Tailoring Acceptance and Commitment Therapy Skill Coaching in the Moment Through Smartphones: Results from a Randomized Controlled Trial

Michael E. Levin, Jack Haeger, Rick A. Cruz

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

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 4 weeks. 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.

Original languageEnglish (US)
Pages (from-to)689-699
Number of pages11
JournalMindfulness
Volume10
Issue number4
DOIs
StatePublished - Apr 15 2019
Externally publishedYes

Keywords

  • Just-in-time adaptive interventions
  • mHealth
  • Micro-interventions
  • Mindfulness
  • Psychological inflexibility

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Experimental and Cognitive Psychology
  • Developmental and Educational Psychology
  • Applied Psychology

Fingerprint

Dive into the research topics of 'Tailoring Acceptance and Commitment Therapy Skill Coaching in the Moment Through Smartphones: Results from a Randomized Controlled Trial'. Together they form a unique fingerprint.

Cite this