Assessing factors of adherence and efficacy: A randomized controlled trial of a fully automated self-help A-EBT website

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-07 DOI:10.1016/j.jocrd.2024.100908

Leila K. Capel, Emily M. Bowers, McKenzie R. Becker, Marisa P. Davis, Michael E. Levin, Michael P. Twohig

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引用次数: 0

Abstract

Treatment for trichotillomania is notably limited, preventing suffering individuals from having access to treatment. To address this need, researchers have developed and tested asynchronous online interventions for adults with trichotillomania. A factor that may impact the efficacy of these programs is the use of phone check-ins (or similar coaching support) to improve treatment adherence in website treatment delivery. In the current study we evaluated the role of check-ins on treatment adherence and efficacy of a website delivering acceptance and commitment therapy-enhanced behavior therapy (A-EBT). A sample of 101 adults with trichotillomania were randomly assigned to an A-EBT web-based intervention with or without phone check-in support. Adherence to the web-based program was not significantly improved by check-ins and treatment outcomes did not vary by condition (with or without check-ins). However, adherence to the program across conditions, did predict treatment outcomes. The program was found to be effective at decreasing trichotillomania symptom severity and improving trichotillomania specific psychological inflexibility over time across check-in conditions. Our findings suggest that check-ins did not improve adherence to or efficacy of the program, thus supporting recent literature suggesting that check-ins do not necessarily improve program adherence.

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评估依从性和有效性因素：全自动自助 A-EBT 网站随机对照试验

嗜毛症的治疗方法非常有限，使患者无法获得治疗。为了满足这一需求，研究人员开发并测试了针对成人毛发躁动症患者的异步在线干预措施。可能影响这些项目疗效的一个因素是，在网站治疗中使用电话签到（或类似的辅导支持）来提高治疗依从性。在本研究中，我们评估了签到对接受与承诺疗法-强化行为疗法（A-EBT）网站治疗依从性和疗效的作用。我们将 101 名患有毛手毛脚症的成年人随机分配到接受与承诺疗法-强化行为疗法（A-EBT）网络干预项目中，并提供或不提供电话签到支持。签到并没有明显改善患者对网络项目的依从性，治疗效果也没有因条件（有无签到）的不同而有所差异。不过，在不同情况下坚持使用该计划确实能预测治疗效果。我们发现，随着时间的推移，在不同的签到条件下，该项目能有效降低毛滴虫症状的严重程度，并改善毛滴虫特定的心理不灵活性。我们的研究结果表明，签到并没有提高项目的依从性或疗效，因此支持了近期文献中关于签到不一定能提高项目依从性的观点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.