Examining the feasibility and effectiveness of online acceptance and commitment therapy self-help in a quasi-stepped care model: A pilot study.

The global burden of mental illness and limited resources make increasing the efficiency of available mental healthcare resources especially crucial. One way this can be done is a stepped care approach to treatment. To test the viability of using internet-based self-help in a stepped care model, we examined the feasibility, acceptability, and effectiveness of an online self-help acceptance and commitment (ACT) program prior to starting in-person therapy at a university community clinic (N = 51). Online program acceptability was at least moderate. There was clinically significant change in 75.9%-79.3% and reliable change in 31.0%-100% of our sample on three of four outcomes of interest (e.g., symptom impairment) after the online program. In addition, 60%-100% reliably improved from the online program as well as from subsequent treatment on three of four outcomes, indicating that most of our sample progressed through the steps of care effectively and benefited from the quasi-stepped care approach. Scores also indicated positive overall effects of the online program and in-person therapy. Our findings tentatively support the use of low-intensity resources like online self-help programs to reduce therapist burden in outpatient clinics by initiating client progress before intake. Limitation to this approach and the study are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Effects of the COVID-19 pandemic on noise pollution in three protected areas in metropolitan Boston (USA).

Noise pollution can reduce the ability of urban protected areas to provide a refuge for people and habitat for wildlife. Amidst an unprecedented global pandemic, it is unknown if the changes in human activity have significantly impacted noise pollution in metropolitan parks. We tested the hypothesis that reduced human activity associated with the COVID-19 pandemic lockdowns would lead to reduced sound levels in protected areas compared with non-pandemic times. We measured sound levels in three urban protected areas in metropolitan Boston, MA (USA) at three time periods: in the fall and summer before the pandemic, immediately after the government-imposed lockdown in March 2020 when the trees were leafless, and during the beginning of reopening in early June 2020 when the trees had leaves. At all time periods, sound levels were highest near major roads and demonstrated a logarithmic decrease further from roads. At the two protected areas closest to the city center, sound levels averaged 1-3 dB lower during the time of the pandemic lockdown. In contrast, at the third protected area, which is transected by a major highway, sound levels were 4-6 dB higher during the time of the pandemic, likely because reduced traffic allowed vehicles to travel faster and create more noise. This study demonstrates that altered human levels of activity, in this case associated with the COVID-19 pandemic, can have major, and in some cases unexpected, effects on the levels of noise pollution in protected areas.

New social trails made during the pandemic increase fragmentation of an urban protected area.

Urban protected areas are an important resource to people and wildlife, providing many ecosystem services. During the initial phase of the COVID-19 pandemic lockdown during March-June 2020, there was a major increase in the number of hikers and bicyclists in urban protected areas, including the Webster Woods in Newton, Massachusetts (USA), an 82.5-ha protected area. The Webster Woods is one of the largest protected areas near the center of Boston and is widely used in conservation textbooks as an example of the effects of habitat fragmentation on the amount of undisturbed habitat. Prior to the pandemic, the Webster Woods had been extensively fragmented by paved roads, dirt roads, and trails, with little interior habitat remaining. During the first four months of the pandemic, hikers and bicyclists made 4.9 km of new social (or informal) trails, an increase of 36%. This recent fragmentation represents a dramatic increase in the level of human impact on the area, reducing the amount of interior habitat from 3.2 to 2.1 ha. Levels of human activity returned to pre-pandemic levels in autumn 2020 and city officials have started closing access to some of the new trails, allowing vegetation to regrow. It is possible that similar increases in social trails and associated fragmentation have occurred in other protected areas (especially those in urban areas) around the world due to the pandemic, and these disturbances should be evaluated for their effects on plant and animal populations.

Comparing the Efficacy of Defusion, Self-as-Context, and Distraction Strategies for Getting Rid of Possessions.

Interventions for hoarding disorder need to target difficulty letting go of items to reduce clutter and improve functioning. The present studies were designed to test the efficacy of brief cognitive interventions for letting go of possessions and self-report outcomes. Participants (N = 67 in Study 1; N = 110 in Study 2) received training on defusion or distraction in Study 1 and defusion, self-as-context, or distraction in Study 2 and completed measures at pre- and postintervention. Study 1 found no differences between defusion and distraction on saving, self-rated discomfort with discarding, or perceived importance of the target belonging. In Study 2, participants provided most favorable feedback for self-as-context compared to defusion and distraction, indicating promise of this strategy. Nonetheless, findings from both studies overall provide minimal support for use of present procedures to reduce saving. Limitations include use of nonclinical samples and single-item variables to obtain participant feedback.