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Table 5 Reliable change in plwMND and caregivers from baseline to 6 months

From: Acceptance and Commitment Therapy for people living with motor neuron disease: an uncontrolled feasibility study

Outcome measure

N

Cronbach's alpha (study ref. no.)

Reliable deterioration

(N)

No reliable change

(N)

Reliable improvement

(N)

plwMND

 Quality of life: MQOL-R

  Globala

21

N/A

N/A

N/A

N/A

  Physical

21

0.66 [41]

0

21

0

  Psychological

21

0.85 [41]

2

16

3

  Existential

21

0.78 [41]

0

21

0

  Social

21

0.87 [41]

1

19

1

  Total score

21

0.94 [41]

4

14

3

 Mood: mHADSb

  Depression

18

0.82 [53]

0

17

1

  Anxiety

18

0.83 [53]

0

15

3

  Health status: EQ-5D-5L index value

21

0.83 [55]

6

15

0

  Health status: EQ-VASa

21

N/A

N/A

N/A

N/A

  Disease-related functioning: ALS FRS-R

21

0.88 [54]

9

11

1

  Psychological flexibility: AAQ-II

21

0.84 [44]

3

17

1

 Caregivers

  Health status: EQ-5D-5L index value

8

0.82 [56]

0

7

1

  Health status: EQ-VASa

8

N/A

N/A

N/A

N/A

  Caregiver burden: ZBI

8

0.93 [57]

3

5

0

  1. One participant who was recruited but later found to be ineligible is not included here
  2. AAQ-II Acceptance and Action Questionnaire-II, ALS FRS-R Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised, CI Confidence interval, EQ-5D-5L. EQ-VAS EQ-Visual Analogue Scale, ES Effect size, mHADS Hospital Anxiety and Depression Scale modified for plwMND such that one depression item and one anxiety item were not scored, as previously recommended [43], MQOL-R McGill Quality of Life Questionnaire-Revised, SD Standard deviation, STTS-R Satisfaction with Therapy and Therapist Scale-Revised, ZBI Zarit Burden Interview
  3. aMeasures of internal consistency do not apply to single-item measures
  4. bOne depression item and one anxiety item were not scored on the HADS, as previously recommended [43]