ethos. We found that knowledge about domestic and international regulations was low, and that orchid collectors were likely to believe that Vietnam has plenty of orchids left in the wild. Orchid collectors were highly willing to share their expertise and collections with international NGOs, and receive advice on propagation of orchid species. Through Bayesian logistic regression, we found no statistically significant influence of demographic attributes on the behavior of harvesting from the wild; however, having access to propagation equipment and supplies increased the likelihood of wild harvest. Accurate knowledge (awareness) is a key first step in the behavior change process. We suggest the implementation of awareness‐raising campaigns targeted at Vietnamese orchid collectors, which communicate domestic and international restrictions about orchid harvest and trade, as well as the known status of orchid species in the wild. Additionally, we suggest that an opportunity exists to recruit Vietnamese orchid collectors into a formal network for knowledge‐sharing and the co‐creation of sustainable guidelines around keeping and propagating orchids.Abstract in Vietnamese is available with online material.

Evaluating the Let's Move It intervention programme theory for adolescents' physical activity: Theorized psychosocial mechanisms of behavioural changes.

Behaviour change theories have extensively been used in health behaviour change interventions and their programme theories. However, they are rarely evaluated in randomized field studies. The Let's Move It intervention targeted various psychosocial constructs to increase adolescents' physical activity. A theory-based process evaluation aiming to illuminate the trial findings as well as to test the programme theory used is conducted. Specifically, we investigate whether the intervention influenced the theorized determinants of change immediately post-intervention and after 1 year, and whether these determinants were associated with changes in physical activity. A cluster-randomized controlled trial (n = 1166). We measured theorized determinants with self-report, and physical activity (PA) with accelerometry and self-report. The effects are evaluated with repeated measures ANOVA and regression models. No changes were detected in most theorized determinants but intervention arm reported higher enactment of behaviour change techniques used during intervention immediately post-intervention and lower descriptive norms for PA throughout. Autonomous motivation was associated with PA immediately post-intervention. The lack of intervention effects may be due to many factors, for example insensitive measures, ceiling effects. However, reporting these null effects advances understanding of behaviour change processes. We introduce methodologic possibilities for future intervention programme theory evaluation efforts.

Effectiveness of Health Behaviour Modification for Chronic Non-communicable Disease Patients with Health Coaches at Khiensa Hospital, Surat Thani Province

Background: Patients with chronic noncommunicable diseases often struggle to control their blood sugar and blood pressure levels, and they frequently experienced physical, mental, and self-care practice issues that needed to be addressed. However, they may not receive adequate guidance, or the guidance they receive may be mismatched to their needs, or they may be misunderstandings between providers and patients. Therefore, medical treatment alone is insufficient; lifestyle and behavioural changes are also required throughout treatment. Objectives: This quasi-experimental study aimed to investigate the effectiveness of health behaviour modification for chronic non-communicable disease patients through health coaching at Khiensa Hospital, Surat Thani Province. Methods: The study included 550 participants who underwent a three-month health behaviour change process for patients with chronic non-communicable diseases. Each group of ten participants was supervised by a single health coach. Health literacy, health behaviour modification, and blood sugar levels were assessed before and after participating in the process using structured questionnaires. The data were analyzed by using a paired t-test to compare the mean scores of the effectiveness of health behaviour modification for chronic non-communicable disease patients through health coaching using STATA. Result: The results showed that the average health literacy scores related to chronic noncommunicable diseases increased significantly from 162.0 to 170.2 after intervention. Similarly, the average health behaviour modification scores increased significantly from 51.4 to 55.1. Furthermore, average blood sugar levels decreased from 114.1 mg/dl to 109.2 mg/dl. Our statistical analysis revealed that the significant differences in the average scores of health literacy, health behaviour modification, and blood sugar levels before and after participating in the process (t=170.3, 151.6, and 95.0, respectively, p<0.001). Conclusion: The Ministry of Public Health should develop policies to support and prioritize holistic patient care and promote proactive health promotion services for patients through intensive health promotion program activities led by health coaches to enhance the effectiveness of care for chronic non-communicable disease patients.

