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A Systematic Review And Meta-Analysis Of Self-Guided Online Acceptance And Commitment Therapy As A Transdiagnostic Self-Help Intervention, Korena S. Klimczak, Guadalupe G. San Miguel, Miriam N. Mukasa, Michael P. Twohig, Michael E. Levin
A Systematic Review And Meta-Analysis Of Self-Guided Online Acceptance And Commitment Therapy As A Transdiagnostic Self-Help Intervention, Korena S. Klimczak, Guadalupe G. San Miguel, Miriam N. Mukasa, Michael P. Twohig, Michael E. Levin
Psychology Student Research
Online Acceptance and Commitment Therapy (ACT) interventions use websites and smartphone apps to deliver ACT exercises and skills. The present meta-analysis provides a comprehensive review of online ACT self-help interventions, characterizing the programs that have been studied (e.g. platform, length, content) and analyzing their efficacy. A transdiagnostic approach was taken, including studies that addressed a range of targeted problems and populations. Multi-level meta-analyses were used to nest multiple measures of a single construct within their respective studies. A total of 53 randomized controlled trials were included (n = 10,730). Online ACT produced significantly greater outcomes than waitlist controls at …
School-Based Acceptance And Commitment Therapy For Adolescents With Anxiety: A Pilot Trial, Julie M. Petersen, Carter H. Davis, Tyler L. Renshaw, Michael E. Levin, Michael P. Twohig
School-Based Acceptance And Commitment Therapy For Adolescents With Anxiety: A Pilot Trial, Julie M. Petersen, Carter H. Davis, Tyler L. Renshaw, Michael E. Levin, Michael P. Twohig
Psychology Student Research
Anxiety disorders are one of the most prevalent diagnoses in youth, often resulting in impaired social and school functioning. Research on treatments for youth anxiety is primarily based in traditional clinical settings. However, integrating youth psychotherapies into the school environment improves access to evidence-based care. The present study is a pilot, randomized waitlist-controlled trial of a school-based, group acceptance and commitment therapy-based (ACT) intervention for adolescents with anxiety. Students at two separate schools (N = 26) with elevated anxiety were randomized to a 12-week waitlist or to immediate treatment. Participants in the immediate treatment condition reported statistically significant decreases …
Preliminary Findings On Processes Of Change And Moderators For Cognitive Defusion And Restructuring Delivered Through Mobile Apps, Michael E. Levin, Jennifer Krafft, Woolee An, Clarissa W. Ong, Michael P. Twohig
Preliminary Findings On Processes Of Change And Moderators For Cognitive Defusion And Restructuring Delivered Through Mobile Apps, Michael E. Levin, Jennifer Krafft, Woolee An, Clarissa W. Ong, Michael P. Twohig
Psychology Student Research
A process-based therapy approach emphasizes examining how and for whom specific therapeutic components linked to specific processes of change function. This preliminary study explored the processes of change for cognitive defusion and restructuring with daily ratings of self-criticism from a larger component trial as well as self-compassion as a moderator of these daily effects. A sample of 51 adults high in self-criticism (M age = 22.69, 78% female, 88% non-Hispanic White) were randomized to a cognitive defusion or restructuring mobile app for two weeks and completed daily assessments. Both conditions improved over time on daily frequency, defused noticing, challenging, …
Examining The Feasibility And Effectiveness Of Online Acceptance And Commitment Therapy Self-Help In A Quasi-Stepped Care Model: A Pilot Study, Clarissa W. Ong, Carina L. Terry, Michael Levin, Michael P. Twohig
Examining The Feasibility And Effectiveness Of Online Acceptance And Commitment Therapy Self-Help In A Quasi-Stepped Care Model: A Pilot Study, Clarissa W. Ong, Carina L. Terry, Michael Levin, Michael P. Twohig
Psychology Student Research
The global burden of mental illness and limited resources make increasing the efficiency of available mental healthcare resources especially crucial. One way this can be done is a stepped care approach to treatment. To test the viability of using internet-based self-help in a stepped care model, we examined the feasibility, acceptability, and effectiveness of an online self-help acceptance and commitment (ACT) program prior to starting in-person therapy at a university community clinic (N = 51). Online program acceptability was at least moderate. There was clinically significant change in 75.9 to 79.3% and reliable change in 31.0 to 100% of …
