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

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-suppor...

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Published in:	Behaviour research and therapy 2022-01, Vol.148, p.103995-103995, Article 103995
Main Authors:	Herbert, Matthew S., Dochat, Cara, Wooldridge, Jennalee S., Materna, Karla, Blanco, Brian H., Tynan, Mara, Lee, Michael W., Gasperi, Marianna, Camodeca, Angela, Harris, Devon, Afari, Niloofar
Format:	Article
Language:	eng
Subjects:	Acceptance Acceptance and Commitment Therapy Body weight Cancer Chronic disease Chronic illness Chronic illnesses Chronic pain Chronic Pain - therapy Clinical outcomes Clinical trials Disability Functional impairment Functioning Hearing impairment Hearing loss HIV Human immunodeficiency virus Humans Meta-analysis Multiple sclerosis Obesity Psychological distress Quality of Life Random effects Randomized Controlled Trials as Topic Systematic review Technology Telephone Tinnitus
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Summary:	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
ISSN:	0005-7967 1873-622X