Cited by 49Digital Mental Health InterventionsMindfulness and Compassion InterventionsMusculoskeletal pain and rehabilitation

Online Acceptance and Commitment Therapy (ACT) interventions for chronic pain: A systematic literature review

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van de Graaf, D.L., Trompetter, H.R., Smeets, T., Mols, F.·2021·Internet Interventions

Abstract

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.

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  1. Fledderus, 2015, Development and pilotevaluation of an onlinerelapse-preventionprogrambased on acceptance and commitmenttherapy for chronicpainpatients, JMIR Hum. Factors, 2
  2. Harvie, 2017, Classical conditioningdifferencesassociatedwithchronicpain:asystematicreview, J. Pain
  3. Kelders, 2012, Persuasive systemdesigndoesmatter:asystematicreview of adherence to web-basedinterventions, J. Med. Internet Res., 14
  4. Lee, 2003, The technologyacceptancemodel:past,present, and future, Commun. Assoc. Inf. Syst., 12, 752
  5. Schmidt, 2020, Formative design and evaluation of a responsive eHealth/mHealth intervention for positivefamilyadaptationfollowingpediatrictraumaticbraininjury, J. Form. Des. Learn., 1–19
  6. Trompetter, 2016, Positive psychologicalwellbeingisrequired for onlineself-helpacceptance and commitmenttherapy for chronicpain to be effective, Front. Psychol., 7, 353
  7. Yang, 2017, iACT-CEL: afeasibilitytrial of a face-to-face and internet-basedacceptance and commitmenttherapyintervention for chronicpain in Singapore, Pain Res. Treat., 2017, 6916915

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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)
OpenAlex
W3203705086
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
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

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