Online Acceptance and Commitment Therapy (ACT) interventions for chronic pain: A systematic literature review
Open accessAbstract
We systematically reviewed all literature concerning online Acceptance and Commitment Therapy (ACT) interventions for chronic pain to evaluate their (1) ACT content, (2) design characteristics, (3) design rationales, and (4) adherence. A systematic search was performed on July 9th, 2020 in; PubMed, PsycINFO, CINAHL, and Web of Science. Search terms related to: Acceptance and Commitment Therapy, chronic pain, and eHealth. Extracted data concerned ACT content, design characteristics, adherence, and design rationales. 20 articles, in which 14 interventions were described, met all inclusion criteria. Adherence and design rationales were described to a limited extent in the included studies. In total, the majority provided an overview of the included ACT processes. In 10 articles it was described that the intervention was delivered via a dedicated website (n = 10), which was sometimes combined with an app (n = 3). Guidance was included in most studies (n = 19). Studies including RCT's (n = 8) reported online ACT interventions to be effective. Online ACT interventions for chronic pain have been shown to be effective and have generally been constructed in line with ACT theory. However, the majority of studies does not provide information about the choices to optimize the fit between task, technology, and user. Considerations behind the choices for intervention features as well as design rationales could help to optimize future online ACT interventions. Additionally, consistent attention should be paid to measurement and operationalization of adherence, since this is a crucial link between content, design and effectiveness.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
ACT can be delivered effectively in multiple formats (online, individually, and in groups).
“ACT can also be delivered effectively in multiple formats (online, individually, and in groups) [18,19]”
From A digital Acceptance and Commitment Therapy and education intervention targeting stress of parents and caregivers with preterm babies in the neonatal intensive care unit: A randomised controlled cluster trial protocol (2024) · cites this paper as [19]
The Discussion and conclusions section (page unavailable) states that online ACT interventions for chronic pain have been shown to be effective. This review does not establish effectiveness for ACT delivered individually or in groups, so it supports only the online part of the attributed claim. (LLM, conf=0.88)
Experimental — accuracy not yet measuredCognitive-behavioral therapy and acceptance and commitment therapy are the internet-delivered therapies with greater evidence.
“CBT and ACT appear as the internet-delivered therapies with greater evidence (Eccleston et al., 2014; van de Graaf et al., 2021)”
From Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment (2022) · cites this paper as van de Graaf et al., 2021
The Discussion and conclusions (page unavailable) reports evidence from five RCTs that online ACT is effective for important chronic-pain outcomes. The review does not establish that CBT and ACT have greater evidence than other internet-delivered therapies, or assess the evidence for CBT alongside ACT. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn order to promote compliance, the characteristics of fibromyalgia patients were taken into account in designing the experiential sampling assessment.
“Besides, in order to promote compliance, the characteristics of FM patients were taken into account in designing the ES assessment (Van de Graaf et al., 2021).”
From Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment (2022) · cites this paper as Van de Graaf et al., 2021
The Discussion and conclusions section (page unavailable) says tailoring online interventions to users’ characteristics can stimulate adherence. It does not say that fibromyalgia patients’ characteristics were used to design an experience-sampling assessment; the review concerns online ACT interventions for chronic pain. (LLM, conf=0.82)
Experimental — accuracy not yet measuredACT has consistently demonstrated efficacy as a treatment for depression, anxiety, and chronic pain, symptoms commonly experienced by patients with SLE.
“ACT has consistently demonstrated efficacy as a treatment for a wide range of symptoms commonly experienced by patients with SLE, such as depression (6), anxiety (7), and chronic pain (8).”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
Perceived usefulness, perceived ease of use, and user acceptance of information technology
Davis, F. D. (1989) · MIS Quarterly · doi:10.2307/249008 · Cited by 68,483 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
Kytle, J., & Bandura, A. (1978) · Contemporary Sociology · doi:10.2307/2065952 · Cited by 25,422 · see citing works
Wang, G., Ma, R., Qiao, G., Wada, K., Aizawa, Y., & Satoh, T. (2015) · Integrative Medicine International · doi:10.1159/000368408 · Cited by 18,759 · see citing works
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587 · cited 1× · see citing works
“Cognitive behavioral therapies (CBT) like Acceptance and Commitment Therapy (ACT) may teach patients to adapt effectively to living with chronic pain (Hayes et al., 2006; Scott et al., 2016).”