Leveraging critical literacy on social media interaction in acculturation

AbstractAcculturation is the process of psychological and behavioral change that individuals go through during and after intercultural contacts. Social media have become a major space for cross‐cultural encounters, and are important venues of socialization for marginalized populations. Intercultural encounters on social media may benefit or detriment the acculturation process, and how marginalized populations make sense of their social media experience is pivotal in this respect. Nonetheless, there is a scarcity of research that examines non‐dominant ethnic groups' meaning‐making of and digital literacy practices on social media and how these practices relate to acculturation. To fill this research gap, this study collected data through semi‐structured interviews with 44 non‐dominant ethnic adolescents in Hong Kong. Through the theoretical lens of critical literacy, this study revealed various facets of literacy practices in which these underrepresented adolescents engaged and found that these practices, and the lack thereof, moderated their acculturation process on and beyond social media platforms. The findings suggest that critical digital literacy on social media interaction is critical to non‐dominant ethnic groups' acculturation process.

Fear of Fat, Processes of Change, and Weight-Related Behaviors in Mexican and Spanish Adolescents.

Fear of fat is a relevant variable in initiating weight regulation behaviors in adolescents. However, little is known about the experiential and behavioral change processes that mediate the choice between healthy and unhealthy weight regulation behaviors in this population. The general objective was to examine the predictive role of fear of fat on weight-related behaviors (healthy and unhealthy weight control behaviors) through the mediation of experiential and behavioral change processes (consciousness raising, counterconditioning, helping relationships, reinforcement management, self-liberation, self-reevaluation, stimulus control, substance use) in 838 adolescents aged 15-19 years from Mexico and Spain using parallel mediation analysis. Additionally, the study examined the correlations between the variables with regard to gender and country, as well as the differences in the use of processes of change across stages of change through the use of a multivariate analysis of variance. The Spanish version of the Fear of Fat, Stages of Change, Processes of Change, and Weight-Related Behaviors scales were used. The mediation analysis showed that fear of fat predicted healthy weight control behaviors through consciousness raising, self-liberation, and stimulus control. On the other hand, fear of fat predicted unhealthy weight control behaviors through counterconditioning, stimulus control, and the use of weight loss substances. Intervening to reduce fear of fat may be a way to modify the processes of change used by adolescents to regulate their weight. The results of this study indicate that adolescents may initiate weight control behaviors as a result of fear of fat. This process is mediated by experiential and behavioral processes that influence weight regulation.

A healthy lifestyle persuasive design model based on behavioral analysis

In real life, people are often affected by personal, environmental and other conditions, and cannot maintain a healthy life well. In order to explore the reasons behind these behaviors, this paper discusses how to help people form a healthy lifestyle from the perspective of persuasive design, this paper starts with the analysis of people's health related behavior theories, and through the three steps of literature review, questionnaire and follow-up survey. Through in-depth analysis, points out that the factors affecting healthy lifestyle are composed of three parts: the factors that influence behavior, motivation for the behavior and environment support, these factors can be divided into controllable factors and uncontrollable factors, the controllable factors can be interfered with and changed through scientific persuasive process. Then, based on the three elements of Fogg Behavioral Model, the persuasive process and the persuasive strategies in the design were deeply studied, the persuasive process and the behavior change process were combined, the correlation between the two was found, and the persuasive strategies should be adopted in the four stages of motivation, preparation, action, and maintenance were proposed. Finally, build a persuasive model of a healthy lifestyle. This model points out the four stages and influencing factors of the formation of a healthy lifestyle, provides design strategies for each stage, and provides targeted guidance and suggestions for designers.

