A systematic review of values measures in acceptance and commitment therapy research

Reilly, Erin D.; Ritzert, Timothy R.; Scoglio, Arielle A J; Mote, Jasmine; Fukuda, Seiya; Ahern, Meghan E.; Kelly, Megan M.

doi:10.1016/j.jcbs.2018.10.004

Cited by 58 publications

(36 citation statements)

References 77 publications

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“…The Bullseye showed marginally greater improvement in ACT in some models and correlated with anxiety-related outcomes, but was not a significant mediator of these outcomes (though due to missing Bullseye data, the Bullseye analyses may have been underpowered). Neither the Bullseye nor the VLQ has consistently shown intervention effects in the broader ACT literature (Reilly et al, 2019), highlighting the possibility that measurement imprecision masked true effects. Alternatively, ACT in this setting may have led to more pronounced changes in self-compassion and emotional approach coping.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding extant methodological constraints, first, psychometric concerns have arisen about several of the most widely used measures of the core theorized ACT target processes including in the domains of experiential avoidance (Tyndall et al, 2019;Wolgast, 2014) and values-aligned behavior (Barrett et al, 2019;Reilly et al, 2019). It is possible that previous studies' failure to detect movement on these variables results from the use of insufficiently sensitive or construct-specific instruments (Benoy et al, 2019).…”

Section: Intervention and Mediation Effects Of Target Processes In A Randomized Controlled Trial Of Acceptance And Commitment Therapy Formentioning

confidence: 99%

“…In addition, if the AAQ-II is used, then versions that probe experiential avoidance in specific relevant contexts may yield more accurate estimates of behavior (Ong et al, 2020). Second, given psychometric problems with other common measures of core theorized ACT target processes, such as measures of values-aligned behavior (Reilly et al, 2019), researchers should consider using multiple instruments of the same target process, probing the construct in different ways. Third, mediation studies should examine both core theorized ACT and more general psychotherapy target processes (e.g., Treanor et al, 2011).…”

Section: Intervention and Mediation Effects Of Target Processes In A Randomized Controlled Trial Of Acceptance And Commitment Therapy Formentioning

confidence: 99%

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Intervention and Mediation Effects of Target Processes in a Randomized Controlled Trial of Acceptance and Commitment Therapy for Anxious Cancer Survivors in Community Oncology Clinics

Fishbein¹,

Judd²,

Genung³

et al. 2021

Preprint

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Objective: Acceptance and Commitment Therapy (ACT) is a promising intervention for cancer survivors, but its mechanisms in real-world settings are not fully understood. This study examined ACT-specific and broader target processes as mediators in the Valued Living randomized controlled trial, which compared ACT and usual care for anxious cancer survivors in a real-world community oncology setting.Method: Two ACT-specific target processes (experiential avoidance and values-aligned behavior, each measured with two validated instruments) and two broader target processes (emotional approach coping and self-compassion) were analyzed at Pre- and Post-intervention as predictors and mediators of anxiety symptoms, cancer-related trauma symptoms, and fear of cancer recurrence in a causal steps framework (n = 117). Results: During the intervention, ACT participants improved significantly more than usual care participants on the broader target processes (ps <= .035) but not the ACT-specific target processes (ps >= .080). Cancer-related emotional approach coping mediated cancer-related trauma symptoms and fear of recurrence (ps .043-.044). Self-compassion mediated fear of recurrence (p = .045), and showed marginal patterns for trauma symptoms (p = .059) and anxiety symptoms (p = .084).Conclusion: ACT may work in real-world settings for cancer survivors by promoting self-compassion and coping through emotional processing and expression.

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Section: Discussionmentioning

confidence: 99%

Section: Intervention and Mediation Effects Of Target Processes In A Randomized Controlled Trial Of Acceptance And Commitment Therapy Formentioning

confidence: 99%

Section: Intervention and Mediation Effects Of Target Processes In A Randomized Controlled Trial Of Acceptance And Commitment Therapy Formentioning

confidence: 99%

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Intervention and Mediation Effects of Target Processes in a Randomized Controlled Trial of Acceptance and Commitment Therapy for Anxious Cancer Survivors in Community Oncology Clinics

Fishbein¹,

Judd²,

Genung³

et al. 2021

Preprint

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“…To evaluate among these possibilities, future studies should compare M-ACT to another condition within a randomized trial and include alternative measures of valued behavior. 38…”

Section: Intervention Mechanismsmentioning

confidence: 99%

Acceptability, Feasibility, and Efficacy Potential of a Multimodal Acceptance and Commitment Therapy Intervention to Address Psychosocial and Advance Care Planning Needs among Anxious and Depressed Adults with Metastatic Cancer

