This case describes the development of an Acceptance and Commitment Therapy (ACT) workshop for people with diabetes, designed to help meet the acute need for quality psychological care for patients. There were multiple considerations in developing the quality improvement program:
The group nature of the program. Group environments enhance social modeling and provide support not possible in individual therapy.
Efficiency and resource management. This workshop does not duplicate resources already offered.
Time commitment of participants. The group consisted of four 90-minute sessions, which we believed would be an adequate amount of time to teach the desired ACT intervention based on previous work (1).
Reduction of stigmatization and increase in participation. We wanted to avoid the words “therapy,” “intervention,” and “group.” The intervention was titled “Living a Vital Life with Diabetes” and was referred to as “A 4-Part Workshop Series.”
The program curriculum was adapted from a multitude of ACT sources (2–5). The ACT model has six core components that work together flexibly such that each core component is connected to the others. The six core components are 1) contact with the present moment, 2) values, 3) committed action, 4) self as context, 5) cognitive defusion, and 6) acceptance.
The “acceptance” and “committed action” portions of ACT are often presented as follows: acceptance of the …