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.

摘要

先前的研究表明在在线干预的指导支持下结果不一。当前的二级分析评估了从136例苦恼的大学生随机抽样到ACT网站的三个版本之一的在线接受和承诺治疗（ACT）的拆解试验中进行电话辅导的效果。参与者被随机分配为单独接收电子邮件提示（非指导条件）或电子邮件加电话指导（指导条件）。结果表明，在计划参与度，计划满意度，心理健康结果以及几乎所有的心理适应过程方面，教练和非教练条件之间没有差异。然而，与非教练组相比，处于教练组状态的参与者在治疗前和治疗后的心理灵活性方面有了更大的改善。ACT成分条件减轻了这种影响，教练在治疗前/后对价值观/承诺行动条件下的心理僵硬的影响较大，而教练在接受/消退条件下的改善较弱。总体而言，结果表明，带有电子邮件提示的在线自我指导ACT干预措施足以解决大学生的心理健康问题，而电话辅导所提供的额外好处也很小。