Evidence map›Paper›PMID 34800873›Full record

SynthesisBehaviour research and therapy2022

Technology-supported Acceptance and Commitment Therapy for chronic health conditions: A systematic review and meta-analysis.

Matthew S Herbert, Cara Dochat, Jennalee S Wooldridge, Karla Materna, Brian H Blanco, Mara Tynan, Michael W Lee, Marianna Gasperi, Angela Camodeca, Devon Harris and 1 more

2 registry-linked trialsOpen access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Behaviour research and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
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.

NCT06179264 nacompletednot on this mapstarted 2024, after this paper: background citation

Preliminary Evaluation of an Online Acceptance and Commitment Training Program for Individuals with Chronic Health Conditions

TypeinterventionalSponsorUtah State UniversityRan2024 to 2024Enrolled101ConditionsStress, Psychological, Depression, Well-Being, PsychologicalArmsACT Guide for Chronic Health Conditions
NCT07420426 narecruitingnot on this mapstarted 2025, after this paper: background citation

Instant Message-delivered Personalised Acceptance and Commitment Therapy (IMPACT) for Neuropsychiatric Symptoms in Persons With Mild Cognitive Impairment: a Mixed Methods Study

TypeinterventionalSponsorThe University of Hong KongRan2025 to 2026Enrolled160ConditionsMild Cognitive Impairment (MCI)Armsautomated instant message-guided neuropsychiatric symptoms management, general mental health management
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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  17. Real-world evaluation of an acceptance and commitment therapy-based group programme for breast cancer survivors with fear of cancer recurrence.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

11 authors at 3 institutions in 1 country.

Matthew S HerbertVA San Diego Healthcare System, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, San Diego, CA, USA; VA Center of Excellence for Stress and Mental Health, San Diego, CA, USA. Electronic address: Matthew.Herbert2@va.gov.
Cara DochatVA San Diego Healthcare System, San Diego, CA, USA; San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
Jennalee S WooldridgeVA San Diego Healthcare System, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, San Diego, CA, USA; VA Center of Excellence for Stress and Mental Health, San Diego, CA, USA.
Karla MaternaVA San Diego Healthcare System, San Diego, CA, USA.
Brian H BlancoVA San Diego Healthcare System, San Diego, CA, USA.
Mara TynanVA San Diego Healthcare System, San Diego, CA, USA; San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
Michael W LeeVA San Diego Healthcare System, San Diego, CA, USA.
Marianna GasperiVA San Diego Healthcare System, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, San Diego, CA, USA; VA Center of Excellence for Stress and Mental Health, San Diego, CA, USA.
Angela CamodecaVA San Diego Healthcare System, San Diego, CA, USA.
Devon HarrisVA San Diego Healthcare System, San Diego, CA, USA.
Niloofar AfariVA San Diego Healthcare System, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, San Diego, CA, USA; VA Center of Excellence for Stress and Mental Health, San Diego, CA, USA.
VA San Diego Healthcare System · USUniversity of California San Diego · USSan Diego State University · US

Funding

An ACT-enhanced Weight Management and Fitness Program for Navy PersonnelR01DK106415 · NIDDK · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI AFARI, NILOOFAR · 2016 to 2020
$2.5M
Chronic pain conditions and internalizing psychopathology, a genetic epidemiology investigation.IK2CX002107 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI Marianna Gasperi · 2021 to 2026
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Mindful Action for Pain: An Integrated Approach to Improve Chronic Pain FunctionIK2RX002807 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI HERBERT, MATTHEW · 2019 to 2023
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CSRD VA IK2 CX002107NIDDK NIH HHS R01 DK106415RRD VA IK2 RX002807
6 · The paper itself

Abstract

Chronic health conditions (CHCs) are common and associated with functional limitations. Acceptance and commitment therapy (ACT) shows promise in improving functioning, quality of life, and distress across several CHCs. The purpose of this study was to conduct a systematic review of technology-supported ACT for CHCs and perform a meta-analysis on functioning and ACT process outcomes. Multiple databases were systematically searched for randomized controlled trials. A total of 20 unique studies with 2,430 randomized participants were included. CHCs addressed in these studies were chronic pain (k = 9), obesity/overweight (k = 4), cancer (k = 3), hearing loss (k = 1), HIV (k = 1), multiple sclerosis (k = 1), and tinnitus (k = 1). Internet and telephone were the most used technology platforms. All studies included therapist contact with considerable heterogeneity between studies. Random effects meta-analyses found medium effect sizes showing technology-supported ACT outperformed comparator groups on measures of function at post-treatment (Hedges' g = -0.49; p = 0.002) and follow-up (Hedges' g = -0.52; p = 0.02), as well as ACT process outcomes at post-treatment (Hedges' g = 0.48; p < 0.001) and follow-up (Hedges' g = 0.44; p < 0.001). Technology-supported ACT shows promise for improving function and ACT process outcomes across a range of CHCs. Recommendations are provided to optimize technology-supported ACT for CHCs. PROSPERO registration number: CRD42020200230.

Indexed as

Acceptance and Commitment TherapyChronic PainHumansQuality of LifeRandomized Controlled Trials as TopicTechnologyTelephoneAcceptanceChronic diseaseChronic illnessDisabilityFunctioning

Identifiers

PMID34800873
PMCPMC8712459
OpenAlexW3213115339

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.