BackgroundTask-Technology Fit and Individual Performance
Goodhue, D. L., & Thompson, R. L. (1995) · MIS Quarterly · doi:10.2307/249689 · Cited by 6,006 · see citing works
Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment
Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006) · European Journal of Pain · doi:10.1016/j.ejpain.2005.06.009 · Cited by 5,486 · see citing works
Social learning and clinical psychology.
Rotter, J. B. (1954) · Prentice-Hall, Inc eBooks · doi:10.1037/10788-000 · Cited by 3,870 · see citing works
The Technology Acceptance Model: Past, Present, and Future
Lee, Y., Kozar, K. A., & Larsen, K. R. T. (2003) · Communications of the Association for Information Systems · doi:10.17705/1cais.01250 · Cited by 2,572 · see citing works
Technology acceptance model: a literature review from 1986 to 2013
Marangunić, N., & Granić, A. (2015) · Universal Access in the Information Society · doi:10.1007/s10209-014-0348-1 · Cited by 2,458 · see citing works
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634 · see citing works
Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis
SPEK, V., CUIJPERS, P., NYKLÍČEK, I., RIPER, H., KEYZER, J., & POP, V. (2007) · Psychological Medicine · doi:10.1017/s0033291706008944 · Cited by 1,586 · see citing works
Computer-based psychological treatments for depression: A systematic review and meta-analysis
Richards, D., & Richardson, T. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.02.004 · Cited by 1,442 · see citing works
Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions
Kelders, S. M., Kok, R. N., Ossebaard, H. C., & Van Gemert-Pijnen, J. E. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2104 · Cited by 1,308 · see citing works
(2004) · Choice Reviews Online · doi:10.5860/choice.41-2555 · Cited by 1,030 · see citing works
Spijkerman, M. P. J., Pots, W. T. M., & Bohlmeijer, E. T. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.03.009 · Cited by 975 · see citing works
A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies
Donkin, L., Christensen, H., Naismith, S. L., Neal, B., Hickie, I. B., & Glozier, N. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1772 · Cited by 876 · see citing works
Veehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. G. (2016) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1098724 · Cited by 737 · see citing works
Treatment of chronic non-cancer pain
Turk, D. C., Wilson, H. D., & Cahana, A. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60402-9 · Cited by 716 · see citing works
The fear-avoidance model of pain
Vlaeyen, J. W. S., Crombez, G., & Linton, S. J. (2016) · Pain · doi:10.1097/j.pain.0000000000000574 · Cited by 716 · see citing works
Breivik, H., Eisenberg, E., & O’Brien, T. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-1229 · Cited by 643 · see citing works
Acceptance and Commitment Therapy (ACT) for Chronic Pain: A Systematic Review and Meta-Analyses
Hughes, L. S., Clark, J., Colclough, J. A., Dale, E., & McMillan, D. (2017) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000425 · Cited by 611 · cited 3× · see citing works
“Reviews in general included individuals with heterogeneous forms of chronic pain, some excluding headache (Eccleston et al., 2015; Graham et al., 2016; Hughes et al., 2017; Simpson et al., 2017) or malignant pain (Hughes et al.”
BackgroundPsychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Fisher, E., Hearn, L., & Eccleston, C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub4 · Cited by 605 · see citing works
Internet-based psychological treatments for depression
Johansson, R., & Andersson, G. (2012) · Expert Review of Neurotherapeutics · doi:10.1586/ern.12.63 · Cited by 509 · see citing works
Palermo, T. M., Eccleston, C., Lewandowski, A. S., de C. Williams, A. C., & Morley, S. (2010) · Pain · doi:10.1016/j.pain.2009.10.004 · Cited by 489 · see citing works
Graham, C. D., Gouick, J., Krahé, C., & Gillanders, D. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.04.009 · Cited by 476 · see citing works
Heber, E., Ebert, D. D., Lehr, D., Cuijpers, P., Berking, M., Nobis, S., & Riper, H. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.5774 · Cited by 408 · see citing works
Sieverink, F., Kelders, S. M., & van Gemert-Pijnen, J. E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.8578 · Cited by 331 · see citing works
Macea, D. D., Gajos, K., Daglia Calil, Y. A., & Fregni, F. (2010) · The Journal of Pain · doi:10.1016/j.jpain.2010.06.005 · Cited by 289 · see citing works
Buhrman, M., Skoglund, A., Husell, J., Bergström, K., Gordh, T., Hursti, T., Bendelin, N., Furmark, T., & Andersson, G. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.02.010 · Cited by 281 · see citing works
Trompetter, H. R., Bohlmeijer, E. T., Veehof, M. M., & Schreurs, K. M. G. (2015) · Journal of Behavioral Medicine · doi:10.1007/s10865-014-9579-0 · Cited by 255 · see citing works
Self-citationPsychological therapies for the management of chronic pain (excluding headache) in adults
Eccleston, C., Williams, A. C. D. C., & Morley, S. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub2 · Cited by 247 · see citing works
Can pain be managed through the Internet? A systematic review of randomized controlled trials
Bender, J. L., Radhakrishnan, A., Diorio, C., Englesakis, M., & Jadad, A. R. (2011) · Pain · doi:10.1016/j.pain.2011.02.012 · Cited by 223 · see citing works
Internet interventions for chronic pain including headache: a systematic review
Buhrman, M., Gordh, T., & Andersson, G. (2016) · Internet Interventions · doi:10.1016/j.invent.2015.12.001 · Cited by 223 · see citing works
Adherence in Internet-based interventions.
