Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment
Introduction: Acceptance and commitment therapy (ACT) is an effective treatment for chronic pain conditions. ACT seeks to produce clinical change by enhancing Psychological Flexibility (PF). This exploratory (feasibility and preliminary effectiveness) study presents a pilot application of an online...
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Format: | Article |
Language: | English |
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Elsevier
2022-09-01
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Series: | Internet Interventions |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2214782922000689 |
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author | Pablo de la Coba Miguel Rodríguez-Valverde Mónica Hernández-López |
author_facet | Pablo de la Coba Miguel Rodríguez-Valverde Mónica Hernández-López |
author_sort | Pablo de la Coba |
collection | DOAJ |
description | Introduction: Acceptance and commitment therapy (ACT) is an effective treatment for chronic pain conditions. ACT seeks to produce clinical change by enhancing Psychological Flexibility (PF). This exploratory (feasibility and preliminary effectiveness) study presents a pilot application of an online ACT group intervention for fibromyalgia (FM) with an extensive Experiential Sampling (ES) assessment of outcome and process variables via smartphone. Method: 5-weekly ACT online group sessions were applied to 9 female FM patients. Questionnaire-based assessments of several clinical outcomes and PF processes were conducted pre- and post-intervention, and at 6-month follow-up. Extensive (6 weeks pre- and 6 weeks post-intervention) smartphone-delivered ES was implemented to gather process and outcome data in the patients' usual contexts. Clinically significant change was evaluated both at the group level and individually. Results: This treatment format appears to be feasible and acceptable to participants, with good adoption and completion rates (75 %) and excellent rates of treatment completion and clinical adherence (100 %). Participants showed significant reductions in affective pain, distress and biopsychosocial impact of FM both post-intervention and at 6-month follow-up (as measured with questionnaires), as well as significant improvements in satisfaction with actions and emotional discomfort (as measured through ES). Multilevel regression analyses indicated that PF-related processes assessed through ES had a significant impact on clinical outcomes and predicted the impact of FM at the 6-month follow-up. Conclusions: A brief online group ACT intervention for FM was both feasible and acceptable to participants. Also, there was preliminary evidence of effectiveness in enhancing pain-related PF and producing clinical benefits in FM. |
first_indexed | 2024-04-14T02:04:31Z |
format | Article |
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institution | Directory Open Access Journal |
issn | 2214-7829 |
language | English |
last_indexed | 2024-04-14T02:04:31Z |
publishDate | 2022-09-01 |
publisher | Elsevier |
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series | Internet Interventions |
spelling | doaj.art-4e070a53ed6c4c56bc63e8bdb317f39a2022-12-22T02:18:43ZengElsevierInternet Interventions2214-78292022-09-0129100561Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessmentPablo de la Coba0Miguel Rodríguez-Valverde1Mónica Hernández-López2Corresponding author at: Departamento de Psicología, Universidad de Jaén, 23071 Jaén, Spain.; Department of Psychology, University of Jaén, SpainDepartment of Psychology, University of Jaén, SpainDepartment of Psychology, University of Jaén, SpainIntroduction: Acceptance and commitment therapy (ACT) is an effective treatment for chronic pain conditions. ACT seeks to produce clinical change by enhancing Psychological Flexibility (PF). This exploratory (feasibility and preliminary effectiveness) study presents a pilot application of an online ACT group intervention for fibromyalgia (FM) with an extensive Experiential Sampling (ES) assessment of outcome and process variables via smartphone. Method: 5-weekly ACT online group sessions were applied to 9 female FM patients. Questionnaire-based assessments of several clinical outcomes and PF processes were conducted pre- and post-intervention, and at 6-month follow-up. Extensive (6 weeks pre- and 6 weeks post-intervention) smartphone-delivered ES was implemented to gather process and outcome data in the patients' usual contexts. Clinically significant change was evaluated both at the group level and individually. Results: This treatment format appears to be feasible and acceptable to participants, with good adoption and completion rates (75 %) and excellent rates of treatment completion and clinical adherence (100 %). Participants showed significant reductions in affective pain, distress and biopsychosocial impact of FM both post-intervention and at 6-month follow-up (as measured with questionnaires), as well as significant improvements in satisfaction with actions and emotional discomfort (as measured through ES). Multilevel regression analyses indicated that PF-related processes assessed through ES had a significant impact on clinical outcomes and predicted the impact of FM at the 6-month follow-up. Conclusions: A brief online group ACT intervention for FM was both feasible and acceptable to participants. Also, there was preliminary evidence of effectiveness in enhancing pain-related PF and producing clinical benefits in FM.http://www.sciencedirect.com/science/article/pii/S2214782922000689Acceptance and commitment therapyChronic painExperiential samplingFibromyalgiaProcesses of changePsychological flexibility |
spellingShingle | Pablo de la Coba Miguel Rodríguez-Valverde Mónica Hernández-López Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment Internet Interventions Acceptance and commitment therapy Chronic pain Experiential sampling Fibromyalgia Processes of change Psychological flexibility |
title | Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment |
title_full | Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment |
title_fullStr | Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment |
title_full_unstemmed | Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment |
title_short | Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment |
title_sort | online act intervention for fibromyalgia an exploratory study of feasibility and preliminary effectiveness with smartphone delivered experiential sampling assessment |
topic | Acceptance and commitment therapy Chronic pain Experiential sampling Fibromyalgia Processes of change Psychological flexibility |
url | http://www.sciencedirect.com/science/article/pii/S2214782922000689 |
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