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.

中文翻译：

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评估指导性辅导电话对在线接受和承诺疗法的参与和结果的影响

先前的研究表明，在线干预的指导支持结果喜忧参半。当前的二级分析评估了在线接受和承诺疗法 (ACT) 拆解试验中电话辅导的效果，该试验将 136 名陷入困境的大学生随机分配到 ACT 网站的三个版本之一。参与者随机接受单独的电子邮件提示（非指导条件）或电子邮件加电话指导（指导条件）。结果表明，教练和非教练条件在项目参与、项目满意度、心理健康结果和几乎所有心理灵活性过程方面没有差异。然而，与非教练条件相比，教练条件下的参与者报告了治疗前后心理僵化的更强改善。这种影响受到 ACT 成分条件的调节，在价值观/承诺行动条件下，辅导对心理僵硬的影响更大，而在接受/解散条件下，辅导的改善较弱。总体而言，结果表明带有电子邮件提示的在线自我指导 ACT 干预足以解决大学生的心理健康问题，而电话辅导提供的额外好处微乎其微。