Randomized controlled trial of a web-based Acceptance and Commitment Therapy (ACT) program to promote mental health in university students

J Clin Psychol. 2020 Jun;76(6):929-951. doi: 10.1002/jclp.22848. Epub 2019 Aug 30.

Abstract

Objective: This study evaluated a 4-week web-based Acceptance and Commitment Therapy (ACT) mental health promotion intervention for university students.

Method: Participants were randomized to intervention (n = 596) or waitlist control (n = 566). Assessment of primary outcomes (depression, anxiety, stress, well-being, self-compassion, life satisfaction, and academic performance) and ACT processes (acceptance, cognitive fusion, education values, valued living, and present moment awareness) occurred at pre- and post-intervention and 12-week follow-up for intervention participants, and the same pre-post interval for waitlist control participants.

Results: Analyses showed significant improvements from pre- to post-intervention compared with waitlist control on all primary outcomes and ACT processes. All intervention gains were maintained at follow-up. Improvements on all primary outcomes were mediated by three or more ACT processes in both samples. Intervention effects were consistent across both sample groupings.

Conclusion: Findings provide support for a web-based ACT mental health promotion intervention for university students.

Keywords: Acceptance and Commitment Therapy; mental health promotion; telepsychology; university students; web-based.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acceptance and Commitment Therapy / methods*
  • Adolescent
  • Adult
  • Aged
  • Australia
  • Empathy
  • Female
  • Health Promotion
  • Humans
  • Internet
  • Internet-Based Intervention*
  • Male
  • Mental Health*
  • Middle Aged
  • Students / psychology*
  • Universities*
  • Waiting Lists
  • Young Adult