A Pilot Randomized Controlled Trial of a Single-Session Digital Acceptance and Commitment Therapy Intervention

Adherence challenges are common among digital mental health interventions (DMHIs). Single-session DMHIs may help by providing a low-intensity intervention that takes less time to complete. This pilot randomized controlled trial sought to evaluate the acceptability and preliminary efficacy of a singl...

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Main Authors: Michael E. Levin, Miriam N. Mukasa, Emily M. Bowers, Korena S. Klimczak, Ty B. Aller
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Behavioral Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-328X/15/1/75
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author Michael E. Levin
Miriam N. Mukasa
Emily M. Bowers
Korena S. Klimczak
Ty B. Aller
author_facet Michael E. Levin
Miriam N. Mukasa
Emily M. Bowers
Korena S. Klimczak
Ty B. Aller
author_sort Michael E. Levin
collection DOAJ
description Adherence challenges are common among digital mental health interventions (DMHIs). Single-session DMHIs may help by providing a low-intensity intervention that takes less time to complete. This pilot randomized controlled trial sought to evaluate the acceptability and preliminary efficacy of a single-session DMHI based on acceptance and commitment therapy (ACT) in a non-clinical sample of college students. The trial was pre-registered (NCT06139718). A total of 61 students were recruited, which was below the target of 100 participants. The participants were randomized to the single-session ACT DMHI or to a waitlist condition, with assessments completed at 1-week and 1-month follow-ups. The vast majority of participants (87%) completed the single-session ACT program. The participants provided high program satisfaction ratings. There were no differences between conditions on psychological flexibility, distress, or mental health help seeking. However, the participants assigned to ACT improved significantly more than the waitlist on well-being from baseline to 1-month follow-up (<i>d</i> = 0.29). Overall, the results were mixed, with some support for the acceptability and potential efficacy of a single-session ACT DMHI but also a lack of effect, most notably on psychological flexibility as the process of change in ACT.
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spelling doaj-art-e8a084aa06f646c8bd02cfb5265f01872025-01-24T13:22:49ZengMDPI AGBehavioral Sciences2076-328X2025-01-011517510.3390/bs15010075A Pilot Randomized Controlled Trial of a Single-Session Digital Acceptance and Commitment Therapy InterventionMichael E. Levin0Miriam N. Mukasa1Emily M. Bowers2Korena S. Klimczak3Ty B. Aller4Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT 84322, USADepartment of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT 84322, USADepartment of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT 84322, USADepartment of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT 84322, USAInstitute for Disability Research, Policy, and Practice, Utah State University, Logan, UT 84322, USAAdherence challenges are common among digital mental health interventions (DMHIs). Single-session DMHIs may help by providing a low-intensity intervention that takes less time to complete. This pilot randomized controlled trial sought to evaluate the acceptability and preliminary efficacy of a single-session DMHI based on acceptance and commitment therapy (ACT) in a non-clinical sample of college students. The trial was pre-registered (NCT06139718). A total of 61 students were recruited, which was below the target of 100 participants. The participants were randomized to the single-session ACT DMHI or to a waitlist condition, with assessments completed at 1-week and 1-month follow-ups. The vast majority of participants (87%) completed the single-session ACT program. The participants provided high program satisfaction ratings. There were no differences between conditions on psychological flexibility, distress, or mental health help seeking. However, the participants assigned to ACT improved significantly more than the waitlist on well-being from baseline to 1-month follow-up (<i>d</i> = 0.29). Overall, the results were mixed, with some support for the acceptability and potential efficacy of a single-session ACT DMHI but also a lack of effect, most notably on psychological flexibility as the process of change in ACT.https://www.mdpi.com/2076-328X/15/1/75acceptance and commitment therapyeHealthpsychological flexibilityuniversity studentssingle-session intervention
spellingShingle Michael E. Levin
Miriam N. Mukasa
Emily M. Bowers
Korena S. Klimczak
Ty B. Aller
A Pilot Randomized Controlled Trial of a Single-Session Digital Acceptance and Commitment Therapy Intervention
Behavioral Sciences
acceptance and commitment therapy
eHealth
psychological flexibility
university students
single-session intervention
title A Pilot Randomized Controlled Trial of a Single-Session Digital Acceptance and Commitment Therapy Intervention
title_full A Pilot Randomized Controlled Trial of a Single-Session Digital Acceptance and Commitment Therapy Intervention
title_fullStr A Pilot Randomized Controlled Trial of a Single-Session Digital Acceptance and Commitment Therapy Intervention
title_full_unstemmed A Pilot Randomized Controlled Trial of a Single-Session Digital Acceptance and Commitment Therapy Intervention
title_short A Pilot Randomized Controlled Trial of a Single-Session Digital Acceptance and Commitment Therapy Intervention
title_sort pilot randomized controlled trial of a single session digital acceptance and commitment therapy intervention
topic acceptance and commitment therapy
eHealth
psychological flexibility
university students
single-session intervention
url https://www.mdpi.com/2076-328X/15/1/75
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