Article ID: 21-025
In at-home rehabilitation, the ability to set and achieve goals is often impaired, owing to the decreased psychological flexibility demonstrated by older people. In this study, the effects of an Acceptance and Commitment Therapy intervention on quality of life and goal-setting for at-home rehabilitation patients were investigated in a single case study. The patient, a male with chronic low back pain, was experiencing decreased activity and demonstrating refusal of exercise. A total of 12 intervention sessions were conducted, with sessions occurring twice a week; one booster session was conducted 2 weeks after the conclusion of the first invention. The results showed that psychological flexibility and quality of life improved, and exercise refusal behavior decreased. The authors suggest that refusal behavior was reduced because exercise was associated with value, in addition to the realization that chess could be played as a value-based behavior and that activity is possible, even when experiencing pain. In addition, it is proposed that the effectiveness of this intervention was further enhanced by addressing not only the psychological state of the patient himself, but also their relationships with their families and rehabilitation personnel and their individual challenges.