(2008) · PubMed Central · Cited by 215 · see citing works
Bennett, S. D., Cuijpers, P., Ebert, D. D., McKenzie Smith, M., Coughtrey, A. E., Heyman, I., Manzotti, G., & Shafran, R. (2019) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13010 · Cited by 162 · see citing works
Randomized Controlled Trial of Online Acceptance and Commitment Therapy for Fibromyalgia
Simister, H. D., Tkachuk, G. A., Shay, B. L., Vincent, N., Pear, J. J., & Skrabek, R. Q. (2018) · The Journal of Pain · doi:10.1016/j.jpain.2018.02.004 · Cited by 157 · see citing works
Stinson, J. N., Lalloo, C., Harris, L., Isaac, L., Campbell, F., Brown, S., Ruskin, D., Gordon, A., Galonski, M., Pink, L. R., et al. (2014) · Pain Research and Management · doi:10.1155/2014/935278 · Cited by 149 · see citing works
Psychological therapies for the management of chronic neuropathic pain in adults
Eccleston, C., Hearn, L., & Williams, A. C. D. C. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011259 · Cited by 138 · see citing works
Trompetter, H. R., Bohlmeijer, E. T., Fox, J.-P., & Schreurs, K. M. G. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.09.001 · Cited by 112 · see citing works
Self-citationDifferences in pain-related fear acquisition and generalization
Meulders, A., Jans, A., & Vlaeyen, J. W. S. (2015) · Pain · doi:10.1016/j.pain.0000000000000016 · Cited by 112 · see citing works
Scott, W., Hann, K. E. J., & McCracken, L. M. (2016) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-016-9328-5 · Cited by 111 · see citing works
An Internet-Based Intervention for Chronic Pain
Lin, J., Paganini, S., Sander, L., Lüking, M., Ebert, D. D., Buhrman, M., Andersson, G., & Baumeister, H. (2017) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2017.0681 · Cited by 110 · see citing works
Psychological therapies for the management of chronic neuropathic pain in adults
Eccleston, C., Hearn, L., & Williams, A. C. D. C. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011259.pub2 · Cited by 102 · see citing works
Daniel, H. C., Narewska, J., Serpell, M. G., Hoggart, B., Johnson, R. W., & Rice, A. S. C. (2008) · European Journal of Pain · doi:10.1016/j.ejpain.2007.11.006 · Cited by 101 · see citing works
Issues in evaluating health websites in an Internet-based randomized controlled trial
Eysenbach, G. (2002) · Journal of Medical Internet Research · doi:10.2196/jmir.4.3.e17 · Cited by 99 · cited 1× · see citing works
“Adherence is a crucial aspect in online interventions (Donkin et al., 2011), and was early in the eHealth era recognized as one of the most difficult points in evaluating online interventions (Eysenbach, 2002).”
BackgroundDifferential diagnosis: nociceptive and neuropathic pain.