The strongest predictors of compliance with health protocols among marketers and guilds based on the transtheoretical model

BackgroundGlobal communication, an integral part of modern life, increases the risk of transmitting infectious diseases to individuals. Based on the transtheoretical model (TTM), this study aimed to identify the most effective factors in adherence to health protocols among marketers and guilds.MethodsThis cross-sectional study was conducted among 400 market sellers and guilds of Ardabil City, Iran, in 2023. The TTM questionnaire was distributed among the participants which included four sub-constructs: (1) stages of change, (2) process of change, (3) self-efficacy, and (4) decisional balance. The data were analyzed using SPSS version 20. One-way ANOVA and linear regression tests were employed to evaluate the prediction of effective factors of the stage transition.ResultsMost participants (63.5%) were between 21 and 40. Most participants (65.5%) were in the passive stages of change (precontemplation, contemplation, and preparation). Pros (β = 0.133, P < 0.001) and behavioral processes of change (β = 0.058, P < 0.001) were the strongest predictors of the stage of change or improvement of stages of participants’ willingness to follow health protocols.ConclusionA correct understanding of the stages of behavior change can strengthen strategies for promoting healthy behaviors. Also, understanding the benefits of healthy behavior means compliance with health protocols and behavioral processes such as stimulus control, reinforcement management, counterconditioning, and self-liberation, along with high self-efficacy, have an impact on improving the stages of behavior change.

Dasar Keilmuan Bimbingan Konseling dalam Perspektif Filsafat Ilmu (Ontologi, Epistimologi dan Aksiologi dalam Bimbingan Konseling)

This research aims to explore the scientific foundation of counseling guidance from the perspective of the philosophy of science, focusing on three main aspects: ontology, epistemology, and axiology. In the ontology study, this research analyzes the nature and existence of entities that are the objects of counseling guidance, such as individuals, psychological issues, and the process of behavioral change. Epistemology in counseling guidance examines how knowledge about counseling is acquired, validated, and applied, encompassing the scientific approaches, theories, and practices used by counselors. The axiological aspect examines the ethical values and objectives underlying the practice of counseling guidance, including the role of moral values, professional ethics, and the social impact of counseling. This research uses a qualitative approach with literature analysis as the main method. The results indicate that the scientific foundation of counseling guidance is greatly influenced by an ontological understanding of humans as complex and dynamic beings, an interdisciplinary epistemological approach, and an axiological commitment to individual and community well-being

Spreading and scaling innovation and improvement: understanding why the differences matter

In this paper, we make a distinction between spreading and scaling innovations and spreading and scaling good practices for improvement, as many healthcare change practitioners often feel there is a...

보호동기이론을 적용한 레스토랑 경영자의 기후변화 불안감과 친환경 운영 전환 의도에 관한 연구

Protection Motivation Theory(PMT) was applied as a theoretical model to predict the process of behavioral change in restaurant managers’ towards transitioning to eco-friendly operations, considering their perception and attitudes in the threatening situation of climate change anxiety. Our results showed that climate change anxiety had a significant effect on both threat evaluation and coping evaluation. Further, only factors, perceived severity of threat evaluation and self-efficacy of coping evaluation, exhibited a significant effect on protection motivation. In addition, the moderating effect of ascribed responsibility was found to be significant in the impact of perceived severity, response efficacy, and self-efficacy on protection motivation. Our findings can be employed to provide useful information to develop effective strategies for promoting restaurant managers’ towards transitioning to eco-friendly operations.

Understanding the dynamic process of human behavior changes towards disaster preparedness: An application of the integrated TTM with SCT and PMT

Integrating the Transtheoretical Model with Social Cognitive Theory and Protection Motivation Theory, we propose a new model to study the progress of behavior changes towards disaster preparedness along three developmental stages: from “not prepared” (NP), to “intention to prepare” (IP), to “already prepared” (AP). Using the 2021 National Household Survey data (FEMA, N = 6,180), we tested this model by employing a series of nested weighted generalized ordered logistic regressions. We found that, although Hispanics have a larger prevalence of IP than their non-Hispanic white counterparts, they are less likely to move to the AP stage. The observed ethnic disparity is largely due to the disparities in actual behavioral capabilities in essential knowledge and access to resources between the two groups. Personal disaster experience, social/observational learning, self-efficacy, and risk perception each facilitate behavior changes from the NP to IP or AP stage (i.e., departure from NP stage) and from NP or IP stage to AP stage (i.e., arrival at AP stage). Although income does not necessarily influence one's decision to depart from the NP stage, it determines one's arrival at the AP stage. Increasing one's income further boosts the realization of AP for people with high-risk perceptions. However, for people with moderate or low levels of risk perceptions, increased income did not lead to arrival at the AP stage. Additional research is needed to more fully apply this process-oriented approach with new measurement introduced in this paper to study the behavior changes among subpopulations in exposure to specific hazards.

