Accepted for/Published in: JMIR Mental Health
Date Submitted: Oct 1, 2022
Date Accepted: Feb 13, 2023
Mobile Acceptance and Commitment Therapy in Bipolar Disorder: A Micro-Randomized Trial
ABSTRACT
Background:
Mobile interventions promise to fill in gaps in care with their broad reach and flexible delivery.
Objective:
Our goal was to investigate delivery of a mobile version of Acceptance and Commitment Therapy (ACT) for individuals with bipolar disorder (BP).
Methods:
Individuals with BP (n = 30) participated in a 6-week micro-randomized trial. Twice daily, participants logged symptoms in-app and were repeatedly randomized to receive an ACT intervention or not. Self-reported behavior and mood were measured as the energy devoted to moving toward valued domains or away from difficult emotions and with depressive d and manic m scores from the digital survey of mood in BP survey (digiBP).
Results:
Participants completed an average 66% of in-app assessments. Interventions did not significantly impact average toward energy or away energy but did significantly increase the average manic score m (P = .008) and depressive score d (P = .02). This was driven by increased fidgeting and irritability and interventions focused on increasing awareness of internal experiences.
Conclusions:
Findings do not support a larger study on mobile ACT in BP, but have significant implications for future studies seeking mobile therapy for individuals with BP. Clinical Trial: NCT04098497
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.