Evaluating the effects of guided coaching calls on engagement and outcomes for online acceptance and commitment therapy
Abstract
Previous research indicates mixed results for guided support with online interventions. The current secondary analysis evaluated the effects of phone coaching from a dismantling trial of online acceptance and commitment therapy (ACT) in a sample of 136 distressed college students randomized to one of three versions of an ACT website. Participants were randomized to receive email prompts alone (non-coaching condition) or email plus phone coaching (coaching condition). Results indicated no differences between the coaching and non-coaching conditions on program engagement, program satisfaction, mental health outcomes, and almost all psychological flexibility processes. However, participants in the coaching condition reported stronger pre- to posttreatment improvements in psychological inflexibility than the non-coaching condition. This effect was moderated by ACT component condition, with larger pre- to posttreatment effects from coaching on psychological inflexibility in the values/committed action condition and weaker improvements from coaching in the acceptance/defusion condition. Overall, results indicate online self-guided ACT interventions with email prompts are sufficient for addressing college student mental health and that phone coaching provided minimal additional benefit.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
The findings on ACT's effect on corona disease anxiety are consistent with the results of Levin et al. (18) and Haddadi et al. (3).
“Another part of the findings of this research that the acceptance and commitment therapy was effective in reducing corona disease anxiety of medical staff involved in COVID-19 care in Hamadan was consistent with the results of Levin et al. (18) and Haddadi et al. (3).”
From Effects of the Acceptance and Commitment Therapy on Resiliency, Self-Compassion, and Corona Disease Anxiety on Medical Staff Involved in COVID-19 Pandemic (2023) · cites this paper as Levin et al. (18)
Cites
Usability Evaluation In Industry
(1996) · CRC Press eBooks · doi:10.1201/9781498710411 · Cited by 4,400 · see citing works
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · 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
Acceptance and commitment therapy.
Hayes, S. C., & Lillis, J. (2012) · American Psychological Association eBooks · doi:10.1037/17335-000 · Cited by 1,543 · 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
Mohr, D. C., Cuijpers, P., & Lehman, K. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1602 · Cited by 1,097 · see citing works
The Assessment of Present-Moment Awareness and Acceptance: The Philadelphia Mindfulness Scale
Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008) · Assessment · doi:10.1177/1073191107311467 · Cited by 940 · see citing works
The development and initial validation of the cognitive fusion questionnaire
Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., Kerr, S., Tansey, L., Noel, P., Ferenbach, C., et al. (2014) · Behavior Therapy · doi:10.1016/j.beth.2013.09.001 · Cited by 837 · see citing works
Newman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.09.008 · Cited by 480 · see citing works
Titov, N., Dear, B. F., Johnston, L., Lorian, C., Zou, J., Wootton, B., Spence, J., McEvoy, P. M., & Rapee, R. M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0062873 · Cited by 364 · see citing works
Development of the Valuing Questionnaire (VQ)
Smout, M., Davies, M., Burns, N., & Christie, A. (2014) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2014.06.001 · Cited by 350 · cited 1× · see citing works
“The Valuing Questionnaire (VQ; Smout et al., 2014) has two subscales assessing values processes, one measuring progress toward personal values and one measuring obstruction of progress toward values.”
MethodLuoma, J. B., Kohlenberg, B. S., Hayes, S. C., & Fletcher, L. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0026070 · Cited by 336 · see citing works
Räsänen, P., Lappalainen, P., Muotka, J., Tolvanen, A., & Lappalainen, R. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.01.001 · Cited by 221 · cited 3× · see citing works
“Other research has evaluated protocols that more actively integrate ACT into coaching (Fledderus et al., 2012; Ivanova et al., 2016; Räsänen et al., 2016).”
BackgroundMethodFledderus, M., Bohlmeijer, E. T., Pieterse, M. E., & Schreurs, K. M. G. (2012) · Psychological Medicine · doi:10.1017/s0033291711001206 · Cited by 209 · cited 8× · see citing works
“For example, previous studies have found guided support elements with online ACT do not improve outcomes (Fledderus et al., 2012; Ivanova et al., 2016), and that ACT methods can increase treatment seeking (e.g., Lannin et al., 2017) and treatment adherence (e.g., Luoma et al., 2012).”