Development of a Model for Modifying Eating Behaviour among Overweight Working People in Health Region Sixth Ministry of Public Health

This research and development study aimed to develop and evaluate the effectiveness of a program designed to modify eating behaviors among overweight working individuals. Phase 1: A draft prototype was synthesized by applying the stages of change model and studying weight loss activities and eating behaviors among 65 overweight factory employees. Phase 2: The prototype was developed in 10 small groups, totaling 36 participants, resulting in three behavioral modification modules: 1. "Well Begun is Half Done" 2. "Win Small, Win Early, Win Often" and 3."I Can Do It". Phase 3: The effectiveness of the prototype was tested among experimental groups, with 39 participants per module, compared to control groups of equal size. Data were analyzed using t-tests. Research Results: 1) The stages of change in the experimental groups improved significantly. 2) The process of behavior change showed statistically significant improvement. 3) Perceptions of the pros of behavior change increased significantly, while perceptions of the cons decreased significantly. 4) Confidence levels increased significantly, while temptation levels decreased significantly. 5) Body mass index, waist circumference, and visceral fat measurements improved significantly.

APPLICATION POSSIBILITIES OF DIETARY COUNSELING SUPPORT SOFTWARE IN THE TREATMENT AND PREVENTION OF HYPERTENSION

Objective: Interpersonal counseling led by dietitians, based on empirical knowledge about behavioral change processes, is particularly effective in the treatment of hypertension. However, there are limitations that raise doubts about the accessibility of dietary counseling for everyone, tailored to their specific needs. Our goal was to demonstrate that a well-chosen telemedicine method can effectively support dietary education. Design and method: Participants with hypertension received dietary advice based on the principles of the DASH diet and underwent regular blood pressure measurements for a period of 3 months. Their measured values and dietary logs were recorded in an application synchronized with a dietetic software. Using the software, the parameters logged by the patients (calories, fiber, sodium, potassium) were analyzed in detail based on the blood pressure values. Results: Our results will demonstrate that the introduction of a properly selected telemedicine method can assist patients in adopting a lifestyle change, providing timely and effective care. Significant improvements were observed in energy and nutrient intake, indicating the effectiveness of education, as patients, due to their increased knowledge, consciously chose healthier diets. As a result, the systolic values decreased on average by 13.35 mmHg, and the diastolic values decreased by an average of 11.7 mmHg during the course of the study. Conclusions: A dietary approach targeting blood pressure modification should be an important strategy in the prevention of cardiovascular diseases. Extensive literature confirms that various dietary components and numerous diets can influence blood pressure. The strongest evidence for lowering blood pressure or preventing high blood pressure through dietary intervention is in favor of DASH and the Mediterranean diet, and there are clear benefits to higher potassium intake, limiting sodium, and increasing fiber consumption.

Predictors of husbands in supporting wives to use obstetrics care services by health professionals, Dire Dawa administration, Ethiopia: a community based cross sectional study

Background: Husbands’ support in obstetric care services is a process of social and behavioral change that husbands must undergo to prevent obstetric complications. But so far, studies across Ethiopia have been inconsistent and lacking in the study area. Therefore, this study was aimed at assessing husbands’ predictors, which could help in interventions. Methods: A community-based cross-sectional study was conducted in the Dire Dawa administration, Ethiopia, from July 1-30, 2022. Participants were selected using a systematic sampling technique. Data were collected through interviews using a structured questionnaire, entered into EPI data (Version 3.1), and analyzed using SPSS (Version 22). A p=0.05 or less at multivariate with 95% confidence intervals was considered statistically significant. Results: Of a total of 610, 51.8% of husbands support wives in using obstetrics care services. The predictors were urban residence (AOR=2.55, 95% CI: 1.75-3.73), education level of diploma and above (AOR=2.00, 95%CI: 1.10-3.74), perceived importance (AOR=1.98, 95% CI: 1.30-3.00), antenatal care visit accompanying experience (AOR=1.79, 95% CI: 1.04-3.07), and institutional delivery accompanying experience (AOR=6.20, 95% CI: 3.4-1.33). Conclusions: One in two husbands supports wives to use obstetrics care services provided by health professionals. Findings are helpful in advancing knowledge of husbands’ factors and highlight the need for health facilities and stakeholders to strengthen and create continuous community awareness.

