Journal
JOURNAL OF MEDICAL INTERNET RESEARCH
Volume 18, Issue 8, Pages -Publisher
JMIR PUBLICATIONS, INC
DOI: 10.2196/jmir.6200
Keywords
acceptance and commitment therapy; systematic review; meta-analysis; depression; anxiety; quality of life; Internet-based; mobile-based
Funding
- Health and Care Research Wales [SCS-14-11]
- Health and Care Research Wales [SCS-14-06] Funding Source: researchfish
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Background: The need for effective interventions to improve mental health and emotional well-being at a population level are gaining prominence both in the United Kingdom and globally. Advances in technology and widespread adoption of Internet capable devices have facilitated rapid development of Web-delivered psychological therapies. Interventions designed to manage a range of affective disorders by applying diverse therapeutic approaches are widely available. Objective: The main aim of this review was to evaluate the evidence base of acceptance and commitment therapy (ACT) in a Web-based delivery format. Method: A systematic review of the literature and meta-analysis was conducted. Two electronic databases were searched for Web-delivered interventions utilizing ACT for the management of affective disorders or well-being. Only Randomized Controlled Trials (RCTs) were included. Results: The search strategy identified 59 articles. Of these, 10 articles met the inclusion criteria specified. The range of conditions and outcome measures that were identified limited the ability to draw firm conclusions about the efficacy of Web-delivered ACT-based intervention for anxiety or well-being. Conclusions: ACT in a Web-based delivery format was found to be effective in the management of depression. Rates of adherence to study protocols and completion were high overall suggesting that this therapeutic approach is highly acceptable for patients and the general public.
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