Education Commons^™

Reach, Adoption, And Maintenance Of Online Acceptance And Commitment Therapy At A University: An Implementation Case Study, Carter H. Davis, Korena Klimczak, Ty B. Aller, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

College students are undergoing a mental health crisis and existing clinical resources at universities may be inadequate to meet their needs. One solution to this problem could be the use of self-guided, online programs for mental health that can be easily distributed to students. A persistent issue, however, is the transition from program development to implementation of a self-guided program at campus-wide scale. We describe, in a self-narrative format, the steps taken to translate an online program we developed based in acceptance and commitment therapy (ACT), called ACT Guide, from a research context to a campus-wide service at our university. …

Choosing Act Or Cbt: A Preliminary Test Of Incorporating Client Preferences For Depression Treatment With College Students, Carter H. Davis, Michael P. Twohig, Michael Levin

Psychology Faculty Publications

Background

Depression is a significant concern among college students, who suffer at higher rates and with greater severity than the general population. Online self-help could reduce the burden currently placed on college counseling centers, and programs based in cognitive behavioral therapies (CBTs) have a strong evidence base. However, online CBTs for depression often suffer from low adherence rates. An understudied method for improving adherence in this population is offering students a choice between various CBTs.

Methods

We conducted a randomized trial with 142 students with high levels of depression, with a subset of participants randomly receiving either traditional cognitive behavioral …

Online Process-Based Training For Perfectionism: A Randomized Trial, Clarissa W. Ong, Eric B. Lee, Michael E. Levin, Michael P. Twohig

Psychology Faculty Publications

Process-based therapy (PBT) is model of psychotherapy designed to improve people’s ability to use a variety of skills from evidence-based treatments to match environmental needs and personal goals in the moment. This randomized trial tested the effect of an online self-help intervention modeled after PBT principles for participants with perfectionism (N = 77). The intervention comprised two four-session trainings teaching skills from different evidence-based treatments (e.g., cognitive-behavioral therapy, acceptance and commitment therapy) and targeting cognitive and motivational processes: (1) cognitive training and (2) motivational training respectively. Participants completed 17 assessments throughout the intervention and at 3- and 6-month follow-up. …

Evaluating Acceptance And Commitment Therapy And Mindfulness-Based Stress Reduction Self-Help Books For College Student Mental Health, Michael E. Levin, Woolee An, Carter H. Davis, Michael P. Twohig

Psychology Faculty Publications

Objectives: Self-help has the potential to improve access to mental health resources for college students. However, solutions are needed to improve sustainable delivery, cost- effectiveness, and to know which resources are most useful. Methods: A sample of 109 college students were randomly assigned to read either an Acceptance and Commitment Therapy (ACT) or Mindfulness-Based Stress Reduction (MBSR) self-help book through the University library website over 8 weeks with assessments at baseline, midtreatment (4-weeks), and posttreatment (8-weeks). Results: The majority of participants reported reading over half of their assigned book and high satisfaction ratings were given for both books. Both conditions …

Evaluating The Open And Engaged Components Of Acceptance And Commitment Therapy In An Online Self-Guided Website: Results From A Pilot Trial, Julie M. Petersen, Jennifer Krafft, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

Online acceptance and commitment therapy (ACT) is promising for treating a range of psychological problems. Component research can further clarify which components are needed for optimal outcomes in what contexts. Online platforms provide a highly controlled format for such research. In this pilot trial, 55 adults were randomized to: ACT-Open (i.e., acceptance, defusion components), ACT-Engaged (i.e., values, committed action), or ACT-Combined (i.e., acceptance, defusion, values, committed action). Each condition was 12 sessions over six weeks, with assessments at baseline, posttreatment, and four-week follow-up. ACT-Open, ACT-Engaged, and ACT-Combined all significantly improved from pre- to post-treatment on mental health, psychosocial functioning, and …

Examining The Feasibility Of Acceptance And Commitment Therapy Self-Help For Problematic Pornography Viewing: Results From A Pilot Open Trial, Michael E. Levin, Scott T. Heninger, Benjamin G. Pierce, Michael P. Twohig

Psychology Faculty Publications

This pilot study evaluated the feasibility of an acceptance and commitment therapy (ACT) self-help program for problematic pornography viewing (PV). A sample of 19 adults seeking help for problematic PV was recruited in an open trial. Participants reported adequate program acceptability, although only 45% of those completing post-assessment read at least half of the self-help book. Significant improvements on problematic PV and cognitive fusion were found over the 8-week intervention period, with effects sustaining at 8-week follow-up. Participants who read more improved more on PV problems and psychological inflexibility. Overall, an ACT self-help approach appears feasible and potentially efficacious for …

Web-Based Self-Help For Preventing Mental Health Problems In Universities: Comparing Acceptance And Commitment Training To Mental Health Education, Michael E. Levin, Steven C. Hayes, Jacqueline Pistorello, John R. Seeley

Psychology Faculty Publications

No abstract provided.

Perspectives On The Use Of Acceptance And Commitment Therapy Related Mobile Apps: Results From A Survey Of Students And Professionals, Benjamin G. Pierce, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

Although mobile apps have proliferated as self-help or adjunctive therapy supports, scant research has explored their implementation among mental health practitioners. Little is known about uses and perceptions of mental health apps among applied practitioners, nor are agreed-upon criteria for evaluating and choosing apps available. The present survey study examined the uses and perceptions of mental health apps among 356 professionals and students familiar with Acceptance and Commitment Therapy (ACT), as indicated by being a member of the Association for Contextual Behavioral Science. The survey found that practitioners are interested in using ACT-related apps, but that use of and familiarity …

Web-Based Acceptance And Commitment Therapy For Mental Health Problems In College Students: A Randomized Controlled Trial, Michael E. Levin, Jack Haegar, Benjamin G. Pierce, Michael P. Twohig

Psychology Faculty Publications

There are significant challenges in addressing the mental health needs of college students. The current study tested an acceptance and commitment therapy (ACT) web-based self-help program to treat a broad range of psychological problems students struggle with. A sample of 79 college students were randomized to web-based ACT or a waitlist condition, with assessments at baseline and posttreatment. Results indicated adequate acceptability and program engagement for the ACT website. Relative to waitlist, participants receiving ACT improved on overall distress, general anxiety, social anxiety, depression, academic concerns, and positive mental health. There were no between group effects on eating concerns, alcohol …