Nicholson, B. D. (2006) · PubMed · Cited by 96 · see citing works
Kerns, R. D., Burns, J. W., Shulman, M., Jensen, M. P., Nielson, W. R., Czlapinski, R. A., Dallas, M. I., Chatkoff, D. K., Sellinger, J. J., Heapy, A. A., et al. (2013) · Health Psychology · doi:10.1037/a0034406 · Cited by 81 · see citing works
Classical Conditioning Differences Associated With Chronic Pain: A Systematic Review
Harvie, D. S., Moseley, G. L., Hillier, S., & Meulders, A. (2017) · Journal of Pain · doi:10.1016/j.jpain.2017.02.430 · Cited by 78 · see citing works
Lin, J., Klatt, L.-I., McCracken, L. M., & Baumeister, H. (2018) · PAIN · doi:10.1097/j.pain.0000000000001134 · Cited by 76 · cited 7× · see citing works
“As shown in Table 2, most studies (n = 15) did not include any measure of adherence to the intervention at all (Bell et al., 2020; Bendelin et al., 2020, 2018; Fledderus et al., 2015; Hayes et al., 2014; Kioskli et al., 2020; Lin et al., 2018; Paganini et al., 2019; Probst et al., 2018; Simister et al., 2018; Slattery…”
BackgroundMethodInfluentialOnline self-guided interventions for the treatment of problem gambling
Gainsbury, S. M., & Blaszczynski, A. (2011) · International Gambling Studies · doi:10.1080/14459795.2011.617764 · Cited by 75 · see citing works
Børøsund, E., Mirkovic, J., Clark, M. M., Ehlers, S. L., Andrykowski, M. A., Bergland, A., Westeng, M., & Solberg Nes, L. (2018) · JMIR Formative Research · doi:10.2196/formative.9954 · Cited by 73 · see citing works
Scott, W., Chilcot, J., Guildford, B., Daly‐Eichenhardt, A., & McCracken, L. M. (2018) · European Journal of Pain · doi:10.1002/ejp.1236 · Cited by 69 · see citing works
Knoerl, R., Smith, E., Barton, D. L., Williams, D. A., Holden, J. E., Krauss, J. C., & Lavasseur, B. I. (2017) · Journal of Pain · doi:10.1016/j.jpain.2017.11.009 · Cited by 59 · see citing works
Pain-avoidance versus reward-seeking
Claes, N., Crombez, G., & Vlaeyen, J. W. S. (2015) · Pain · doi:10.1097/j.pain.0000000000000116 · Cited by 58 · see citing works
van den Berg, S. W., Peters, E. J., Kraaijeveld, J. F., Gielissen, M. F., & Prins, J. B. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2566 · Cited by 53 · see citing works
Trompetter, H. R., Bohlmeijer, E. T., Lamers, S. M. A., & Schreurs, K. M. G. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00353 · Cited by 51 · see citing works
Simpson, P. A., Mars, T., & Esteves, J. E. (2017) · International Journal of Osteopathic Medicine · doi:10.1016/j.ijosm.2017.03.001 · Cited by 38 · see citing works
Probst, T., Baumeister, H., McCracken, L. M., & Lin, J. (2018) · Journal of Clinical Medicine · doi:10.3390/jcm8010024 · Cited by 38 · see citing works
Horvath, K. J., & Bauermeister, J. A. (2017) · AIDS Education and Prevention · doi:10.1521/aeap.2017.29.1.14 · Cited by 37 · see citing works
Bendelin, N., Björkdahl, P., Risell, M., Nelson, K. Z., Gerdle, B., Andersson, G., & Buhrman, M. (2020) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-020-03198-1 · Cited by 33 · see citing works
Transaction logfile analysis in health communication research: Challenges and opportunities
Han, J. Y. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2010.12.018 · Cited by 31 · see citing works
Paganini, S., Lin, J., Kählke, F., Buntrock, C., Leiding, D., Ebert, D. D., & Baumeister, H. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-023390 · Cited by 31 · see citing works
Fledderus, M., Schreurs, K. M., Bohlmeijer, E. T., & Vollenbroek-Hutten, M. M. (2015) · JMIR Human Factors · doi:10.2196/humanfactors.3302 · Cited by 30 · see citing works
Rickardsson, J., Zetterqvist, V., Gentili, C., Andersson, E., Holmström, L., Lekander, M., Persson, M., Persson, J., Ljótsson, B., & Wicksell, R. K. (2020) · mHealth · doi:10.21037/mhealth.2020.02.02 · Cited by 28 · see citing works
Social Support Web-Based Resources for Patients with Chronic Pain
Polomano, R. C., Droog, N., Purinton, M. C. P., & Cohen, A. S. (2007) · Journal of Pain & Palliative Care Pharmacotherapy · doi:10.1080/j354v21n03_09 · Cited by 27 · see citing works
Sullivan, M. D., Langford, D. J., Davies, P. S., Tran, C. N., Vilardaga, R., Cheung, G. K., Yoo, D., McReynolds, J., Lober, W. B., Tauben, D. J., et al. (2018) · Journal of Pain · doi:10.1016/j.jpain.2018.03.009 · Cited by 25 · see citing works
Gentili, C., Zetterqvist, V., Rickardsson, J., Holmström, L., Simons, L. E., & Wicksell, R. K. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-0228-4 · Cited by 24 · see citing works
Kioskli, K., Scott, W., Winkley, K., Godfrey, E., & McCracken, L. M. (2020) · Pain Medicine · doi:10.1093/pm/pnaa110 · Cited by 24 · cited 10× · see citing works
“, 2018), and one study assessed painful diabetic neuropathy (Kioskli et al., 2020).”