Does The Cognitive Fusion Questionnaire Measure More Than Frequency Of Negative Thoughts?, Jennifer Krafft, Michael E. Levin
Does The Cognitive Fusion Questionnaire Measure More Than Frequency Of Negative Thoughts?, Jennifer Krafft, Michael E. Levin
Psychology Student Research
Cognitive fusion is a psychopathological process that appears to be relevant to a wide range of disorders. This process is frequently measured with the Cognitive Fusion Questionnaire (CFQ). However, the construct validity of similar measures has been criticized for substantial overlap with distress. It is possible the CFQ may excessively measure the presence of unwanted thoughts, rather than fusion per se. Therefore, this study examined the discriminant validity of the CFQ relative to a measure of automatic negative thoughts (the Automatic Thoughts Questionnaire) in a college student sample (n = 389). While the two measures were highly correlated (ρ …
A Randomized Controlled Trial Of Online Acceptance And Commitment Therapy To Improve Diet And Physical Activity Among Adults Who Are Overweight/Obese, Michael E. Levin, Julie M. Petersen, Carrie Durward, Brittany Bingeman, Elizabeth Davis, Cindy Nelson, Shannon Cromwell
A Randomized Controlled Trial Of Online Acceptance And Commitment Therapy To Improve Diet And Physical Activity Among Adults Who Are Overweight/Obese, Michael E. Levin, Julie M. Petersen, Carrie Durward, Brittany Bingeman, Elizabeth Davis, Cindy Nelson, Shannon Cromwell
Psychology Student Research
Background: Acceptance and commitment therapy (ACT) has shown benefit for improving diet, physical activity, and weight among adults who are overweight and obese. However, research to date in this area has primarily evaluated ACT delivered through in-person interventions, which has more limited access relative to online formats. Purpose: The present study evaluated an online guided self-help program that integrated ACT with nutrition education to improve healthy eating and physical activity. Methods: A sample of 79 adults who were overweight/obese were randomized to receive the 8-week ACT on Health program plus weekly phone coaching or to a waitlist. Results: Participants completed …
A Pilot Randomized Controlled Trial Of Acceptance And Commitment Therapy Guided Self-Help For Overweight And Obese Adults High In Weight Self-Stigma, Sarah Ann Potts, Jennifer Krafft, Michael E. Levin
A Pilot Randomized Controlled Trial Of Acceptance And Commitment Therapy Guided Self-Help For Overweight And Obese Adults High In Weight Self-Stigma, Sarah Ann Potts, Jennifer Krafft, Michael E. Levin
Psychology Student Research
Weight self-stigma, in which individuals internalize stigmatizing messages about weight, is a prevalent problem that contributes to poor quality of life and health. This pilot randomized controlled trial evaluated acceptance and commitment therapy (ACT) guided self-help using The Diet Trap (Lillis, Dahl, & Weineland, 2014) for 55 overweight/obese adults high in weight self-stigma. Participants were randomized to the ACT self-help book plus phone coaching (GSH-P; n=17), self-help book plus email prompts only (GSH-E; n=20), or a waitlist condition (n=18), with online self-report assessments at baseline and posttreatment (8 weeks later). Participants reported high satisfaction ratings and engagement with the ACT …
Evaluating The Effects Of Guided Coaching Calls On Engagement And Outcomes For Online Acceptance And Commitment Therapy, Michael E. Levin, Jennifer Krafft, Carter Davis, Michael P. Twohig
Evaluating The Effects Of Guided Coaching Calls On Engagement And Outcomes For Online Acceptance And Commitment Therapy, Michael E. Levin, Jennifer Krafft, Carter Davis, Michael P. Twohig
Psychology Student Research
Previous research indicates mixed results for guided support with interventions. The current secondary analysis evaluated the effects of phone coaching from a dismantling trial of online acceptance and commitment therapy (ACT) in a sample of 136 distressed college students randomized to one of three versions of an ACT website. Participants were randomized to receive email prompts alone (non-coaching condition) or email plus phone coaching (coaching condition). Results indicated no differences between the coaching and non-coaching conditions on program engagement, program satisfaction, mental health outcomes, and almost all psychological flexibility processes. However, participants in the coaching condition reported stronger pre- to …