A Mixed-Methods Analysis of Mobile ACT Responses From Two Cohorts.
acceptance and commitment therapy (ACT)
bipolar disorder
engagement
first-generation college students (FGCS)
mixed methods
mobile health (mHealth)
psychological flexibility
research methodology
Journal
Frontiers in digital health
ISSN: 2673-253X
Titre abrégé: Front Digit Health
Pays: Switzerland
ID NLM: 101771889
Informations de publication
Date de publication:
2022
2022
Historique:
received:
03
02
2022
accepted:
25
04
2022
entrez:
31
5
2022
pubmed:
1
6
2022
medline:
1
6
2022
Statut:
epublish
Résumé
Mobile transdiagnostic therapies offer a solution to the challenges of limited access to psychological care. However, it is unclear if individuals can actively synthesize and adopt concepts and skills via an app without clinician support. The present study measured comprehension of and engagement with a mobile acceptance and commitment therapy (ACT) intervention in two independent cohorts. Authors hypothesized that participants would recognize that behaviors can be flexible in form and function and respond in an ACT process-aligned manner. Mixed-methods analyses were performed on open-ended responses collected from initial participants ( Over 50% of participants in both cohorts submitted a non-blank response 100% of the time. For over 50% of participants, intervention responses aligned with the target ACT process for at least 96% of the time (FGCS) and 91% of the time (BP), and current behavior was labeled as values-based 70% (FGCS) and 85% (BP) of the time. Participants labeled similar behaviors flexibly as either values-based or avoidant in different contexts. Dominant themes were needs-based behaviors, interpersonal and family relationships, education, and time as a cost. Both cohorts were engaged with the app, as demonstrated by responses that aligned with ACT processes. This suggests that participants had some level of understanding that behavior can be flexible in form and function.
Sections du résumé
Background
UNASSIGNED
Mobile transdiagnostic therapies offer a solution to the challenges of limited access to psychological care. However, it is unclear if individuals can actively synthesize and adopt concepts and skills via an app without clinician support.
Aims
UNASSIGNED
The present study measured comprehension of and engagement with a mobile acceptance and commitment therapy (ACT) intervention in two independent cohorts. Authors hypothesized that participants would recognize that behaviors can be flexible in form and function and respond in an ACT process-aligned manner.
Methods
UNASSIGNED
Mixed-methods analyses were performed on open-ended responses collected from initial participants (
Results
UNASSIGNED
Over 50% of participants in both cohorts submitted a non-blank response 100% of the time. For over 50% of participants, intervention responses aligned with the target ACT process for at least 96% of the time (FGCS) and 91% of the time (BP), and current behavior was labeled as values-based 70% (FGCS) and 85% (BP) of the time. Participants labeled similar behaviors flexibly as either values-based or avoidant in different contexts. Dominant themes were needs-based behaviors, interpersonal and family relationships, education, and time as a cost.
Conclusions
UNASSIGNED
Both cohorts were engaged with the app, as demonstrated by responses that aligned with ACT processes. This suggests that participants had some level of understanding that behavior can be flexible in form and function.
Identifiants
pubmed: 35633737
doi: 10.3389/fdgth.2022.869143
pmc: PMC9133380
doi:
Types de publication
Journal Article
Langues
eng
Pagination
869143Informations de copyright
Copyright © 2022 Hoel, Victory, Sagorac Gruichich, Stowe, McInnis, Cochran and Thomas.
Déclaration de conflit d'intérêts
MM has consulted for Janssen and Otsuka Pharmaceuticals and received research support from Janssen in the past 5 years, all unrelated to the current work. ZS has received research and salary support from the National Institute of Health and the Center for Disease Control and has consulted for Sage Therapeutics. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Nature. 2016 Apr 7;532(7597):20-3
pubmed: 27078548
J Psychiatr Res. 2018 Dec;107:73-78
pubmed: 30347316
Psychiatr Serv. 2018 May 1;69(5):597-600
pubmed: 29540117
Behav Med. 2019 Jul-Sep;45(3):255-269
pubmed: 29558259
Behav Modif. 2015 Nov;39(6):805-34
pubmed: 26253644
JMIR Ment Health. 2016 Jan 06;3(1):e2
pubmed: 26740354
Mol Psychiatry. 2019 Feb;24(2):198-217
pubmed: 29679069
Lancet. 2018 Nov 10;392(10159):1789-1858
pubmed: 30496104
Int J Qual Stud Health Well-being. 2009 Sep 01;4:159-69
pubmed: 20523885
BMJ. 1999 Jun 5;318(7197):1551-2
pubmed: 10356019
JAMA Intern Med. 2020 Nov 1;180(11):1472-1480
pubmed: 32955554
Int J Epidemiol. 2018 Feb 1;47(1):28-28n
pubmed: 29211851
Eat Weight Disord. 2018 Dec;23(6):841-848
pubmed: 30155857
Psychol Trauma. 2016 May;8(3):384-392
pubmed: 27046668
JMIR Mhealth Uhealth. 2019 Aug 26;7(8):e14284
pubmed: 31452521
BMC Res Notes. 2019 Dec 4;12(1):791
pubmed: 31801608
J Consult Clin Psychol. 2020 Jan;88(1):1-13
pubmed: 31697093
Bipolar Disord. 2018 Mar;20(2):87-96
pubmed: 29369487
Behav Modif. 2016 Jul 20;41(1):141-162
pubmed: 27440189
J Pers Soc Psychol. 2016 May;110(5):635-59
pubmed: 27176770
Bipolar Disord. 2020 Mar;22(2):182-190
pubmed: 31610074
Internet Interv. 2020 Aug 27;22:100343
pubmed: 32995301
Arch Gen Psychiatry. 2008 Dec;65(12):1429-37
pubmed: 19047530
Acad Med. 2018 Mar;93(3):347-349
pubmed: 29215376
J Eval Clin Pract. 2016 Aug;22(4):603-7
pubmed: 27144989
J Clin Med Res. 2020 Oct;12(10):629-633
pubmed: 33029268
Brain Sci. 2017 Nov 12;7(11):
pubmed: 29137156
Behav Res Ther. 2006 Jan;44(1):1-25
pubmed: 16300724
Can J Psychiatry. 2017 Apr;62(4):247-258
pubmed: 27462036
Psychol Serv. 2016 Nov;13(4):380-388
pubmed: 27797571
JMIR Form Res. 2022 Jan 21;6(1):e33449
pubmed: 35060908
Behav Res Ther. 2016 Mar;78:30-42
pubmed: 26848517
J Pers Soc Psychol. 2020 Nov;119(5):1112-1131
pubmed: 32105102
J Clin Psychiatry. 2006 Apr;67(4):517-23
pubmed: 16669716
Front Psychol. 2018 Apr 11;9:502
pubmed: 29695986
J Am Coll Health. 2021 Jul 27;:1-10
pubmed: 34314656
Depress Anxiety. 2017 Jun;34(6):518-525
pubmed: 28504859
JMIR Res Protoc. 2020 Sep 23;9(9):e17086
pubmed: 32965227
Psychol Med. 2015 Oct;45(13):2691-704
pubmed: 26220802
JMIR Ment Health. 2015 Mar 25;2(1):e7
pubmed: 26543913
Focus (Am Psychiatr Publ). 2020 Apr;18(2):162-168
pubmed: 33162853
CNS Spectr. 2006 Jun;11(6):465-71
pubmed: 16816785