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A Mixed-Methods Analysis of Mobile ACT Responses From Two Cohorts
Sydney Hoel1, Amanda Victory2, Tijana Sagorac Gruichich1
1Psychiatry, University of Wisconsin-Madison, Madison, WI, United States.
Frontiers in Digital Health
|May 31, 2022
Summary
Mobile Acceptance and Commitment Therapy (ACT) interventions show high engagement and comprehension in first-generation college students and individuals with bipolar disorder. Participants demonstrated understanding of behavioral flexibility without direct clinician support.
Area of Science:
- Psychology
- Digital Health
- Clinical Psychology
Background:
- Mobile transdiagnostic therapies can improve access to psychological care.
- The efficacy of app-based interventions without clinician support remains unclear.
Purpose of the Study:
- To measure comprehension and engagement with a mobile Acceptance and Commitment Therapy (ACT) intervention.
- To assess if participants could adopt ACT concepts and skills independently.
Main Methods:
- Mixed-methods analysis of responses from two cohorts (first-generation college students and individuals with bipolar disorder) in micro-randomized trials.
- Participants engaged with an app twice daily for six weeks, responding to mood/behavior questions and receiving ACT-based interventions.
- A qualitative coding system derived from an exploratory group was used to analyze responses from a confirmatory group.
Main Results:
- Over 50% of participants consistently submitted responses.
- Intervention responses aligned with target ACT processes for over 91% of participants (96% for FGCS, 91% for BP).
- Participants flexibly categorized behaviors as values-based or avoidant, with dominant themes including relationships, education, and time.
Conclusions:
- Participants demonstrated high engagement with the mobile ACT intervention.
- Engagement suggests an understanding of behavioral flexibility in form and function, supporting app-based self-guided therapy.
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