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An Acceptance and Commitment Therapy Prototype Mobile Program for Individuals With a Visible Difference: Mixed

Fabio Zucchelli1, Olivia Donnelly2, Emma Rush3

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Summary
This summary is machine-generated.

This study shows a mobile app using Acceptance and Commitment Therapy (ACT) is a feasible tool for individuals with visible differences, improving appearance concerns and well-being. Further development is needed for broader use.

Keywords:
acceptance and commitment therapyappearancemixed methodsmobile healthmobile phone

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Area of Science:

  • Psychology
  • Digital Health
  • Mental Health Interventions

Background:

  • Mobile apps can deliver psychological interventions for individuals with visible differences experiencing appearance concerns.
  • An app prototype was co-designed using Acceptance and Commitment Therapy (ACT) and social skills training.
  • ACT employs mindfulness, values clarification, and value-based goal setting to manage psychosocial distress.

Purpose of the Study:

  • To evaluate the feasibility of an ACT-based mobile app prototype.
  • Primary objectives included assessing user engagement and acceptability.
  • Secondary objectives focused on clinical safety and preliminary effectiveness.

Main Methods:

  • A single-group intervention design with mixed methods was used.
  • 36 participants with visible differences completed quantitative and qualitative assessments over 12 weeks.
  • Measures included app usage, satisfaction, ACT processes, appearance concerns, and well-being outcomes.

Main Results:

  • User engagement and program acceptability were high, with over one-third completing all sessions.
  • Participants showed encouraging improvements in appearance-related outcomes and ACT measures.
  • The app demonstrated clinical safety, with no adverse effects on depression or anxiety.

Conclusions:

  • An ACT-based mobile program shows promise as a proof of concept for addressing appearance concerns in individuals with visible differences.
  • The app requires further revisions and development before large-scale implementation.
  • Rigorous evaluation is necessary to confirm the effectiveness of this digital mental health intervention.