Journal of Contextual Behavioral Science最新文献

{"title":"Third wave behavioral interventions for individuals with Dementia: A systematic review","authors":"Ty B. Aller ,&nbsp;Heather H. Kelley ,&nbsp;Marissa L. Donahue ,&nbsp;Elizabeth B. Fauth","doi":"10.1016/j.jcbs.2025.100942","DOIUrl":"10.1016/j.jcbs.2025.100942","url":null,"abstract":"<div><h3>Introduction</h3><div>Worldwide, over 10 million individuals are diagnosed with a dementia-related disease each year. Individuals often report increased depression and anxiety after receiving a dementia diagnosis. Third wave cognitive behavioral interventions are beneficial for improving mental health symptoms in persons without dementia. There is not, however, clear conclusions on if these interventions are feasible, acceptable, and effective for individuals with dementia.</div></div><div><h3>Objectives</h3><div>The aim of this preregistered study (<span><span>https://osf.io/u2njw</span><svg><path></path></svg></span>) was to review the feasibility, acceptability, and efficacy of third wave cognitive behavioral interventions for self-reported psychological well-being of individuals with a dementia diagnosis.</div></div><div><h3>Methods</h3><div>A systematic review was carried out on studies examining third-wave cognitive behavioral interventions for individuals with a dementia diagnosis published between 2012 and 2023 using APA PsycINFO, Academic Search Ultimate, Health Source: Nursing/Academic Edition, MEDLINE, Psychology and Behavioral Sciences Collection, Science Reference Center.</div></div><div><h3>Results</h3><div>10 studies met inclusion criteria, of which 7 were unique studies and 3 were supplemental studies using a similar dataset. Most studies took place in the United Kingdom and included varying designs (e.g., single-arm, case study, randomized control trial). A total of 229 participants were included in this review, most of which were diagnosed with either Alzheimer's disease, vascular dementia, mixed dementia, or dementia unspecified. Mindfulness-based interventions were most used (k = 3) and interventions were primarily delivered via group sessions. Adaptations included shortening session intensity (e.g., fewer sessions, fewer activities) and making materials more accessible (e.g., larger fonts, fewer words). The most common outcome assessed was quality of life. Results of studies were mixed; some reported improvements while others reported null or negative outcomes.</div></div><div><h3>Conclusion</h3><div>Third wave behavioral interventions seem to be preliminarily feasible and acceptable for individuals with dementia. The efficacy of these interventions for individuals with a dementia diagnosis is still unclear. Adaptations included basic accessibility considerations. Future research should emphasize the need for more rigorous study design, increased sample sizes, and consistency in intervention adaptations.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100942"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145267732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applied knowledge of Acceptance and Commitment Therapy (ACT): Developing and assessing the utility of a Situational Judgement Test (SJT)","authors":"Kathryn Jamison ,&nbsp;David Curran ,&nbsp;Ross White ,&nbsp;Victoria Samuel","doi":"10.1016/j.jcbs.2025.100949","DOIUrl":"10.1016/j.jcbs.2025.100949","url":null,"abstract":"<div><div>Acceptance and Commitment Therapy (ACT) is an innovative form of cognitive behavioural therapy that aims to increase psychological flexibility. Currently, challenges exist with measuring practitioners' application and understanding of ACT. A situational judgement test (SJT) offers a novel approach to assessing a practitioner's ACT consistent knowledge and how it can be applied in practice. In the current research, two consecutive studies were completed to develop and evaluate the utility of the first SJT for assessing clinicians' applied ACT knowledge. First, expert consensus via three iterative rounds of Delphi methodology was used to develop the 10-item ACT SJT: 13 panellists participated in round one, 12 in round two, and 10 in round three. Involved experts specialised in the application of ACT in clinical practice and/or research for at least five years. A second study examined the utility of the developed ACT SJT, with significant pre-post changes in ACT SJT scores following ACT training. The development of the ACT SJT has potentially important implications for both clinical and research settings. It can be used by clinicians to self-evaluate their clinical application of ACT, by trainers evaluating the effectiveness of ACT introductory training, and by researchers investigating the application of ACT-consistent knowledge.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"38 ","pages":"Article 100949"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a process-based approach to farmer wellbeing: A randomized multiple baseline single-case experimental design","authors":"Greg Stynes ,&nbsp;Alison Stapleton ,&nbsp;Barbara Moore ,&nbsp;Tomás Russell ,&nbsp;Martin O'Connor ,&nbsp;Noel Richardson ,&nbsp;Francisco J. Ruiz ,&nbsp;Louise McHugh","doi":"10.1016/j.jcbs.2025.100932","DOIUrl":"10.1016/j.jcbs.2025.100932","url":null,"abstract":"<div><div>Among farmers, mental health and suicide are noted concerns in the literature. Practical barriers, stigma and shame may impede engagement with support. Acceptance and Commitment Therapy offers a means of providing support to those experiencing mental health concerns. An evaluation of a six-session, online, individually facilitated intervention with six Irish farmers (age 39–69 years) was completed using a randomized, concurrent, multiple-baseline, single-case experimental design. Additional data on various mental health variables were gathered pre-intervention, post-intervention, and at three-month follow-up. Tau-U results based on responses (84 days) were significant for psychological flexibility for three participants and for stress for one participant. Between-case standardized mean difference suggested a significant, large increase for psychological flexibility and no significant change for stress. At least three participants made reliable improvements in depression, psychological flexibility, and internal shame, with percentage improvements in positive and negative processes of change, distress, vitality, and life satisfaction. Most individuals showed no improvements for stress, anxiety, or subjective wellbeing. Burnout increased over time. While the results of the evaluation are mixed, full attendance at sessions supports the feasibility of the intervention. Recommendations for future interventions and research are outlined.