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Commercial Sex Workers (CSWs) are subject to multiple experiences of mental and reproductive health issues. The study assessed the impact of a program based on Acceptance and Commitment Therapy (ACT), named Honing Effective Acceptance of oneself to Rebuild Valued Transformation (HEART). It aims to help CSWs to address needs and fulfill their aspirations despite experiences of suffering and distress. The intervention lasted six (6) sessions, with the entirety of the pre- and post-intervention, HEART program, and interviews spanning 13 days. The study utilized a snowball sampling approach, whereby thirty-two 32 CSWs were initially recruited, with a final count of twelve (12) CSWs obtained through a preliminary examination. A mixed methods approach, particularly the sequential explanatory technique was used to analyze the data. Quantitative results show significant increases in overall needs (p = .002) and aspirations (p = .002) pre-intervention and immediate post-intervention. Furthermore, significant results were found for both needs and aspirations (p = .002) pre-intervention and follow-up after two weeks. For immediate post-intervention versus follow-up, only needs (p = .003) and not aspirations (p = .587) was significant. For the three comparisons, there were significant differences in all sub-domains of needs and aspirations except for immediate post-intervention versus follow-up after two weeks. CSWs who participated regarded the program positively, noting significant changes occurring after their participation.

Effectiveness of the HEART Program in Reframing the Needs and Aspirations of Commercial Sex Workers