1,073
Views
1
CrossRef citations to date
0
Altmetric
HEALTH PSYCHOLOGY

ACT2COPE: A pilot randomised trial of a brief online acceptance and commitment therapy intervention for people living with chronic health conditions during the COVID-19 pandemic

, , , , & ORCID Icon
Article: 2208916 | Received 19 Jan 2023, Accepted 26 Apr 2023, Published online: 11 May 2023

References

  • Allen, P., & Bennett, K. (2012). SPSS statistics-a practical guide. Cengage Learning Australia Pty Ltd.
  • Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014). Guided Internet‐based vs. face‐to‐face cognitive behavior therapy for psychiatric and somatic disorders: A systematic review and meta‐analysis. World Psychiatry, 13(3), 288–18. https://doi.org/10.1002/wps.20151
  • Andersson, G., & Titov, N. (2014). Advantages and limitations of Internet‐based interventions for common mental disorders. World Psychiatry, 13(1), 4–11. https://doi.org/10.1002/wps.20083
  • Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176. https://doi.org/10.1037/1040-3590.10.2.176
  • Asmundson, G. J., & Katz, J. (2009). Understanding the co‐occurrence of anxiety disorders and chronic pain: State‐of‐the‐art. Depression and Anxiety, 26(10), 888–901. https://doi.org/10.1002/da.20600
  • Banerjee, M., Chakraborty, S., & Pal, R. (2020). Diabetes self-management amid COVID-19 pandemic. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(4), 351–354. https://doi.org/10.1016/j.dsx.2020.04.013
  • Bardus, M., Ali, A., Demachkieh, F., & Hamadeh, G. (2019). Assessing the quality of mobile phone apps for weight management: User-centered study with employees from a Lebanese University. JMIR mHealth and uHealth, 7(1), e9836. https://doi.org/10.2196/mhealth.9836
  • Barnard, K., Skinner, T., & Peveler, R. (2006). The prevalence of co-morbid depression in adults with Type 1 diabetes: Systematic literature review. Diabetic Medicine, 23(4), 445–448. https://doi.org/10.1111/j.1464-5491.2006.01814.x
  • Bassett, S., Cohn, M., Cotten, P., Kwok, I., & Moskowitz, J. (2019). Feasibility and acceptability of an online positive affect intervention for those living with comorbid HIV depression. AIDS and Behaviour, 23(3), 753–764. https://doi.org/10.1007/s10461-019-02412-z
  • Beatty, L., & Lambert, S. (2013). A systematic review of internet-based self-help therapeutic interventions to improve distress and disease-control among adults with chronic health conditions. Clinical Psychology Review, 33(4), 609–622. https://doi.org/10.1016/j.cpr.2013.03.004
  • Bendelin, N., Hesser, H., Dahl, J., Carlbring, P., Nelson, K. Z., & Andersson, G. (2011). Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study. BMC Psychiatry, 11(1), 1–10. https://doi.org/10.1186/1471-244X-11-107
  • Boggiss, A. L., Consedine, N. S., Schache, K. R., Wallace‐boyd, K., Cao, N., Hofman, P. L., & Serlachius, A. S. (2021). Exploring the views of adolescents with type 1 diabetes on digital mental health interventions: What functionality and content do they want? Diabetic Medicine, 38(11), e14591. https://doi.org/10.1111/dme.14591
  • Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Zettle, R. D. & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007
  • Brown, M., Glendenning, A. C., Hoon, A. E., & John, A. (2016). Effectiveness of web-delivered acceptance and commitment therapy in relation to mental health and well-being: A systematic review and meta-analysis. Journal of Medical Internet Research, 18(8), e6200. https://doi.org/10.2196/jmir.6200
  • Cavanagh, K., Strauss, C., Cicconi, F., Griffiths, N., Wyper, A., & Jones, F. (2013). A randomised controlled trial of a brief online mindfulness-based intervention. Behaviour Research and Therapy, 51(9), 573–578. https://doi.org/10.1016/j.brat.2013.06.003
  • David, D., & Mogoase, C. (2015). Acceptance and commitment therapy’s philosophical foundation under scrutiny: an in-depth discussion of A-Ontology. Journal of Evidence-Based Psychotherapies, 15(2), 169–177.
