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The Impact of Parental Support on Adherence to Therapist-Assisted Internet-Delivered Acceptance and Commitment Therapy in Primary Care for Adolescents With Anxiety: Naturalistic 12-Month Follow-Up Study

The Impact of Parental Support on Adherence to Therapist-Assisted Internet-Delivered Acceptance and Commitment Therapy in Primary Care for Adolescents With Anxiety: Naturalistic 12-Month Follow-Up Study

Acceptance and commitment therapy (ACT) is a third-wave behavioral therapy oriented at acceptance and mindfulness and aimed at increasing psychological flexibility, defined as the ability to be present and act accordingly in line with one’s values [13]. Face-to-face ACT is considered an effective treatment for children and adolescents with anxiety disorders [14,15] and exhibits small to medium effect sizes regarding anxiety and depression [16].

Anna Larsson, Sandra Weineland, Linnea Nissling, Josefine L Lilja

JMIR Pediatr Parent 2025;8:e59489

Engagement and Acceptability of Acceptance and Commitment Therapy in Daily Life in Early Psychosis: Secondary Findings From a Multicenter Randomized Controlled Trial

Engagement and Acceptability of Acceptance and Commitment Therapy in Daily Life in Early Psychosis: Secondary Findings From a Multicenter Randomized Controlled Trial

In psychosis, the use of EMIs to deliver treatment has been shown feasible and acceptable with high compliance and satisfaction rates [38-45], indicating a potential avenue to expand ACT therapy for psychosis beyond traditional therapy settings. Given the potential of blended care interventions for psychosis, we have developed the ACT in daily life (ACT-DL) intervention, that deploys the use of the ACT-DL EMI in addition to face-to-face sessions with a trained ACT-therapist [46].

Evelyne van Aubel, Thomas Vaessen, Lotte Uyttebroek, Henrietta Steinhart, Annelie Beijer-Klippel, Tim Batink, Ruud van Winkel, Lieuwe de Haan, Mark van der Gaag, Thérèse van Amelsvoort, Machteld Marcelis, Frederike Schirmbeck, Ulrich Reininghaus, Inez Myin-Germeys

JMIR Form Res 2024;8:e57109

A Chatbot-Based Version of the World Health Organization–Validated Self-Help Plus Intervention for Stress Management: Co-Design and Usability Testing

A Chatbot-Based Version of the World Health Organization–Validated Self-Help Plus Intervention for Stress Management: Co-Design and Usability Testing

SH+ is based on acceptance and commitment therapy (ACT) [22,23], a form of cognitive behavioral therapy [24,25]. The SH+ intervention package has 3 main components: a prerecorded audio course, a facilitator manual, and a self‐help booklet for participants. This material has been translated into multiple languages and can be easily accessed on the web at the WHO website [26].

Valentina Fietta, Silvia Rizzi, Chiara De Luca, Lorenzo Gios, Maria Chiara Pavesi, Silvia Gabrielli, Merylin Monaro, Stefano Forti

JMIR Hum Factors 2024;11:e64614

Development of an Artificial Intelligence–Based Tailored Mobile Intervention for Nurse Burnout: Single-Arm Trial

Development of an Artificial Intelligence–Based Tailored Mobile Intervention for Nurse Burnout: Single-Arm Trial

In ACT, a fictional nurse guides the ACT by narration and showing images for cognitive change by using various techniques, such as the breathing technique and music meditation. The contents were organized based on the ACT founder’s book [52] and reviewed by an expert.

Aram Cho, Chiyoung Cha, Gumhee Baek

J Med Internet Res 2024;26:e54029

A Web-Based Intervention Based on Acceptance and Commitment Therapy for Family Caregivers of People With Dementia: Mixed Methods Feasibility Study

A Web-Based Intervention Based on Acceptance and Commitment Therapy for Family Caregivers of People With Dementia: Mixed Methods Feasibility Study

Subsequently, acceptance and commitment therapy (ACT), as an empirically based third-wave cognitive behavioral therapy, might be particularly noteworthy due to its scalable focus on promoting psychological flexibility [10]. From the ACT perspective, psychological flexibility refers to efficient functioning in the presence of difficult experiences and is achieved via 6 interrelated core processes.

