Evidence map›Paper›PMID 26716932›Full record

Trial reportBehaviour research and therapy2016

Acceptance and Commitment Therapy modules: Differential impact on treatment processes and outcomes.

Jennifer L Villatte, Roger Vilardaga, Matthieu Villatte, Jennifer C Plumb Vilardaga, David C Atkins, Steven C Hayes

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behaviour research and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04474509 (The ACTyourCHANGE Study Protocol. Promoting a Healthy Lifestyle in Patients With Obesity With Acceptance and Commitment Therapy. A Randomized Controlled Trial), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04474509 naunknown statusnot on this mapstarted 2021, after this paper: background citation

The ACTyourCHANGE Study Protocol. Promoting a Healthy Lifestyle in Patients With Obesity With Acceptance and Commitment Therapy. A Randomized Controlled Trial

TypeinterventionalSponsorIstituto Auxologico ItalianoRan2021 to 2024Enrolled90ConditionsHealth BehaviorArmsFACT Module Engagement, FACT Module Openness, FACT Module Awareness
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jennifer L VillatteDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA. Electronic address: villatte@uw.edu.
Roger VilardagaDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA. Electronic address: vilardag@uw.edu.
Matthieu VillatteEvidence Based Practice Institute, Seattle, WA, USA. Electronic address: matt@ebpi.org.
Jennifer C Plumb VilardagaVeterans Affairs Puget Sound Health Care System, Seattle Division, Seattle, WA, USA. Electronic address: jennifer.plumbvilardaga@va.gov.
David C AtkinsDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA. Electronic address: datkins@uw.edu.
Steven C HayesDepartment of Psychology, University of Nevada, Reno, USA. Electronic address: hayes@unr.edu.

Funding

Improving Mental Health Care in Safety Net Medical SettingsT32MH082709 · NIMH · UNIVERSITY OF WASHINGTON · PI COMTOIS, KATHERINE ANNE · 2010 to 2014
$1.4M
Modular Training in Empirically Supported Change ProcessesF31MH096341 · NIMH · UNIVERSITY OF NEVADA RENO · PI VILLATTE, JENNIFER L. · 2011 to 2012
$54k
NIMH NIH HHS F31 MH096341NIMH NIH HHS F31MH096341NIMH NIH HHS T32 MH082709NIMH NIH HHS T32MH096341
6 · The paper itself

Abstract

A modular, transdiagnostic approach to treatment design and implementation may increase the public health impact of evidence-based psychosocial interventions. Such an approach relies on algorithms for selecting and implementing treatment components intended to have a specific therapeutic effect, yet there is little evidence for how components function independent of their treatment packages when employed in clinical service settings. This study aimed to demonstrate the specificity of treatment effects for two components of Acceptance and Commitment Therapy (ACT), a promising candidate for modularization. A randomized, nonconcurrent, multiple-baseline across participants design was used to examine component effects on treatment processes and outcomes in 15 adults seeking mental health treatment. The ACT OPEN module targeted acceptance and cognitive defusion; the ACT ENGAGED module targeted values-based activation and persistence. According to Tau-U analyses, both modules produced significant improvements in psychiatric symptoms, quality of life, and targeted therapeutic processes. ACT ENGAGED demonstrated greater improvements in quality of life and values-based activation. ACT OPEN showed greater improvements in symptom severity, acceptance, and defusion. Both modules improved awareness and non-reactivity, which were mutually targeted, though using distinct intervention procedures. Both interventions demonstrated high treatment acceptability, completion, and patient satisfaction. Treatment effects were maintained at 3-month follow up. ACT components should be considered for inclusion in a modular approach to implementing evidence-based psychosocial interventions for adults.

Indexed as

Acceptance and Commitment TherapyAdultAwarenessFemaleHumansMaleMental DisordersMiddle AgedMindfulnessPatient SatisfactionPsychotherapyQuality of LifeSeverity of Illness IndexTreatment OutcomeAcceptanceAcceptance and commitment therapyComponent analysisMindfulnessModular designSingle case experimental designTherapy processValues

Identifiers

PMID26716932
PMCPMC4752868

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.