Evidence map›Paper›PMID 31182051›Full record

ArticleBMC psychiatry2019

"Choose change": design and methods of an acceptance and commitment therapy effectiveness trial for transdiagnostic treatment-resistant patients.

Jeanette Villanueva, Andrea H Meyer, Marcia T B Rinner, Victoria J Firsching, Charles Benoy, Sandra Brogli, Marc Walter, Klaus Bader, Andrew T Gloster

Abstract readClinical Trial Protocol
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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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

9 authors.

Jeanette VillanuevaDepartment of Psychology, Division of Clinical Psychology and Intervention Science, University of Basel, Basel, Switzerland.
Andrea H MeyerDepartment of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland.
Marcia T B RinnerDepartment of Psychology, Division of Clinical Psychology and Intervention Science, University of Basel, Basel, Switzerland.
Victoria J FirschingDepartment of Psychology, Division of Clinical Psychology and Intervention Science, University of Basel, Basel, Switzerland.
Charles BenoyCenter for Psychosomatics and Psychotherapy, Psychiatric Hospital of the University of Basel, Basel, Switzerland.
Sandra BrogliCenter for Psychosomatics and Psychotherapy, Psychiatric Hospital of the University of Basel, Basel, Switzerland.
Marc WalterCenter for Psychosomatics and Psychotherapy, Psychiatric Hospital of the University of Basel, Basel, Switzerland.
Klaus BaderCenter for Psychosomatics and Psychotherapy, Psychiatric Hospital of the University of Basel, Basel, Switzerland.
Andrew T GlosterDepartment of Psychology, Division of Clinical Psychology and Intervention Science, University of Basel, Basel, Switzerland. andrew.gloster@unibas.ch.ORCID 0000-0002-3751-0878

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcceptance and Commitment Therapy (ACT) has been successfully established in hundreds of efficacy trials. It is less understood, however, how ACT works in real-world settings. Furthermore, little is known about how contextual variables such as treatment setting (inpatient vs. outpatient), social network and environment of the patient impact outcome.

methodsThis paper describes the methods of the Choose Change study that compares transdiagnostic inpatients (n = 85) and outpatients (n = 85) with varying degrees of treatment experience and treatment success (i.e., no previous treatment vs. previous remission vs. treatment-resistant). Patients received ACT during an intensive treatment phase lasting approximately twelve treatment sessions, and were accompanied up to twelve months following intensive treatment. Main outcomes include symptoms, functioning, and well-being. Multiple levels of data are investigated, including treatment context, weekly assessments, a behavioral approach test, multiple follow-up phases, and ambulatory assessment using Event Sampling Methodology, to examine patients' daily context. DISCUSSION: We aim to investigate antecedents, consequences, and inherent processes that contribute to the maintenance or fluctuations of psychological disorders and the efficacy of ACT treatment. Furthermore, this study intends to increase understanding of how accurately participants can report on their own experiences, in order to expand our knowledge of how to probe for such information in the future. The results of Choose Change will provide basic clinical theory and clinical care with important and meaningful insights into the effectiveness of ACT, trans diagnostically, in in- and outpatients, and in a naturalistic setting.

trial registrationThis study was retrospectively registered in the ISRCTN Registry (registration number ISRCTN11209732 ) on May 20th 2016.

Indexed as

Acceptance and Commitment TherapyAdultFemaleHumansInpatientsMaleMental DisordersMiddle AgedOutpatientsTreatment OutcomeAcceptance and commitment therapy (ACT)EffectivenessImplementationInpatientsOutpatientsPsychological flexibilityTransdiagnostic

Identifiers

PMID31182051
PMCPMC6558686

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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.