Alerta Cannabis: A Tailored-Computer Web-Based Program for the Prevention of Cannabis Use in Adolescents: A Cluster-Randomized Controlled Trial Protocol

BackgroundThe growing use of cannabis in adolescence is a public health problem that must be addressed through prevention. In Spain, the average age of initiation of cannabis use in the adolescent population is 14.8 years. At 14 years, the lifetime prevalence of cannabis use is 11.7%, which increases to 51.,5% at the age of 18; the prevalence of cannabis use in the population aged 14 to 18 years is 28.6%, a figure that must be tried to reduce, that is why this school prevention program is proposed: Alerta Cannabis.MethodsThe Alerta Cannabis research project consists of design, implementation, and evaluation. In the first phase, a computer-tailored eHealth program (Alerta Cannabis) is developed based on the I-Change Model, an integrated model based on three main behavioral change processes: awareness, motivation, and action. This program consists of four 30-minute sessions that will provide culturally adapted and personalized advice to motivate students not to use cannabis through text feedback, animations, and gamification techniques. This phase will also include usability testing. In the implementation phase, secondary school students from Western Andalusia, Spain (Seville, Cádiz, Huelva, and Córdoba) and Eastern Andalusia (Jaén, Málaga, and Granada) will be randomized to an experimental condition (EC) or a control condition (CC) for a cluster randomized clinical trial (CRCT). Each condition will have 35 classes within 8 schools. GI will receive the online intervention Alerta Cannabis. EC and CC will have to fill out a questionnaire at baseline, six months, and twelve months of follow-up. In the last phase, the effect of Alerta Cannabis is evaluated. The primary outcomes are the lifetime prevalence of cannabis use and its use in the last 30 days and at 6 months. At 12 months of follow-up, the prevalence in the last 12 months will also be assessed. The secondary outcome is the intention to use cannabis.DiscussionThe study tests the effect of the innovative program specifically aimed to reduce the use of cannabis in the adolescent population through eHealth in Spain. The findings aim to develop and implement evidence-based cannabis prevention interventions, which could support school prevention, for instance, the assistance of school nurses. If the program proves to be effective, it could be useful to prevent cannabis use on a national and international scale.Trial registrationNCT05849636. Date of registration: March 16, 2023.

Exploring the role of psychological ownership in tourists’ shift toward sustainable behavior in cultural tourism

This paper examines tourists’ experiences related to guest-host interactions and their role in the development of tourists’ psychological ownership to mitigate the attitude-behavior gaps in sustainable cultural tourism. Although previous studies have acknowledged the antecedents of psychological ownership and their potential to mitigate such gaps, the process of developing these antecedents and mechanisms through which they foster psychological ownership remain unclear. In the context of cultural tourism, guest-host interactions with locals is the key expectation and experience among tourists. Studying whether and how guest-host interactions contribute to psychological ownership development is meaningful for cultural tourism providers to design products or services for better tourist experiences and sustainable tourism behaviors. Based on a field study, including in-depth interviews and observations, our findings revealed that activities, such as trip consultation, knowledge sharing, and special event engagement can foster increased knowledge, perceived control, self-investment, and self-congruity among tourists. We argue that during the process of behavioral change toward tourism sustainability, tourism experiences generated by guest-host interactions facilitate psychological ownership development, thereby removing barriers to sustainable behaviors by mitigating tourists’ attitude-behavior gap.