  • Dawson, D. L., & Golijani-Moghaddam, N. (2020). COVID-19: Psychological flexibility, coping, mental health, and wellbeing in the UK during the pandemic. Journal of Contextual Behavioral Science, 17, 126–134. https://doi.org/10.1016/j.jcbs.2020.07.010
  • Dindo, L. (2015). One-day Acceptance and Commitment training workshops in medical populations. Current Opinion in Psychology, 2, 38–42. https://doi.org/10.1016/j.copsyc.2015.01.018
  • Dindo, L., Van Liew, J., & Arch, J. (2017). Acceptance and Commitment Therapy: A transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics, 14(3), 546–553. https://doi.org/10.1007/s13311-017-0521-3
  • Donkin, L., Christensen, H., Naismith, S. L., Neal, B., Hickie, I. B., & Glozier, N. (2011). A systematic review of the impact of adherence on the effectiveness of e-therapies. Journal of Medical Internet Research, 13(3), e1772. https://doi.org/10.2196/jmir.1772
  • Donkin, L., Hickie, I., Christensen, H., Naismith, S., Neal, B., Cockayne, N., & Glozier, N. (2012). Sampling bias in an internet treatment trial for depression. Translational Psychiatry, 2(10), e174. https://doi.org/10.1038/tp.2012.100
  • Eldridge, S. M., Chan, C. L., Campbell, M. J., Bond, C. M., Hopewell, S., Thabane, L., & Lancaster, G. A. (2016). CONSORT 2010 statement: Extension to randomised pilot and feasibility trials. The BMJ, 355, i5239. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/20724399 https://doi.org/10.1136/bmj.i5239
  • El-Gabalawy, R., Mackenzie, C. S., Shooshtari, S., & Sareen, J. (2011). Comorbid physical health conditions and anxiety disorders: A population-based exploration of prevalence and health outcomes among older adults. General Hospital Psychiatry, 33(6), 556–564. https://doi.org/10.1016/j.genhosppsych.2011.07.005
  • Graham, C. D., Gouick, J., Krahe, C., & Gillanders, D. (2016). A systematic review of the use of Acceptance and Commitment Therapy (ACT) in chronic disease and long-term conditions. Clinical Psychology Review, 46, 46–58. https://doi.org/10.1016/j.cpr.2016.04.009
  • Grigsby, A. B., Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2002). Prevalence of anxiety in adults with diabetes: A systematic review. Journal of Psychosomatic Research, 53(6), 1053–1060. https://doi.org/10.1016/S0022-3999(02)00417-8
  • Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006
  • Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy. New Harbinger Publications.
  • Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. https://doi.org/10.1016/S0005-7894(04)80013-3
  • Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Everall, I. & Everall, I. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry, 7(6), 547–560. https://doi.org/10.1016/S2215-0366(20)30168-1
  • Howarth, A., Perkins-Porras, L., Copland, C., & Ussher, M. (2016). Views on a brief mindfulness intervention among patients with long-term illness. BMC Psychology, 4(1), 1–9. https://doi.org/10.1186/s40359-016-0163-y
  • Hsieh, H. -F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. https://doi.org/10.1177/1049732305276687
  • Isa, M., Moy, F., Abdul Razack, A., Zainuddin, Z., & Zainal, N. (2013). Impact of applied progressive deep muscle relaxation training on the level of depression, anxiety and stress among prostate cancer patients: A quasi-experimental study. Asian Pacific Journal of Cancer Prevention, 14(4), 2237–2242. https://doi.org/10.7314/apjcp.2013.14.4.2237
  • Kashani, F., Babaee, S., Bahrami, M., & Valiani, M. (2012). The effects of relaxation on reducing depression, anxiety and stress in women who underwent mastectomy for breast cancer. Iranian Journal of Nursing and Midwifery Research, 17(1), 30–33.
  • Kelders, S. M., Kok, R. N., Ossebaard, H. C., & Van Gemert-Pijnen, J. E. (2012). Persuasive system design does matter: A systematic review of adherence to web-based interventions. Journal of Medical Internet Research, 14(6), e2104. https://doi.org/10.2196/jmir.2104
  • The King’s Fund. (2021). Long-term conditions and multi-morbidity. Retrieved from https://www.kingsfund.org.uk/projects/time-think-differently/trends-disease-and-disability-long-term-conditions-multi-morbidity#:~:text=About%2015%20million%20people%20in,pulmonary%20disease%2C%20arthritis%20and%20hypertension.