BackgroundResultInfluentialDear (2015) · doi:10.1097/j.pain.0000000000000251 · Cited by 187 · see citing works
Thompson, E. M., Destree, L., Albertella, L., & Fontenelle, L. F. (2021) · Behavior Therapy · doi:10.1016/j.beth.2020.07.002 · Cited by 168 · see citing works
Ivanova, E., Lindner, P., Ly, K. H., Dahlin, M., Vernmark, K., Andersson, G., & Carlbring, P. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.09.012 · Cited by 165 · cited 11× · see citing works
“, 2012) or anxiety (Ivanova et al., 2016), although guided support did enhance program engagement in the latter study (Ivanova et al.”
BackgroundResultInfluentialMohr, D., Duffecy, J., Ho, J., Kwasny, M., Cai, X., Burns, M., & Begale, M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0070086 · Cited by 156 · see citing works
Development and Initial Validation of the Counseling Center Assessment of Psychological Symptoms–34
Locke, B. D., McAleavey, A. A., Zhao, Y., Lei, P., Hayes, J. A., Castonguay, L. G., Li, H., Tate, R., & Lin, Y.-C. (2012) · Measurement and Evaluation in Counseling and Development · doi:10.1177/0748175611432642 · Cited by 141 · see citing works
Perski, O., Crane, D., Beard, E., & Brown, J. (2019) · DIGITAL HEALTH · doi:10.1177/2055207619880676 · Cited by 135 · see citing works
McCracken, L. M., Chilcot, J., & Norton, S. (2015) · European Journal of Pain · doi:10.1002/ejp.589 · Cited by 127 · see citing works
Levin, M. E., Krafft, J., Hicks, E. T., Pierce, B., & Twohig, M. P. (2020) · Behaviour Research and Therapy · doi:10.1016/j.brat.2020.103557 · Cited by 101 · see citing works
Self-citationAardoom, J. J., Dingemans, A. E., Spinhoven, P., van Ginkel, J. R., de Rooij, M., & van Furth, E. F. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5709 · Cited by 94 · see citing works
Shim, M., Mahaffey, B., Bleidistel, M., & Gonzalez, A. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.09.003 · Cited by 72 · see citing works
Kass, A. E., Trockel, M., Safer, D. L., Sinton, M. M., Cunning, D., Rizk, M. T., Genkin, B. H., Weisman, H. L., Bailey, J. O., Jacobi, C., et al. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.09.010 · Cited by 71 · see citing works
Wojtowicz, M., Day, V., & McGrath, P. J. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2323 · Cited by 43 · see citing works
Dryman, M. T., McTeague, L. M., Olino, T. M., & Heimberg, R. G. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000232 · Cited by 38 · see citing works
Levin, M. E., Krafft, J., & Twohig, M. P. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.05.001 · Cited by 28 · see citing works
Self-citationCan reflecting on personal values online increase positive beliefs about counseling?
