Brief acceptance and commitment therapy for fibromyalgia: feasibility and effectiveness of a replicated single-case design
Open accessAbstract
Objective: Overall, the literature on the effectiveness of psychological treatments in general and those for fibromyalgia in particular has been dominated by research designs that focus on large groups and explore changes on average, so the treatment impact at the individual level remains unclear. In this quasi-experimental, replicated single-case design, we will test the feasibility and effectiveness of a brief acceptance and committed therapy intervention using ecological momentary assessment supported by technology. Methods: The sample comprised 7 patients (3 in the individual condition and 4 in the group condition) who received a brief, 5-week psychological treatment. Patient evolution was assessed one week prior to treatment onset and during the whole study with a smartphone app. Because ecological momentary assessment and the use of an app are not frequent practices in routine care, we also evaluated the feasibility of this assessment methodology (i.e., compliance with the app). Change was investigated with a nonoverlap of all pairs index. Outcomes were pain interference with sleep and social activities, fatigue, sadness, and pain intensity. Results: Patient change was not uniform across outcomes. Four patients (two in each condition) showed relatively moderate levels of change (approximately 60% nonoverlap in several outcomes). The remaining patients showed more modest improvements which affected a reduced number of outcomes. Based on nonoverlapping indices, there was no clear evidence in favor of any treatment format. Conclusions: An alternative design to large-scale trials, one that focuses on the individual change, exists and it can be implemented in pain research. The use of technology (e.g., smartphones) simplifies such designs by facilitating ecological momentary assessment. Based on our findings showing that changes were not homogeneous across patients or outcomes, more single-case designs and patient-centered analyses (e.g., responder and moderation analyses) are required.
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A recent application of experiential sampling in an acceptance and commitment therapy intervention for fibromyalgia presented acceptable preliminary feasibility data.
“Finally, a recent application of ES in an ACT intervention for FM presented acceptable preliminary feasibility data (Gómez-Pérez et al., 2020).”
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 Gómez-Pérez et al., 2020
The authors of that study pointed out that more research on single-case designs and patient-centered analyses was necessary.
“The authors of this study pointed out that, despite their promising findings, more research on single-case designs and patient-centered analyses was necessary (Gómez-Pérez et al., 2020).”
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 Gómez-Pérez et al., 2020
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- Authors
- Gómez-Pérez, M. C., García-Palacios, A., Castilla, D., Zaragozá, I., & Suso-Ribera, C.
- Affiliations
- AMIMET, Tudela, Navarre, Spain
- Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castellón de la Plana, Spain
- Universitat de València (ES)
- Instituto de Salud Carlos III (ES)
- Venue
- Pain Research and Management
- Publisher
- Wiley
- Published
- 2020-10-17
- Volume
- 2020
- Pages
- 1-11
- ISSN
- 1203-6765 (ISSN-L)
- 1918-1523
- PMC
- PMC7586182
- OpenAlex
- W3093356672
- Cited by
- 18
- References
- 67
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 3
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Pain Research and Management (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by-sa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, cc-by-nc)
- Funders
- Universitat Jaume I (GV/2019/095)
- Valencian Community Government (GV/2019/095)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- acceptance and commitment therapy, fibromyalgia, single-case experimental design, ecological momentary assessment, mobile application, treatment feasibility, pain interference, fatigue, group versus individual therapy
- MeSH terms
- Smartphone, Aged, Feasibility Studies, Female, Fibromyalgia, Humans, Male, Middle Aged, Patient Compliance, Precision Medicine, Mobile Applications, 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 ›
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