BackgroundMethodInfluentialHayes, S., Hogan, M., Dowd, H., Doherty, E., O'Higgins, S., Nic Gabhainn, S., MacNeela, P., Murphy, A. W., Kropmans, T., O'Neill, C., et al. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-005092 · Cited by 19 · see citing works
Yang, S.-Y., Moss-Morris, R. E., & McCracken, L. M. (2017) · Pain Research and Treatment · doi:10.1155/2017/6916915 · Cited by 19 · see citing works
Kioskli, K., Winkley, K., & McCracken, L. M. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.07.002 · Cited by 18 · see citing works
Vilardaga, R., Davies, P. S., Vowles, K. E., & Sullivan, M. D. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.01.001 · Cited by 15 · see citing works
A personalized, multi-platform nutrition, exercise, and lifestyle coaching program: A pilot in women
Héroux, M., Watt, M., McGuire, K. A., & Berardi, J. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.12.002 · Cited by 13 · see citing works
Bendelin, N., Gerdle, B., & Andersson, G. (2018) · Journal of Pain Research · doi:10.2147/jpr.s157939 · Cited by 10 · see citing works
Bell, L. V., Cornish, P., Flusk, D., Garland, S. N., & Rash, J. A. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-033350 · Cited by 5 · see citing works
Schmidt, M., Cheng, L., Raj, S. P., & Wade, S. L. (2020) · Journal of Formative Design in Learning · doi:10.1007/s41686-020-00049-z · Cited by 4 · see citing works
Slattery, B. W., O’Connor, L. L., Haugh, S., Barrett, K., Francis, K., Dwyer, C. P., O’Higgins, S., Caes, L., Egan, J., & McGuire, B. E. (2019) · BMJ Open · doi:10.1136/bmjopen-2016-012671 · Cited by 3 · see citing works
Pain in context: the effect of goal competition on pain-related fear and avoidance
Claes, N. (2016) · Ghent University Academic Bibliography (Ghent University) · Cited by 2 · see citing works
Børøsund, E., Mirkovic, J., Clark, M. M., et al. (2018) · doi:10.2196/preprints.9954
Flagged first, then by citations
Research works printed but not linked: 7
- Fledderus, 2015, Development and pilotevaluation of an onlinerelapse-preventionprogrambased on acceptance and commitmenttherapy for chronicpainpatients, JMIR Hum. Factors, 2
- Harvie, 2017, Classical conditioningdifferencesassociatedwithchronicpain:asystematicreview, J. Pain
- Kelders, 2012, Persuasive systemdesigndoesmatter:asystematicreview of adherence to web-basedinterventions, J. Med. Internet Res., 14
- Lee, 2003, The technologyacceptancemodel:past,present, and future, Commun. Assoc. Inf. Syst., 12, 752
- Schmidt, 2020, Formative design and evaluation of a responsive eHealth/mHealth intervention for positivefamilyadaptationfollowingpediatrictraumaticbraininjury, J. Form. Des. Learn., 1–19
- Trompetter, 2016, Positive psychologicalwellbeingisrequired for onlineself-helpacceptance and commitmenttherapy for chronicpain to be effective, Front. Psychol., 7, 353
- Yang, 2017, iACT-CEL: afeasibilitytrial of a face-to-face and internet-basedacceptance and commitmenttherapyintervention for chronicpain in Singapore, Pain Res. Treat., 2017, 6916915
Cited by
Sorted by citations
Lai, L., Liu, Y., McCracken, L. M., Li, Y., & Ren, Z. (2023) · Behaviour Research and Therapy · doi:10.1016/j.brat.2023.104308 · Cited by 60 · see citing works
Characteristics and trends in acceptance and commitment therapy research: A bibliometric analysis
Li, Z., Shang, W., Wang, C., Yang, K., & Guo, J. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.980848 · Cited by 36 · see citing works
“In terms of efficacy research, researchers have found that ACT can effectively treat psychological health problems such as depression, obsessive–compulsive disorder, drug abuse, chronic pain, eating disorders, and work stress (Hayes et al., 1996; Wang, 2017; Graaf et al., 2021; ACBS, 2022).”