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100932"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumer co-design as a framework for enhancing a novel self-guided online program to reduce overconsumption","authors":"Melissa M. Norberg,&nbsp;Ronan D. King,&nbsp;Alexis Muller","doi":"10.1016/j.jcbs.2025.100930","DOIUrl":"10.1016/j.jcbs.2025.100930","url":null,"abstract":"<div><div><em>Breaking Up with Belongings</em> (BB) is the world's first evidence-based, self-directed online program designed to improve emotion regulation and reduce overconsumption. Although initial pilot testing resulted in promising outcomes, user responses suggested that the program could be more engaging, clearer, and relevant to consumers. The objective of this study was to examine whether co-design methodology could be used to meaningfully refine the self-guided online program, by evaluating both the changes made and the experiences of those involved. Over the course of nine months and five workshops, consumers and researchers collaboratively revised the program. The original program was refined and expanded to include simplified language, clearer and more detailed instructions and descriptions, more frequent references to the Australian context, and a new module on <em>Waste and its Solutions</em>. We then assessed the effectiveness of our co-design procedures by evaluating the usability and impact of program revisions, the dynamics between researchers and consumers, and consumer experiences. Consumers determined that the co-design process was effective, citing the lead researcher's expert facilitation as a key factor. This leadership fostered a collaborative and respectful environment that empowered all consumers to engage meaningfully in the procedures, processes, and outcomes. As demonstrated by this study, an iterative co-design process can generate valuable insights for intervention refinement. Consumers value their role as co-designers and respected contributors to research. By using a collaborative, grass-roots approach, researchers can ensure that their programs are clear, relevant, and engaging.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100930"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144887079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Naturalistic observation of adherence and engagement with a university-wide deployment of digital acceptance and commitment therapy","authors":"Michael E. Levin,&nbsp;Mercedes G. Woolley,&nbsp;Emily M. Bowers,&nbsp;Korena S. Klimczak","doi":"10.1016/j.jcbs.2025.100929","DOIUrl":"10.1016/j.jcbs.2025.100929","url":null,"abstract":"<div><div>Naturalistic research on “real world” usage of digital mental health interventions (DMHIs) is critical for DMHIs to meet their goal of increasing access to mental health services. DMHI adherence is much lower in naturalistic settings versus controlled research, but less is known about dimensions of engagement beyond adherence to module completion or how these patterns extend to DMHIs based on acceptance and commitment therapy (ACT). This study reported the adherence and engagement patterns among 1896 university students who registered for a free ACT DMHI service deployed at a single university from 2019 to 2023. Adherence was very low with only 57 % logging into the program even once, 7 % completing half of modules, and 3 % completing the entire program. However, engagement was high among students who adhered to a given module as indicated by high rates of module exercise completion, at least partial homework completion, spending at least 10 min per module, and program satisfaction. Predictors of higher adherence included higher engagement, being older, and lower depression and anxiety. Overall, results add to research highlighting adherence challenges when deploying DMHIs as services outside of controlled research, which are potentially worsened with successful efforts to increase enrollment and reduce barriers such as cost. At the same time, the findings highlight how a subset of individuals adhere to and engage in DMHIs in a way that is likely to provide benefits.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100929"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanisms of change in peer coaching for digital ACT: A serial mediation model on program adherence and psychological flexibility's role in reducing distress","authors":"Korena S. Klimczak,&nbsp;Michael P. Twohig,&nbsp;Gretchen G. Peacock,&nbsp;Michael E. Levin","doi":"10.1016/j.jcbs.2025.100922","DOIUrl":"10.1016/j.jcbs.2025.100922","url":null,"abstract":"<div><h3>Background</h3><div>Coaching is a well-supported intervention for improving adherence to online mental health programs. It is currently unclear whether peer-support coaching improves mental health outcomes solely through improving program adherence, or if it can also have a direct impact on mental health. We investigated this using a randomized controlled trial and applying serial mediation models.</div></div><div><h3>Method</h3><div>A total of 230 college students were instructed to use the 12-session ACT Guide program over 10 weeks. They were randomly assigned to additionally receive either peer-support coaching over weekly phone calls, text message conversations, or a no-coaching control group. Coaching followed a standardized protocol.</div></div><div><h3>Results</h3><div>Phone coaching had a significant total effect, but not a direct effect, on psychological distress. Both the phone coaching → psychological flexibility → distress, and the phone coaching → program adherence → psychological flexibility → distress indirect pathways were significant. Text coaching had a significant total and direct effect on psychological distress. The full serial pathway was the only significant indirect effect (text coaching → program adherence → psychological flexibility → distress).