British journal of health psychology · 2026
Loving ACTion: An evaluation of an ACT-based audio podcast intervention focussed on romantic and intimate relationships for adults with visible differences.
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Thornton Maia, Waite Emma, White Paul, Zarola Anna, Vizinho Yara, Clarke Alex, Harcourt Diana
Аннотация
OBJECTIVES: Research suggests that some adults with visible differences may experience challenges related to romantic relationships, sex and physical intimacy. Loving ACTion is a self-guided Acceptance and Commitment Therapy (ACT)-based intervention delivered as an audio podcast series, co-produced with adults with visible differences and designed as a supportive intervention for adults with any kind of visible difference seeking help to navigate challenges related to intimacy and romantic relationships. The present study aimed to evaluate the effectiveness of Loving ACTion using a mixed methods design.
METHODS: Seventy-one adults with a range of visible differences completed an online mixed methods survey at three time points: (1) baseline, (2) post-intervention and (3) 2-month follow-up. Changes in psychosocial outcomes were examined using paired t-tests, and open-ended responses were analysed using content analysis.
RESULTS: Between baseline and post-intervention, there were significant improvements in appearance-related distress in romantic relationships, body image life disengagement, fear of negative appearance evaluation and internal shame as well as significant improvements in body esteem, psychological flexibility and self-compassion. These improvements were maintained at follow-up, with additional improvements observed in valued living. Content analysis suggested that engaging with Loving ACTion positively impacted wellbeing and made a difference to participants' lives.
CONCLUSIONS: These findings provide preliminary support for the potential value of this novel, accessible intervention for adults with visible differences navigating romantic and intimate relationships. Loving ACTion is now freely available at www.VisibleDifferenceSupportHub.com.
METHODS: Seventy-one adults with a range of visible differences completed an online mixed methods survey at three time points: (1) baseline, (2) post-intervention and (3) 2-month follow-up. Changes in psychosocial outcomes were examined using paired t-tests, and open-ended responses were analysed using content analysis.
RESULTS: Between baseline and post-intervention, there were significant improvements in appearance-related distress in romantic relationships, body image life disengagement, fear of negative appearance evaluation and internal shame as well as significant improvements in body esteem, psychological flexibility and self-compassion. These improvements were maintained at follow-up, with additional improvements observed in valued living. Content analysis suggested that engaging with Loving ACTion positively impacted wellbeing and made a difference to participants' lives.
CONCLUSIONS: These findings provide preliminary support for the potential value of this novel, accessible intervention for adults with visible differences navigating romantic and intimate relationships. Loving ACTion is now freely available at www.VisibleDifferenceSupportHub.com.