BackgroundResultMoens, M., Jansen, J., Smedt, A. D., Manuel Roulaud, B., Billot, M., Laton, J., Rigoard, P., & Goudman, L. (2022) · Medicina · doi:10.3390/medicina58040499 · Cited by 34 · see citing works
Smits, M., van Goor, H., Kallewaard, J. W., Verbeek, P., & Ludden, G. (2022) · Health and Technology · doi:10.1007/s12553-022-00671-w · Cited by 27 · see citing works
Sadeghi-Bahmani, D., Esmaeili, L., Mokhtari, F., Sadeghi Bahmani, L., Afsharzadeh, M., Shaygannejad, V., Mirmosayyeb, O., Goldstein-Piekarski, A. N., & Gross, J. J. (2022) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2022.104029 · Cited by 22 · see citing works
Cojocaru, C. M., Popa, C. O., Schenk, A., Suciu, B. A., & Szasz, S. (2023) · Medicine and Pharmacy Reports · doi:10.15386/mpr-2661 · Cited by 21 · see citing works
“Also, our findings are concordant with other reviews that outlined the benefits of psychological treatment in various formats, especially online CBT and ACT programs [50,51].”
ResultYuan, J., Zheng, M., Liu, D., & Wang, L. (2024) · ALPHA PSYCHIATRY · doi:10.5152/alphapsychiatry.2024.231324 · Cited by 20 · see citing works
Chronic pain: supported self-management
Kang, Y., Trewern, L., Jackman, J., Irani, A., & McCartney, D. (2024) · BMJ · doi:10.1136/bmj-2022-072362 · Cited by 19 · see citing works
Braun, L., Terhorst, Y., Titzler, I., Freund, J., Thielecke, J., Ebert, D. D., & Baumeister, H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192113858 · Cited by 17 · see citing works
Powell, L. D., Vasiliou, V. S., & Thompson, A. R. (2023) · Body Image · doi:10.1016/j.bodyim.2023.101637 · Cited by 11 · see citing works
“…2023) and on leveraging the mechanism via which psychological flexibility can drive treatment outcomes, such as well-being (Brown, Glendenning, Hoon, & John, 2016; Karekla et al., 2022; Vasi-liou et al., 2022) and functioning (van de Graaf, Trompetter, Smeets, & Mols, 2021; Herbert et al., 2022).”
BackgroundLamper, C., Huijnen, I. P. J., de Mooij, M. A. C., Köke, A. J. A., Verbunt, J., & Kroese, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182111661 · Cited by 10 · see citing works
Simon, N., Cunningham, E., Samuel, V., & Waters, C. (2024) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2023.2180143 · Cited by 8 · see citing works
Reilly, E. D., Kathawalla, U., Robins, H., Heapy, A. A., Hogan, T. P., Waring, M. E., Quigley, K. S., Drebing, C. E., Bickmore, T., Volonte, M., et al. (2023) · JMIR Research Protocols · doi:10.2196/45887 · Cited by 9 · see citing works
Reilly, E. D., Kelly, M. M., Grigorian, H. L., Waring, M. E., Quigley, K. S., Hogan, T. P., Heapy, A. A., Drebing, C. E., Volonte, M., Kathawalla, U., et al. (2024) · JMIR Formative Research · doi:10.2196/56437 · Cited by 9 · see citing works
Li, H., Wong, C. L., Jin, X., Wang, N., & Shi, Z. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-082090 · Cited by 7 · see citing works
Ginsberg, K. H., Alsweiler, J., Rogers, J., Cavadino, A., Douglas, M., & Serlachius, A. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107519 · Cited by 7 · see citing works
Sanabria-Mazo, J. P., Colomer-Carbonell, A., Gandara-Urrutia, N., Pérez-Sutil, J. M., Noboa-Rocamora, G., Fernández-Vázquez, Ó., Val-Mariano, G., Fontana-McNally, M., Cardona-Ros, G., Feliu-Soler, A., et al. (2024) · Disability and Rehabilitation · doi:10.1080/09638288.2023.2298265 · Cited by 6 · see citing works
de la Coba, P., Rodríguez-Valverde, M., & Hernández-López, M. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100561 · Cited by 5 · see citing works
“…intervention appears as a key component of chronic pain management, with cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) as two of the most recommended and evidence-supported approaches (Bernardy et al., 2010; Hann and McCracken, 2014; Williams et al., 2020).”
