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Optimizing an Acceptance and Commitment Therapy Microintervention Via a Mobile App With Two Cohorts: Protocol for

Emily B Kroska1, Sydney Hoel2, Amanda Victory3

  • 1Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, United States.

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Summary

This study explores a mobile app intervention using Acceptance and Commitment Therapy (ACT) for mental health. The research aims to assess its safety, feasibility, and effectiveness in diverse patient groups.

Keywords:
acceptance and commitment therapybipolar disorderclinical trialmobile appsmobile phonestudents

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Area of Science:

  • Digital mental health interventions
  • Behavioral psychology
  • Clinical psychology

Background:

  • Mental health treatment gaps necessitate brief adaptive interventions.
  • Transdiagnostic approaches are suitable due to high comorbidity and broader reach.
  • Acceptance and Commitment Therapy (ACT) targets experiential avoidance, central to suffering.

Purpose of the Study:

  • To examine the safety, feasibility, and effectiveness of a mobile app-optimized ACT intervention.
  • To evaluate the intervention in two distinct samples with different sociodemographic characteristics and symptom profiles.

Main Methods:

  • Participants receive twice-daily mobile app prompts for mood and activity assessments.
  • Randomized assignment to ACT-based interventions focusing on values, awareness, and openness.
  • Analyses include assessment completion, symptom change, and proximal changes in activity and mood.

Main Results:

  • Recruitment for bipolar disorder (n=30) and college student (n=50) samples commenced in September/October 2019.
  • Study participation began in October 2019.
  • Primary outcome is increased engagement in values-based behaviors.

Conclusions:

  • The study assesses an ACT intervention in two disparate samples.
  • Feasibility and preliminary effectiveness could lead to larger randomized controlled trials.
  • Successful implementation has significant public health implications for transdiagnostic mental healthcare.