Table 1.
ACTion in Caregiving, Play to Learn, and ACTion in Caregiving+Play to Learn programme content
| Structure | ACTion in Caregiving content | Play to Learn content |
| Introductory group | Programme overview, introductions to group members and facilitators | Programme overview, introductions to group members and facilitators |
| Module 1/Group 1 | Creative hopelessness (eg, futility of controlling thoughts and feelings); acceptance/willingness in the context of unpleasant internal experiences; introduction to values | Engaging your child (eg, face-to-face interactions) and following their lead (eg, joining child-chosen activity) |
| Module 2/Group 2 | Mindfulness (eg, awareness of present moment with attitude of non-judgement) and application within daily life (eg, mindfulness of the breath) | Engaging through play (with people and objects) and incorporating in everyday routines |
| Module 3/Group 3 | Identifying caregiver cognitive fusion and techniques to facilitate defusion | Principles of learning (eg, role of antecedents and consequences) as applied to teaching new skills using behavioural techniques (eg, chaining) |
| Module 4/Group 4 | Introduction to self-as-context and applying awareness, acceptance and defusion to this | Principles of learning applied to replacing behaviours that are harmful to the child, others or property |
| Module 5/Group 5 | Living by values (eg, ongoing clarification of values and extent to which caregivers are currently living by these; using values as a guide for action) | Teaching non-verbal communication using behavioural techniques (eg, modelling, creating opportunities) and visual supports |
| Module 6/Group 6 | Taking action to live by values (eg, goal-setting), while managing vulnerabilities and processes of psychological inflexibility (eg, avoidance) | Teaching verbal communication using behavioural techniques (eg, prompting, responding to speech/attempts) and visual supports |