Evidence map›Paper›PMID 37184896›Full record

ArticleJMIR mental health2023

Mobile Acceptance and Commitment Therapy With Distressed First-Generation College Students: Microrandomized Trial.

Emily Brenny Kroska Thomas, Tijana Sagorac Gruichich, Jacob M Maronge, Sydney Hoel, Amanda Victory, Zachary N Stowe, Amy Cochran

Registry-linked trialAbstract read
In one paragraph

Article in JMIR mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04081662 (Examining the Efficacy of Acceptance and Commitment Therapy), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

NCT04081662 phase1completednot on this map

Examining the Efficacy of Acceptance and Commitment Therapy (ACT) Microinterventions for Distressed First-Generation College Students

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2019 to 2021Enrolled36ConditionsPsychological Distress, Self-Assessment, Mood ChangeArmscompACT Intervention
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Optimization of a Mobile Transdiagnostic Emotion Regulation Intervention for University Students: A Micro-Randomized Trial.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Trial
  3. Beyond RCTs-Better Research Designs and Methods for Psychosocial Efficacy Studies in Mental Health.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026
    Review
  4. Article
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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

7 authors.

Emily Brenny Kroska ThomasDepartment of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, United States.ORCID https://orcid.org/0000-0002-0416-1157
Tijana Sagorac GruichichDepartment of Psychiatry, University of Wisconsin-Madison, Madison, WI, United States.ORCID https://orcid.org/0000-0001-8219-2752
Jacob M MarongeDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID https://orcid.org/0000-0003-3606-0841
Sydney HoelDepartment of Psychiatry, University of Wisconsin-Madison, Madison, WI, United States.ORCID https://orcid.org/0000-0002-5920-3174
Amanda VictoryDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0002-4948-5702
Zachary N StoweDepartment of Psychiatry, University of Wisconsin-Madison, Madison, WI, United States.ORCID https://orcid.org/0000-0001-6320-8042
Amy CochranDepartment of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, United States.ORCID https://orcid.org/0000-0001-6024-796X

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Modeling mood course to detect markers for effective adaptive interventionsK01MH112876 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI COCHRAN, AMY LOUISE · 2017 to 2020
$511k
NCATS NIH HHS UL1 TR002373NIMH NIH HHS K01 MH112876
6 · The paper itself

Abstract

backgroundExtant gaps in mental health services are intensified among first-generation college students. Improving access to empirically based interventions is critical, and mobile health (mHealth) interventions are growing in support. Acceptance and commitment therapy (ACT) is an empirically supported intervention that has been applied to college students, via mobile app, and in brief intervals.

objectiveThis study evaluated the safety, feasibility, and effectiveness of an ACT-based mHealth intervention using a microrandomized trial (MRT) design.

methodsParticipants (N=34) were 18- to 19-year-old first-generation college students reporting distress, who participated in a 6-week intervention period of twice-daily assessments and randomization to intervention. Participants logged symptoms, moods, and behaviors on the mobile app Lorevimo. After the assessment, participants were randomized to an ACT-based intervention or no intervention. Analyses examined proximal change after randomization using a weighted and centered least squares approach. Outcomes included values-based and avoidance behavior, as well as depressive symptoms and perceived stress.

resultsThe findings indicated the intervention was safe and feasible. The intervention increased values-based behavior but did not decrease avoidance behavior. The intervention reduced depressive symptoms but not perceived stress.

conclusionsAn MRT of an mHealth ACT-based intervention among distressed first-generation college students suggests that a larger MRT is warranted. Future investigations may tailor interventions to contexts where intervention is most impactful.

trial registrationClinicalTrials.gov NCT04081662; https://clinicaltrials.gov/show/NCT04081662. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/17086.

Indexed as

acceptance and commitment therapydepressiondistressfirst-generation college studentsmHealthmobile healthpsychological flexibilityrandomized controlled trials

Identifiers

PMID37184896
PMCPMC10227702

What OpenQuestion holds

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LicenceCC BY
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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.