Golnaz. L Atefi, Rosalia J M van Knippenberg, Sara Laureen Bartels, Andrés Losada-Baltar, María Márquez-González, Frans R J Verhey, Marjolein E de Vugt

JMIR Aging 2024;7:e53489

Group Acceptance and Commitment Therapy for Recovery From Psychosis: Protocol for a Single-Group Waitlist Trial

Group Acceptance and Commitment Therapy for Recovery From Psychosis: Protocol for a Single-Group Waitlist Trial

Building on promising results from individual and group ACT programs for psychosis, the ACT for Life program was adapted for public outpatient mental health services in Melbourne, Victoria, Australia [34]. A pilot of the adapted program, referred to as “Recovery ACT,” was implemented by public mental health service clinicians as part of their routine practice and evaluated using pre- and postgroup outcome measures together with qualitative feedback from facilitators and participating consumers [35].

Marilyn L Cugnetto, Eric M J Morris, Siobain F Bonfield, Jesse Gates, Ilona Morrison, Ellie R Newman, Julia D Nicholls, Lisa M Soares, Megan T Antonucci, Jacinta R Clemente, Claire L M Garratt, Eliot Goldstone, David A Pavone, John Farhall

JMIR Res Protoc 2024;13:e49849

Feasibility and Preliminary Efficacy of Digital Interventions for Depressive Symptoms in Working Adults: Multiarm Randomized Controlled Trial

Feasibility and Preliminary Efficacy of Digital Interventions for Depressive Symptoms in Working Adults: Multiarm Randomized Controlled Trial

The included programs were predominantly based on cognitive behavioral therapy (CBT) techniques [22], whereas other evidence-based therapeutic models for depression (such as acceptance and commitment therapy [ACT] and behavioral activation [BA]) were underrepresented and require more thorough evaluation.

Rachael Wallis Taylor, Rhian Male, Marcos Economides, Heather Bolton, Kate Cavanagh

JMIR Form Res 2023;7:e41590

Design Issues in Personalized Nutrition Advice Systems

Design Issues in Personalized Nutrition Advice Systems

As consumers should not be overwhelmed by the feedback, long lists of data that consumers cannot interpret or do not know how to act on should be avoided. To make feedback about health status more easily understandable by consumers, several strategies can be applied, such as color coding or composite scores that give an overall view of the health status or benchmarking personal data to the general population or peer groups (for an example, refer to the study by Morrow et al [71]).

Iris M de Hoogh, Machiel J Reinders, Esmée L Doets, Femke P M Hoevenaars, Jan L Top

J Med Internet Res 2023;25:e37667

Can a Single Variable Predict Early Dropout From Digital Health Interventions? Comparison of Predictive Models From Two Large Randomized Trials

Can a Single Variable Predict Early Dropout From Digital Health Interventions? Comparison of Predictive Models From Two Large Randomized Trials

In brief, the trial included a racially and ethnically diverse sample of 2415 adult daily smokers from all 50 US states who were randomized 1:1 to receive access to an ACT-based smartphone app (i Can Quit; n=1214) or a United States Clinical Practice Guidelines (USCPG) approach–based smartphone app (Quit Guide; n=1201) for smoking cessation [27].

Jonathan Bricker, Zhen Miao, Kristin Mull, Margarita Santiago-Torres, David M Vock

J Med Internet Res 2023;25:e43629

Smoking Cessation Smartphone App Use Over Time: Predicting 12-Month Cessation Outcomes in a 2-Arm Randomized Trial

Smoking Cessation Smartphone App Use Over Time: Predicting 12-Month Cessation Outcomes in a 2-Arm Randomized Trial

In brief, a racially and ethnically diverse sample of 2415 adult daily smokers from all 50 US states was randomized 1:1 to receive access to an ACT-based smartphone app (i Can Quit) or a USCPG-based smartphone app (Quit Guide) for smoking cessation. Data for this analysis were from the 2133 individuals who logged into their assigned app at least once and had a complete 182 days of engagement data available.

Jonathan B Bricker, Kristin E Mull, Margarita Santiago-Torres, Zhen Miao, Olga Perski, Chongzhi Di

J Med Internet Res 2022;24(8):e39208