BackgroundRabinowitz, E. P., Ripley, G., Levin, M. E., Allen, P. A., & Delahanty, D. L. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100828 · Cited by 5 · see citing works
Sanabria‐Mazo, J. P., Royuela-Colomer, E., Navarrete, J., Rodríguez‐Freire, C., Robles, B., McCracken, L. M., Feliu‐Soler, A., & Luciano, J. V. (2025) · Pain Medicine · doi:10.1093/pm/pnaf020 · Cited by 5 · see citing works
Experiences of internet-based treatment for vulvodynia: A qualitative study
Engström, A. H., Bohm‐Starke, N., Kullinger, M., Högberg, U., Buhrman, M., Skalkidou, A., & Widarsson, M. (2022) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2022.100756 · Cited by 6 · see citing works
Garcia, M. A., Rabinowitz, E. P., Levin, M. E., Shasteen, H., Allen, P. A., & Delahanty, D. L. (2023) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2023.09.001 · Cited by 4 · see citing works
McCormick, E. M., Englund, T. R., Cleveland, R. J., Dickson, T. A., Schiller, C. E., & Sheikh, S. Z. (2022) · ACR Open Rheumatology · doi:10.1002/acr2.11433 · Cited by 5 · see citing works
“enced by patients with SLE, such as depression (6), anxiety (7), and chronic pain (8).”
BackgroundGentili, C., Rickardsson, J., Holmström, L., Wicksell, R. K., Hesser, H., & Zetterqvist, V. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100725 · Cited by 5 · see citing works
Activating waitlists: Identifying barriers and facilitators to pain self-management while waiting
Tidmarsh, L. V., Harrison, R., Wilkinson, H., Harrington, M., & Finlay, K. (2025) · British Journal of Pain · doi:10.1177/20494637241311456 · Cited by 4 · see citing works
Kumar, S., Koschmeder, K. T., Coffman, A. R., Glass, N. A., Keffala, V. J., Igram, C. M., Pugely, A. J., & Olinger, C. R. (2024) · North American Spine Society Journal (NASSJ) · doi:10.1016/j.xnsj.2024.100330 · Cited by 4 · see citing works
Shokrolahi, M., Hashemi, S. E., Honarmand, M. M., Zargar, Y., & Naaimi, A. (2022) · Journal of Research in Behavioural Sciences · doi:10.52547/rbs.19.4.739 · Cited by 4 · see citing works
Bendelin, N., Gerdle, B. U. C., & Andersson, G. (2023) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2022-0139 · Cited by 4 · see citing works
Campbell, R., Podugu, S. D. V. P. R., & Morris, M. (2025) · Clinical Gerontologist · doi:10.1080/07317115.2025.2487008 · Cited by 3 · see citing works
Turesson, C., Liedberg, G., & Björk, M. (2023) · JMIR Human Factors · doi:10.2196/52088 · Cited by 3 · see citing works
Samperio, G. (2023) · MLS Psychology Research · doi:10.33000/mlspr.v6i1.1287 · Cited by 4 · see citing works
Sander, L., Steubl, L., & Baumeister, H. (2024) · neuroreha · doi:10.1055/a-2292-0413 · Cited by 2 · see citing works
Ferreira, C., Pereira, J. L., Matos‐Pina, I., Skvarc, D., Galhardo, A. B., Ferreira, N. B., Carvalho, S. A., Lucena‐Santos, P., Rocha, B. S., Oliveira, S. M., et al. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1369577 · Cited by 2 · see citing works
Pinto, C., Norton, S., Cubi-Molla, P., Hurt, C., Chowdhury, S., Dooley, N., Safwi, A., Brown, J., Volpato, R., Stumpf, S., et al. (2025) · Aging & Mental Health · doi:10.1080/13607863.2025.2478508 · Cited by 1 · see citing works
“…controlled trial, we can modify the treatment duration and length of follow up based on the findings from this study and findings from online ACT interventions that have been conducted that have been mostly conducted over an 8-week period (Trindade et al., 2021; Van de Graaf et al., 2021).”