Arch

Fishbein

Ferris

et al. 2020

Journal of Palliative Medicine

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Background: Adults with metastatic cancer frequently report anxiety and depression symptoms, which may impact health behaviors such as advance care planning (ACP).Objective: The study leveraged Acceptance and Commitment Therapy (ACT), an evidence-based approach for reducing distress and improving health behaviors, and adapted it into a multi-modal intervention (M-ACT) designed to address the psychosocial and ACP needs of anxious and depressed adults with metastatic cancer.The study evaluated M-ACT's acceptability, feasibility, and efficacy potential. Design:The study was designed as a single-arm intervention development and pilot trial.Setting/Subjects: The trial enrolled 35 anxious or depressed adults with stage IV cancer in community oncology clinics, with a referred-to-enrolled rate of 69% and eligible-to-enrolled rate of 95%.Measurements: M-ACT alternated four in-person group sessions with three self-paced online sessions.Acceptability and feasibility were assessed through enrollment, attendance, and satisfaction ratings. Outcomes and theorized intervention mechanisms were evaluated at baseline, mid-intervention, post-intervention, and 2month follow-up.Results: Participant feedback was used to refine the intervention. Of participants starting the intervention, 92% completed, reporting high satisfaction. One-quarter did not begin M-ACT due to health declines, moving, or death. Completers showed significant reductions in anxiety, depression, and fear of dying, and increases in ACP and sense of life meaning. In this pilot, M-ACT showed no significant impact on pain interference. Increases in two of three mechanism measures predicted improvement on 80% of significant outcomes. Conclusions:The M-ACT intervention is feasible, acceptable, and shows potential for efficacy in community oncology settings; a randomized trial is warranted.

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“…As previously noted, however, Schwartz's values were of primary interest because they directly measure selftranscendent values and were theoretically compatible with previous findings about the experience of awe. Nevertheless, changes in other types of values would be interesting to explore in future research following an awe manipulation, such as materialistic values (Kasser, 2016;Zhao et al, 2018), spiritual values (e.g., Kansas, 2020), engaged living values (e.g., Trompetter et al, 2013), and many other types of values related to acceptance and commitment therapy (Reilly et al, 2019).…”

Section: Limitationsmentioning

confidence: 99%

Transformative technology : examining the capacity of virtual reality induced awe to change self-transcendent values and improve hedonic and eudaimonic well-being

Pratscher¹

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Awe is an emotion that tends to shift focus away from individual concerns of the self towards collective interests that transcend the self. The primary purpose of the current study was to examine whether an experimentally induced experience of awe, compared to amusement, had the potential to change participant's self-transcendent values of universalism (e.g., preserving nature and a world at peace) and benevolence (e.g., honesty and concern for the welfare of others). The secondary purpose was to examine whether awe influenced same and next day hedonic and eudaimonic well-being. Feelings of a small self and connectedness (to self, others, and nature) were hypothesized to mediate any effects of awe on changes in values and well-being. Participants were 240 University students who, after completing a baseline survey to assess values, were randomly assigned to either a 5-minute virtual reality (VR) experience of awe or amusement. Then, participants completed a post-test survey assessing values, emotions, connectedness and small self. Between conditions and within-individuals analyses showed that neither manipulation significantly increased participants prioritization of self-transcendent values. Participants from both conditions reported high levels of awe, however, which was correlated with higher hedonic (i.e., positive and negative affect, life satisfaction) and eudaimonic (i.e., meaning, purpose, vitality, basic psychological needs satisfaction) well-being. Feelings of connectedness mediated this relationship between awe and both types of well-being. Although there was little support for the primary hypotheses regarding the effects of awe, compared to amusement, on self-transcendent values, this study uncovered interesting findings about associations between awe, connectedness, and well-being.

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A systematic review of values measures in acceptance and commitment therapy research

Cited by 58 publications

References 77 publications

Intervention and Mediation Effects of Target Processes in a Randomized Controlled Trial of Acceptance and Commitment Therapy for Anxious Cancer Survivors in Community Oncology Clinics

Intervention and Mediation Effects of Target Processes in a Randomized Controlled Trial of Acceptance and Commitment Therapy for Anxious Cancer Survivors in Community Oncology Clinics

Acceptability, Feasibility, and Efficacy Potential of a Multimodal Acceptance and Commitment Therapy Intervention to Address Psychosocial and Advance Care Planning Needs among Anxious and Depressed Adults with Metastatic Cancer

Transformative technology : examining the capacity of virtual reality induced awe to change self-transcendent values and improve hedonic and eudaimonic well-being

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