Digital acceptance and commitment therapy for adults with chronic health conditions: Results from a waitlist-controlled trial

IF 4.2 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy Pub Date : 2025-03-16 DOI:10.1016/j.brat.2025.104729

Michael E. Levin , Ty B. Aller , Korena S. Klimczak , Marissa L. Donahue , Francesca M. Knudsen

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引用次数: 0

Abstract

Digital mental health interventions (DMHIs) provide a promising avenue for addressing the mental health needs of adults with chronic health conditions (CHCs). Transdiagnostic DMHIs, which apply to a range of conditions by focusing on common core processes of change (e.g., acceptance and commitment therapy; ACT), are particularly needed to address the various ways a wide range of CHCs impact quality of life. The present study evaluated an ACT DMHI designed to improve quality of life and mental health transdiagnostically for adults with CHCs. A sample of 100 adults with CHCs were randomized to ACT or waitlist, with baseline, 6-week, and 10-week assessment points. Recruitment (100 participants in 3 months with a wide range of CHCs), retention (84% at follow-up), and adherence rates (M = 4 of 6 sessions) indicated feasibility, with high program satisfaction ratings for acceptability. Only psychological flexibility improved more in ACT versus waitlist at post-intervention (6-week follow-up), with no differences on other outcomes until 10-week follow-up. Participants in ACT improved significantly more than waitlist at 10-week follow-up on the primary outcome of quality of life as well as functional impairment from CHCs and psychological flexibility. An exploratory moderation test suggested participants with elevated mental health symptoms at baseline improved more on these symptoms in ACT relative to waitlist at 10-week follow-up. Overall, results support the feasibility, acceptability, and efficacy of a transdiagnostic ACT DMHI to improve quality of life and mental health for adults with a wide range of CHCs.

Clinicaltrialsgov identifier

NCT06179264.

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来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.