  • Köhle, N., Drossaert, C. H., Ten Klooster, P. M., Schreurs, K. M., Hagedoorn, M., Uden Kraan, V., Bohlmeijer, E. T. & Bohlmeijer, E. T. (2021). Web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion training: A randomized controlled trial with automated versus personal feedback. Supportive Care in Cancer, 29(9), 5115–5125. https://doi.org/10.1007/s00520-021-06051-w
  • Kroska, E. B., Roche, A. I., Adamowicz, J. L., & Stegall, M. S. (2020). Psychological flexibility in the context of COVID-19 adversity: Associations with distress. Journal of Contextual Behavioral Science, 18, 28–33. https://doi.org/10.1016/j.jcbs.2020.07.011
  • Landi, G., Pakenham, K. I., Boccolini, G., Grandi, S., & Tossani, E. (2020). Health anxiety and mental health outcome during COVID-19 lockdown in Italy: The mediating and moderating roles of psychological flexibility. Frontiers in Psychology, 11, 2195. https://doi.org/10.3389/fpsyg.2020.02195
  • Lappalainen, P., Granlund, A., Siltanen, S., Ahonen, S., Vitikainen, M., Tolvanen, A., & Lappalainen, R. (2014). ACT Internet-based vs face-to-face? A randomized controlled trial of two ways to deliver Acceptance and Commitment Therapy for depressive symptoms: An 18-month follow-up. Behaviour Research and Therapy, 61, 43–54. https://doi.org/10.1016/j.brat.2014.07.006
  • Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Annals of Behavioral Medicine, 37(1), 58–69. https://doi.org/10.1007/s12160-009-9083-x
  • Lin, J., Klatt, L. -I., McCracken, L. M., & Baumeister, H. (2018). Psychological flexibility mediates the effect of an online-based acceptance and commitment therapy for chronic pain: An investigation of change processes. Pain, 159(4), 663–672. https://doi.org/10.1097/j.pain.0000000000001134
  • Liu, Y., & Tang, X. (2018). Depressive syndromes in autoimmune disorders of the nervous system: Prevalence, etiology, and influence. Frontiers in Psychiatry / Frontiers Research Foundation, 9, 451. https://doi.org/10.3389/fpsyt.2018.00451
  • Liverpool, S., Mota, C. P., Sales, C. M., Čuš, A., Carletto, S., Hancheva, C., Pietrabissa, G. & Pietrabissa, G. (2020). Engaging children and young people in digital mental health interventions: Systematic review of modes of delivery, facilitators, and barriers. Journal of Medical Internet Research, 22(6), e16317. https://doi.org/10.2196/16317
  • Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
  • Maguire, S., & O’Shea, F. (2021). Social isolation due to the COVID-19 pandemic has led to worse outcomes in females with inflammatory arthritis. Irish Journal of Medical Science, 190(1), 33–38. (1971-). https://doi.org/10.1007/s11845-020-02307-2
  • Matchim, Y., Armer, J., & Stewart, B. (2011). Mindfulness-based stress reduction among breast cancer survivors: A literature review and discussion. Oncology Nursing Forum, 38(2), E61–71. https://doi.org/10.1188/11.ONF.E61-E71
  • McCracken, L. M., Sato, A., & Taylor, G. J. (2013). A trial of a brief group-based form of acceptance and commitment therapy (ACT) for chronic pain in general practice: Pilot outcome and process results. The Journal of Pain, 14(11), 1398–1406. https://doi.org/10.1016/j.jpain.2013.06.011
  • Mercier, A., Auger-Aubin, I., Lebeau, J. -P., Schuers, M., Boulet, P., Hermil, J. -L., Peremans, L. & Peremans, L. (2013). Evidence of prescription of antidepressants for non-psychiatric conditions in primary care: An analysis of guidelines and systematic reviews. BMC Family Practice, 14(1), 1–10. https://doi.org/10.1186/1471-2296-14-55
  • Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., & Engelhard, I. M. (2020). Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. Journal of Anxiety Disorders, 74, 102258. https://doi.org/10.1016/j.janxdis.2020.102258
  • Mikolasek, M., Berg, J., Witt, C. M., & Barth, J. (2018). Effectiveness of mindfulness-and relaxation-based eHealth interventions for patients with medical conditions: A systematic review and synthesis. International Journal of Behavioral Medicine, 25(1), 1–16. https://doi.org/10.1007/s12529-017-9679-7
  • Ministry of Health. (2009). Report on New Zealand cost-of-illness studies on long-term conditions. Retrieved from https://www.health.govt.nz/system/files/documents/publications:
  • Moe-Byrne, T., Shepherd, J., Merecz-Kot, D., Sinokki, M., Naumanen, P., Hakkaart van Roijen, L., Van Der Feltz-Cornelis, C., & König, L. M. (2022). Effectiveness of tailored digital health interventions for mental health at the workplace: A systematic review of randomised controlled trials. PLOS Digital Health, 1(10), e0000123. https://doi.org/10.1371/journal.pdig.0000123
  • Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: Results from the World Health Surveys. The Lancet, 370(9590), 851–858. https://doi.org/10.1016/s0140-6736(07)61415-9
  • Pakenham, K. I., Landi, G., Boccolini, G., Furlani, A., Grandi, S., & Tossani, E. (2020). The moderating roles of psychological flexibility and inflexibility on the mental health impacts of COVID-19 pandemic and lockdown in Italy. Journal of Contextual Behavioral Science, 17, 109–118. https://doi.org/10.1016/j.jcbs.2020.07.003
  • Papautsky, E. L., Rice, D. R., Ghoneima, H., McKowen, A. L. W., Anderson, N., Wootton, A. R., & Veldhuis, C. (2021). Characterizing health care delays and interruptions in the United States during the COVID-19 pandemic: Internet-based, cross-sectional survey study. Journal of Medical Internet Research, 23(5), e25446. https://doi.org/10.2196/25446
  • Pettinicchio, D., Maroto, M., Chai, L., & Lukk, M. (2021). Findings from an online survey on the mental health effects of COVID-19 on Canadians with disabilities and chronic health conditions. Disability and Health Journal, 14(3), 101085. https://doi.org/10.1016/j.dhjo.2021.101085
  • Pfefferbaum, B., & North, C. S. (2020). Mental health and the Covid-19 pandemic. The New England Journal of Medicine, 383(6), 510–512. https://doi.org/10.1056/NEJMp2008017
  • Räsänen, P., Lappalainen, P., Muotka, J., Tolvanen, A., & Lappalainen, R. (2016). An online guided ACT intervention for enhancing the psychological wellbeing of university students: A randomized controlled clinical trial. Behaviour Research and Therapy, 78, 30–42. https://doi.org/10.1016/j.brat.2016.01.001
  • Schreier, M. (2012). Qualitative content analysis in practice. Sage publications.
  • Sheppard, S. C., Forsyth, J. P., Hickling, E. J., & Bianchi, J. (2010). A novel application of acceptance and commitment therapy for psychosocial problems associated with multiple sclerosis: Results from a half-day workshop intervention. International Journal of MS Care, 12(4), 200–206. https://doi.org/10.7224/1537-2073-12.4.200
  • Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015). The WHO-5 Well-Being Index: A systematic review of the literature. Psychotherapy and Psychosomatics, 84(3), 167–176. https://doi.org/10.1159/000376585
  • Trompetter, H. R., Bohlmeijer, E. T., Fox, J. -P., & Schreurs, K. M. (2015). Psychological flexibility and catastrophizing as associated change mechanisms during online acceptance & commitment therapy for chronic pain. Behaviour Research and Therapy, 74, 50–59. https://doi.org/10.1016/j.brat.2015.09.001
  • Tyndall, I., Waldeck, D., Pancani, L., Whelan, R., Roche, B., & Dawson, D. L. (2019). The acceptance and action Questionnaire-II (AAQ-II) as a measure of experiential avoidance: Concerns over discriminant validity. Journal of Contextual Behavioral Science, 12, 278–284. https://doi.org/10.1016/jcbs.2018.09.005
  • Van de Mortel, T. F. (2008). Faking it: Social desirability response bias in self-report research. Australian Journal of Advanced Nursing, The, 25(4), 40–48.
  • Wind, T., Rijkeboer, M., Andersson, G., & Riper, H. (2020). The COVID-19 pandemic: The ‘black swan’ for mental health care and a turning point for e-health. Internet Interventions, 20, 100317. https://doi.org/10.1016/j.invent.2020.100317
  • World Health Organisation. (1998). Use of well-being measures in primary health care - the DepCare project health for all. Retrieved from Geneva:
  • World Health Organisation. (2023). WHO Coronavirus (COVID-19) Dashboard. Retrieved from https://covid19.who.int/?mapFilter=deaths
  • Zamawe, F. C. (2015). The implication of using NVivo software in qualitative data analysis: Evidence-based reflections. Malawi Medical Journal, 27(1), 13–15. https://doi.org/10.4314/mmj.v27i1.4