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Cited by 25Mindfulness and Compassion InterventionsPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

“Choose change”: design and methods of an acceptance and commitment therapy effectiveness trial for transdiagnostic treatment-resistant patients

Open access
Villanueva, Jeanette, Meyer, Andrea H., Rinner, Marcia T. B., Firsching, Victoria J., Benoy, Charles, Brogli, Sandra, Walter, Marc, Bader, Klaus +1 more·2019·BMC Psychiatry
DOI 10.1186/s12888-019-2109-4PMC PMC6558686
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Abstract

BACKGROUND: Acceptance and Commitment Therapy (ACT) has been successfully established in hundreds of efficacy trials. It is less understood, however, how ACT works in real-world settings. Furthermore, little is known about how contextual variables such as treatment setting (inpatient vs. outpatient), social network and environment of the patient impact outcome. METHODS: This paper describes the methods of the Choose Change study that compares transdiagnostic inpatients (n = 85) and outpatients (n = 85) with varying degrees of treatment experience and treatment success (i.e., no previous treatment vs. previous remission vs. treatment-resistant). Patients received ACT during an intensive treatment phase lasting approximately twelve treatment sessions, and were accompanied up to twelve months following intensive treatment. Main outcomes include symptoms, functioning, and well-being. Multiple levels of data are investigated, including treatment context, weekly assessments, a behavioral approach test, multiple follow-up phases, and ambulatory assessment using Event Sampling Methodology, to examine patients' daily context. DISCUSSION: We aim to investigate antecedents, consequences, and inherent processes that contribute to the maintenance or fluctuations of psychological disorders and the efficacy of ACT treatment. Furthermore, this study intends to increase understanding of how accurately participants can report on their own experiences, in order to expand our knowledge of how to probe for such information in the future. The results of Choose Change will provide basic clinical theory and clinical care with important and meaningful insights into the effectiveness of ACT, trans diagnostically, in in- and outpatients, and in a naturalistic setting. TRIAL REGISTRATION: This study was retrospectively registered in the ISRCTN Registry (registration number ISRCTN11209732 ) on May 20th 2016.

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  • Findings from Villanueva et al. (2019) support the use of experiential sampling for a greater understanding of the mechanisms underlying acceptance and commitment therapy treatment success and failure in transdiagnostic patients.

    “the findings from Villanueva et al. (2019) support the use of ES for a greater understanding of the mechanisms underlying ACT treatment success and failure in transdiagnostic patients”

    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 Villanueva et al. (2019)

    The Discussion says Event Sampling Methodology (ESM) will help capture experiences in patients’ natural environments and that the resulting data may clarify ACT-related processes and relapse. But this is a design-and-methods paper describing what the study aims to learn, not findings that have already demonstrated ESM’s value for understanding treatment success and failure. (LLM, conf=0.87)

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Research works printed but not linked: 3

  1. [41]Firsching VJ, Villanueva J, Rinner M, Benoy C, Kuhweide V, Brogli S, et al. Measuring psychological flexibility in a context sensitive manner - development and preliminary psychometric properties of a short and accessible questionnaire. Poster session presented at the ACBS world conference 16, Montréal, Québec, Canada; 2018.
  2. [54]Das SS, Ven AH Van De, Das SS, Ven AH Van De. A Generic Measure of Relationship Satisfaction 2018;46(10):1300–1316.
  3. [64]Franke GH, Stenzel S, Rank C, Herbold D, Küch D. Die Brief Symptom Checklist (BSCL) im Einsatz bei Patientinnen und Patienten der orthopädischen Rehabilitation (Conference Paper Jahrestagung des AK Klinische Psychologie, Berlin) Conf Pap Jahrestagung des AK Klin Psychol Berlin [Internet] 2015;(September):1–9. Available from: https://www.researchgate.net/publication/281833605_Die_Brief_Symptom_Checklist_(BSCL)_im_Einsatz_bei_Patientinnen_und_Patienten_der_orthopdischen_Rehabilitation

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Authors
Villanueva, J., Meyer, A. H., Rinner, M. T. B., Firsching, V. J., Benoy, C., Brogli, S., Walter, M., Bader, K., & Gloster, A. T.
Affiliations
University of Basel (CH)
Corresponding author
Gloster, Andrew T.
ORCID
Venue
BMC Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2019-06-10
Volume
19
Issue
1
Pages
173-173
ISSN
1471-244X (ISSN-L)
DOI
10.1186/s12888-019-2109-4
PMC
PMC6558686
OpenAlex
W2951788635
Cited by
25
References
74
Citations by year
2026: 2 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 2 · 2021: 7 · 2020: 2 · 2019: 1
FWCI
3.50
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • edoc (University of Basel) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • edoc (University of Basel) (submittedVersion)
  • edoc (University of Basel)
Funders
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (PP00P1_163716/1)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
acceptance and commitment therapy, transdiagnostic treatment, treatment-resistant mental disorders, inpatient vs outpatient treatment, treatment context, social networks, treatment experience, remission, ambulatory assessment, self-reported experiences
MeSH terms
Adult, Mental Disorders, Female, Humans, Inpatients, Male, Middle Aged, Outpatients, Treatment Outcome, Acceptance and Commitment Therapy

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