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Mobile Acceptance and Commitment Therapy With Distressed First-Generation College Students: Microrandomized Trial.

Emily Brenny Kroska Thomas1, Tijana Sagorac Gruichich2, Jacob M Maronge3

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

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This study found a mobile health intervention using Acceptance and Commitment Therapy (ACT) was safe and feasible for first-generation college students. The intervention improved values-based behavior and reduced depressive symptoms.

Keywords:
acceptance and commitment therapydepressiondistressfirst-generation college studentsmHealthmobile healthpsychological flexibilityrandomized controlled trials

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Area of Science:

  • Mental Health
  • Digital Health
  • Psychology

Background:

  • First-generation college students face significant mental health service gaps.
  • Mobile health (mHealth) offers a promising avenue to improve access to interventions.
  • Acceptance and Commitment Therapy (ACT) is an evidence-based intervention adaptable to mHealth for college students.

Purpose of the Study:

  • To evaluate the safety, feasibility, and effectiveness of an ACT-based mHealth intervention.
  • To utilize a microrandomized trial (MRT) design for rigorous evaluation.
  • To assess the intervention's impact on values-based behavior, avoidance, depressive symptoms, and perceived stress.

Main Methods:

  • A 6-week microrandomized trial (MRT) involving 34 first-generation college students (ages 18-19) reporting distress.
  • Participants used the Lorevimo mobile app for twice-daily assessments and randomization to either an ACT intervention or no intervention.
  • Analyses employed a weighted and centered least squares approach to examine proximal changes post-randomization.

Main Results:

  • The mHealth ACT intervention was demonstrated to be safe and feasible.
  • The intervention successfully increased values-based behavior.
  • Depressive symptoms were reduced, though perceived stress and avoidance behavior did not significantly change.

Conclusions:

  • An MRT of an mHealth ACT intervention shows promise for distressed first-generation college students.
  • Further research with larger MRTs is warranted to confirm these findings.
  • Future studies should explore tailoring interventions for maximum impact in specific contexts.