Efeketivitas Konseling Individu dalam Menurunkan Kejenuhan Belajar Siswa

Learning is a process of behavior change. In the process prone to saturation. This happened to students in class XI Science 3 SMA Negeri 3 Jember still experiencing high learning saturation. This is obtained from the results of interviews and questionnaires. Many things can cause learning saturation, one of which is boredom that occurs over a long period of time and with a fairly high intensity, which is characterized by physical, mental, and emotional fatigue, as well as low self-esteem, which causes a person to feel distant from his environment. This study aims to reduce student learning saturation using individual counseling services. The type of research used is experimental design. Data collection techniques using questionnaires with a sample method in the form of purposive sampling. After individual counseling services with the SFBC approach with the call question technique on besline 2 decreased. The results of the study on besline I showed a score of 153, which was included in the high category, with a range of 136-180, while after the service was provided on besline 2 the score was medium, with a range of 91-130, or low, with a range of 45-90 Keywords: Burnout learning;Individual Counseling;SFBC

Bystander Intervention in Football and Sports. A Quasi-Experimental Feasibility Study of a Bystander Violence Prevention Program in the United Kingdom.

In recent years, social campaigns and high-profile cases have brought increased attention to violence against women. Athletes can be role models, shaping both prosocial and antisocial attitudes. Their engagement in violence prevention could be an effective tool to tackle violence against women through bystander intervention. This part of a mixed-method feasibility study reports on the quantitative evaluation of an evidence-led bystander program, Football Onside, implemented at a football club in South West England in June 2018 to February 2020. The study employed a quasi-experimental design with intervention and control groups. Football coaches and club members (n = 50) completed measures of rape and domestic abuse myths, bystander intent and efficacy, self-reported bystander behaviors, readiness for change, perceptions of peer helping and myth acceptance, law knowledge, and program evaluation. Fidelity was also assessed. The analysis compared between- and within-group differences in mean changes over time using mixed-effects models. Participant ratings of learning outcomes were high, and fidelity was maintained throughout the intervention. Between-group comparison revealed mixed results, with greater improvements in the intervention group for bystander intent and efficacy at post-test and follow-up, domestic abuse myths at post-test, and rape myth acceptance at follow-up. Model contrasts for within intervention group revealed improvements in rape and domestic abuse myth acceptance, bystander intent and efficacy, perceived law knowledge at both time points, and perceived peer myths and helping at post-test. At follow-up, intervention participants reported significantly higher engagement in bystander behaviors. No significant effects were found for perceived importance of legal knowledge. Our research highlights the potential efficacy of a bystander program tailored for football club members. Cluster-randomized control trials are now required to examine bystander attitudes and behavior change processes among professional athletes.

Investigating the acceptability of a culturally adapted acceptance and commitment therapy group for UK Vietnamese communities: A practice-based feasibility study.

Acceptance and Commitment Therapy (ACT) is an empirically supported psychotherapy that offers promise for the mental health of minoritised ethnic populations. Given the diversity of those presenting to inner-city services and barriers to accessing appropriate mental healthcare, we sought to develop a culturally syntonic ACT intervention for UK Vietnamese refugee communities in a practice-based partnership project between a National Health Service and local third-sector service in East London. The aim was to explore the feasibility, acceptability and impact of the adapted intervention to inform culturally inclusive clinical practice and future research. We outline key aspects of Vietnamese belief systems and culture, and consider how these might influence the optimisation of group-based ACT. We then present a mixed-method evaluation of the seven-session adapted ACT group for 11 participants (9 male and 5 female, aged between 44 and 73years). Individual-level change analyses indicated clinically significant improvements in psychological flexibility for the minority of participants and a mixed pattern for impact on well-being. A thematic analysis and descriptive approach examined acceptability, feasibility and narratives of impact. Participants reported positive feedback on group experience, relevance and usefulness, and emergent themes indicate that the group facilitated key acceptance, commitment and behaviour-change processes, promoted social connections and increased engagement in meaningful life activities in relation to new perspectives and values-based action. Limitations are outlined, but overall, findings suggest preliminary support for the potential beneficial effect of the adapted ACT group as a feasible, culturally acceptable therapeutic approach for UK Vietnamese communities that is worthy of further investigation.