Tailoring Acceptance and Commitment Therapy Skill Coaching in the Moment Through Smartphones: Results from a Randomized Controlled Trial
Tailoring Acceptance and Commitment Therapy Skill Coaching in the Moment Through Smartphones: Results from a Randomized Controlled Trial
复制标题
DOI：
10.1007/s12671-018-1004-2
复制
发表时间：
2019-04-01
期刊：
影响因子：
3.6
通讯作者：
Cruz, Rick A.
中科院分区：
文献类型：
--
作者：
Levin, Michael E.;Haeger, Jack;Cruz, Rick A.
越来越多的证据表明，通过智能手机提供的接受和承诺疗法（ACT）干预措施的有效性，但研究尚未关注如何优化此类干预措施。移动的干预的一个好处是能够根据即时变量调整内容。目前的随机对照试验评估了基于即时生态瞬时评估（EMA）定制技能辅导的ACT应用程序是否比技能辅导随机或仅EMA条件的相同应用程序更有效。69名有兴趣使用自助应用程序的成年人被随机分配到三种应用程序条件之一，并在接下来的4周内使用该应用程序。结果表明，定制应用程序与随机应用程序的用户满意度相当高。参与者使用仅限EMA的应用程序最多，定制应用程序最少，但总体依从性足够。与随机应用程序和仅使用EMA的条件相比，定制应用程序中的参与者在心理困扰和积极心理健康方面的改善更明显。然而，在随机应用程序和仅EMA条件之间没有发现结果差异。随着时间的推移，也发现了心理可接受性的组间差异，但这似乎主要是由于相对于定制和仅EMA，随机应用条件的改善率较低。总的来说，这些结果表明，基于当前变量定制ACT技能辅导会带来更大的功效。
There is growing evidence for the efficacy of acceptance and commitment therapy (ACT) interventions delivered through smartphones, but research has not yet focused on how to optimize such interventions. One benefit of mobile interventions is the ability to adapt content based on in-the-moment variables. The current randomized controlled trial evaluated whether an ACT app that tailored skill coaching based on in-the-moment ecological momentary assessments (EMAs) would be more efficacious than the same app where skill coaching was random or an EMA-only condition. A sample of 69 adults interested in using a self-help app were randomized to one of three app conditions and used the app for the following 4weeks. Results indicated equivalently high user satisfaction with the tailored versus random apps. Participants used the EMA-only app the most and the tailored app the least, but overall adherence was adequate. Participants in the tailored app improved significantly more on psychological distress and positive mental health relative to the random app and EMA-only conditions. However, no differences were found between the random app and EMA-only conditions on outcomes. Between-group differences over time were also found on psychological inflexibility, but this appeared to be primarily due to a lower rate of improvement in the random app condition relative to both tailored and EMA-only. Overall, these results suggest that tailoring ACT skill coaching based on in-the-moment variables leads to greater efficacy.