</div></div><div><h3>Conclusions</h3><div>We found that peer coaching in both formats significantly increased program adherence, which in turn improved psychological flexibility, consequently reducing psychological distress. Coaching through phone calls had a significantly greater indirect effect on distress and direct effect on program adherence in comparison to the text message format. It is possible that the skills review and ACT-based strategies used in phone coaching directly improve psychological flexibility regardless of the number of modules completed, with text coaching being too brief to elicit this same effect.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100922"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to ‘Is the Multidimensional Psychological Flexibility Inventory Short Form valid for ecological momentary assessment? A preliminary psychometric investigation’ [Journal of Contextual Behavioral Science, 36 (2025) 100903]","authors":"Jennifer Krafft,&nbsp;Ashley C. Middleton,&nbsp;Natalie Tadros","doi":"10.1016/j.jcbs.2025.100925","DOIUrl":"10.1016/j.jcbs.2025.100925","url":null,"abstract":"","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100925"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-reported unwanted events and deterioration rates during acceptance and commitment therapy: A brief report of group therapy for fibromyalgia","authors":"Marie-Louise Henning Ottergård ,&nbsp;Linea Pretzmann ,&nbsp;Tobias Lundgren ,&nbsp;Lance McCracken ,&nbsp;Monica Buhrman ,&nbsp;Peter Molander ,&nbsp;Alexander Rozental","doi":"10.1016/j.jcbs.2025.100914","DOIUrl":"10.1016/j.jcbs.2025.100914","url":null,"abstract":"<div><div>Fibromyalgia is a type of generalized chronic pain condition that causes physical tenderness, fatigue, sleep disturbance, cognitive impairment, and comorbid psychiatric symptoms. Medication and psychotherapy can offer some relief. Acceptance and Commitment Therapy (ACT) is a current treatment approach that focuses on fostering acceptance of symptoms and engagement in meaningful, value-driven activities. However, no systematic attempts at investigating unwanted events and deterioration have been made in relation to ACT for fibromyalgia. This brief report presents findings on the occurrence of characteristics of such incidents in a group-based ACT-treatment at a specialized pain clinic. Among the 94 patients included, deterioration rates were generally low across most outcome measures. Unwanted events were monitored using the 32-item Negative Effects Questionnaire, a self-report measure covering symptoms, treatment quality, dependency, stigma, hopelessness, and failure. A total of 37.6 % reported having experienced unwanted events during the treatment period, and 43.2 % at post-treatment. Among the most frequently occurring unwanted events reported at post-treatment were “Unpleasant memories resurfaced” (12.7 %), “I experienced more unpleasant feelings” (9.9 %), and “I feel like I am under more stress” (8.3 %). However, unwanted events reported during treatment were not related to treatment outcome. The results point to the importance of monitoring unwanted events during treatment, although these experiences may not interfere with benefits participants obtain, and, presumably, may be part of the theorized change process. Further research is warranted to understand how unwanted events and deterioration might affect adherence and dropout.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100914"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of ACT for parents of children with special health care needs: Preliminary findings from Malaysia","authors":"Re Gal Lim,&nbsp;Fitri Suraya Mohamad,&nbsp;Siok Ping Voon","doi":"10.1016/j.jcbs.2025.100920","DOIUrl":"10.1016/j.jcbs.2025.100920","url":null,"abstract":"<div><div>Parents of children with special health care needs (CSHCN) often experience heightened stress and psychological distress, which not only affects parental well-being but also has cascading effects on their children. Despite the importance of supporting parental psychological health, interventions addressing their well-being remain underexplored, particularly in Malaysia. Culturally adapted interventions for these parents in the Malaysian context are especially scarce. The present study addressed this gap by evaluating the My-CARE protocol, a culturally adapted intervention targeting Chinese Malaysian parents of CSHCN in Kuching, Sarawak, Malaysia. Its preliminary efficacy was evaluated through a quasi-experimental study involving two groups (intervention and control; <em>n</em> = 31 per group) across three time points: baseline, post-intervention, and one-month follow-up. Linear Mixed Model analysis indicated significant time effects on depression, stress, psychological flexibility, and quality of life. Additionally, significant Group × Time interactions were identified for depression, anxiety, stress, psychological inflexibility, parenting stress, and quality of life, demonstrating significant differential changes between groups over time. These findings offer preliminary evidence regarding the potential efficacy of an ACT-based, parent-focused group intervention targeting Chinese Malaysian parents of CSHCN. This study contributes to the emerging literature on the potential value of culturally adapted ACT interventions for this population.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100920"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining associations of mindfulness with early-life trauma and risky health behaviors using a network analysis approach in a sample of U.S. college students","authors":"Micah A. Williams ,&nbsp;Hana-May Eadeh ,&nbsp;Kristian Markon ,&nbsp;Jenna L. Adamowicz ,&nbsp;Emily B.K. Thomas","doi":"10.1016/j.jcbs.2025.100917","DOIUrl":"10.1016/j.jcbs.2025.100917","url":null,"abstract":"","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100917"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}