Levin, M. E., Woolley, M. G., Bowers, E. M., & Klimczak, K. S. (2025) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2025.100929 · Cited by 1 · see citing works
Perspectives of Adults with Pain Regarding Online Pain Self-Management Resources
Ruehlman, L., Bindler, R., Rangel, T., Burley, M., Penders, R., & Wilson, M. (2024) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-024-00433-7 · Cited by 1 · see citing works
Schmigalle, P., Scholz, C., Maschler, M. L., Liegl, G., Kopf, A., Reißhauer, A., Vajkoczy, P., Praßer, F., Nolte, S., Rose, M., et al. (2026) · doi:10.2196/preprints.104577 · Cited by 1 · see citing works
Gonçalves, A. S., Monteleone, F., Couto, M. B., Machado, M. E., & Pereira, M. E. (2022) · Revista Dor · doi:10.24875/dor.22000003
Bendelin, N. (2023) · Linköping University medical dissertations · doi:10.3384/9789180750288
Aghili, M., & Firozkohi, M. (2023) · Assessment and Research in Applied Counseling · doi:10.52547/jarac.5.1.87
The Efficacy of an Online Act Intervention for Anxiety: An Outcome Randomized Control TrialPreprint
Tulbure, B. T., Tirica, Ș., Dolot, L. I., Marian, Ș., Sălăgean, N., & Rusu, A. (2023) · SSRN Electronic Journal · doi:10.2139/ssrn.4651512
Danielsson, L., Bergvik, S., Pripp, A. H., & Kvarstein, G. (2025) · Canadian Journal of Pain · doi:10.1080/24740527.2025.2515106
Mazzotti, E., Mazzuca, F., Lucidi, F., Specchia, M., Mancini, M., & Chirico, A. (2025) · Research Square · doi:10.21203/rs.3.rs-6911957/v1
Mukasa, M. N., Donahue, M. L., Levin, M. E., Rodríguez, M. M. D., Kasujja, R., Damulira, C., & Vance, J. (2026) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2026.101017
Semonella, M., Luca, A. D., Rodighiero, C., Andersson, G., Buhrman, M., Donisi, V., Usubini, A. G., Landi, G., Manna, C., Pasini, I., et al. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1813251
Design of a Virtual Reality–Based Framework for ACT Delivery in Chronic Post-Stroke Pain
Sousa, A. J., Carvalho, S. A., & Menezes, P. J. (2026) · IEEE International Conference on Intelligent Reality (ICIR) · doi:10.1109/icir70631.2026.11628245
El-Gabalawy, R. M., Sabourin, B. C., Tkachuk, G. A., Logan, G. S., Penner, K. E., Shay, B. L., Bilevicius, E., Graff, L. A., Skrabek, R. Q., Senn, J., et al. (2026) · Canadian Journal of Pain · doi:10.1080/24740527.2026.2696248
Schmigalle, P., Scholz, C., Maschler, M. L., Liegl, G., Köpf, A., Reißhauer, A., Vajkoczy, P., Praßer, F., Nolte, S., Rose, M., et al. (2026) · JMIR Human Factors · doi:10.2196/104577 · Cited by 1 · see citing works
- Authors
- van de Graaf, D. L., Trompetter, H. R., Smeets, T., & Mols, F.
- Affiliations
- Tilburg University (NL)
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 26
- Pages
- 100465
- ISSN
- 2214-7829 (ISSN-L)
- PMC
- PMC8502909
- OpenAlex
- W3203705086
- Semantic Scholar
- 4da48f9b6be6cbba6492ff059ba92d8428ca7f54
- Cited by
- 49
- References
- 83
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 11 · 2023: 14 · 2022: 10 · 2021: 1
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Research portal (Tilburg University) (submittedVersion, cc-by-nc-nd)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Dutch Cancer Society (12181)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- acceptance and commitment therapy, chronic pain, online intervention, e-health, intervention design, design rationale, adherence, mobile application
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review