Lannin, D. G., Vogel, D. L., & Heath, P. J. (2017) · Journal of Counseling Psychology · doi:10.1037/cou0000201 · Cited by 15 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Gan, D. Z. Q., McGillivray, L., Han, J., Christensen, H., & Torok, M. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.764079 · Cited by 305 · see citing works
Lipschitz, J. M., Pike, C. K., Hogan, T. P., Murphy, S. A., & Burdick, K. E. (2023) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-023-00297-3 · Cited by 230 · see citing works
Gan, D. Z. Q., McGillivray, L., Larsen, M. E., Christensen, H. M., & Torok, M. H. (2022) · Digital Health · doi:10.1177/20552076221098268 · Cited by 81 · see citing works
Zhao, C., Wampold, B. E., Ren, Z., Zhang, L., & Guangrong, J. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23329 · Cited by 38 · see citing works
Barakat, S., Burton, A. L., Cunich, M. M., Hay, P., Hazelton, J. L., Kim, M., Lymer, S. J., Madden, S., Maloney, D., Miskovic‐Wheatley, J., et al. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115534 · Cited by 29 · see citing works
McGillivray, L., Gan, D. Z. Q., Wong, Q. J. J., Han, J., Hetrick, S. E., Christensen, H. M., & Torok, M. H. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-058584 · Cited by 14 · see citing works
Gan, D. Z. Q., McGillivray, L., Larsen, M. E., & Torok, M. H. (2023) · Journal of Clinical Psychology · doi:10.1002/jclp.23486 · Cited by 15 · see citing works
Le, Y., Roddy, M. K., Rothman, K., Salivar, E. G., Guttman, S., & Doss, B. D. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100661 · Cited by 10 · see citing works
Ravanbakhsh, L., Ebrahimi, M. I., Haddadi, A., & Yazdi-Ravandi, S. (2023) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs-136845 · Cited by 8 · see citing works
“Drawing from previous research, studies have explored the efficacy of acceptance and commitment therapy on mental health (14), resilience and mental well-being (15), emotional intelligence and self-efficacy (16), self-compassion (17), mental health improvement and anxiety control (18), and enhanced emotional state and…”
MethodRäsänen, P., Muotka, J. S., & Lappalainen, R. I. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.06.006 · Cited by 8 · see citing works
Goozée, R., Barrable, A., Ļubenko, J., Παπαδάτου-Παστού, Μ., Haddad, M., McKeown, E., Hirani, S. P., Martin, M., & Tzotzoli, P. (2022) · Journal of Mental Health · doi:10.1080/09638237.2022.2069699 · Cited by 7 · see citing works
Torok, M. H., McGillivray, L., Gan, D. Z. Q., Han, J., Hetrick, S. E., & Wong, Q. J. J. (2024) · EClinicalMedicine · doi:10.1016/j.eclinm.2024.102963 · Cited by 6 · see citing works
Rabinowitz, 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
Self-citationGarcia, 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
Self-citationSchachter, J., Ajayi, A. A., & Delgado, J. E. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100852 · Cited by 3 · see citing works
Bowers, E. M., Klimczak, K. S., & Levin, M. E. (2025) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2025.100897 · Cited by 2 · see citing works
Self-citationEicher, S., Heinrich, M., Zagorscak, P., Brose, A., & Knaevelsrud, C. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100818 · Cited by 1 · see citing works
Addressing psychological discomfort with Acceptance and Commitment Coaching
MacKinnon, R., Skews, R., & McIntosh, R. (2025) · The Coaching Psychologist · doi:10.53841/bpstcp.2025.20.3.29 · Cited by 1 · see citing works
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
Self-citationفعالية برنامج إرشادي قائم على التقبل والالتزام لخفض الهزيمة النفسية لدى المراهقين المتلجلجين
خلاف, ح. م. س., & خليف, أ. ع. م. (2021) · Mağallaẗ Kulliyyaẗ Al-Tarbiyyaẗ, Ǧāmiʿaẗ Al-Iskandariyyaẗ/Mağallaẗ Kulliyyaẗ Al-Tarbiyyaẗ, Ǧāmiʿaẗ Al-Iskandariyyaẗ · doi:10.21608/jealex.2021.221322
Ajayi, A. A., Zhao, C., Schachter, J., Wade, B., & Bonilla, G. G. S. (2026) · Journal of American College Health · doi:10.1080/07448481.2026.2692541
- Authors
- Levin, M. E., Krafft, J., Davis, C. H., & Twohig, M. P.
- Affiliations
- Utah State University (US)
- Corresponding author
- Levin, Michael E.
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2021-01-12
- Volume
- 50
- Issue
- 5
- Pages
- 395-408
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W3120719797
- Cited by
- 21
- References
- 29
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 7 · 2022: 4 · 2021: 2
- FWCI
- 2.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - USU (Utah State University) (submittedVersion)
- Funders
- Spanish Ministry of Economy and Competitiveness, and European Union funds (BFU2016-77728-C3-1-P)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- acceptance and commitment therapy, online intervention, phone coaching, program engagement, psychological inflexibility, psychological flexibility, college student mental health, self-guided intervention
- MeSH terms
- Distance Counseling, Internet-Based Intervention, Female, Humans, Male, Mental Health, Students, Telephone, Electronic Mail, Young Adult, Acceptance and Commitment Therapy
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