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Acceptance and Commitment Therapy on Psychological Flexibility, Values, and Well-Being: A Single-Case Experimental Study (ACT-UNIVALLE)

26. maj 2026 opdateret af: Universidad del Valle, Colombia

Acceptance and Commitment Therapy on Psychological Flexibility, Values, and Well-Being

The goal of this clinical trial is to evaluate the effects of a brief Acceptance and Commitment Therapy (ACT)-based group intervention on psychological flexibility, values-based functioning, and psychological well-being in university students aged 18 to 28 years presenting elevated levels of emotional distress and psychological risk indicators.

The main questions it aims to answer are:

Does a brief ACT-based intervention reduce experiential avoidance and cognitive fusion in university students? Does the intervention improve present-moment awareness, values-based functioning, life satisfaction, and psychological flourishing?

Participants will:

Complete repeated self-report assessments across 13 measurement points distributed throughout baseline, intervention, and follow-up phases.

Participate in five weekly ACT-based group intervention sessions delivered by trained clinical psychologists.

Engage in experiential ACT exercises focused on acceptance, mindfulness, cognitive defusion, values clarification, and committed action.

Complete between-session activities and behavioral practices related to the ACT processes addressed during the intervention.

Participate in follow-up assessments to evaluate maintenance of treatment effects over time.

Studieoversigt

Detaljeret beskrivelse

University students frequently experience elevated levels of emotional distress, including symptoms of anxiety, depression, stress, worry, and psychological maladjustment. Brief interventions based on Acceptance and Commitment Therapy (ACT) have shown promising results in reducing experiential avoidance and cognitive fusion while promoting psychological flexibility and well-being.

The present study evaluates the effects of a brief ACT-based intervention protocol delivered in a group format using a Single-Case Experimental Design (SCED) with repeated measurements across baseline, intervention, and follow-up phases. The intervention focuses on core ACT processes, including acceptance, cognitive defusion, present-moment awareness, values clarification, and committed action.

Participants completed repeated assessments of psychological flexibility processes and well-being indicators across thirteen measurement points distributed throughout the study phases. The investigators hypothesize that the ACT-based intervention will produce reductions in experiential avoidance and cognitive fusion, together with improvements in present-moment awareness, values-based functioning, life satisfaction, and flourishing.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

12

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Valle del Cauca Department
      • Cali, Valle del Cauca Department, Colombia, 760032
        • Faculty of Psychology, Universidad del Valle

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

University students aged 18 years or older Interest in strengthening mental health and psychological well-being Voluntary agreement to participate in the study

High-risk scores on at least one of the following screening instruments:

Depression Anxiety Stress Scales (DASS-21) General Health Questionnaire (GHQ-12) State Worry Questionnaire-11 (SWQ-11)

Exclusion Criteria:

Current psychological or psychiatric treatment Current use of psychiatric medication Diagnosis related to developmental or learning difficulties Failure to attend intervention sessions Incomplete participation in study assessments

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: ACT-Based Brief Group Intervention
The intervention consisted of a brief ACT-based group protocol delivered weekly by trained clinical psychologists. The protocol targeted core ACT processes including acceptance, cognitive defusion, present-moment awareness, values clarification, and committed action. Sessions incorporated experiential exercises, metaphors, mindfulness practices, reflective activities, and between-session behavioral tasks designed to promote psychological flexibility and psychological well-being in university students.

The intervention consisted of a brief group-based Acceptance and Commitment Therapy (ACT) protocol designed to promote psychological flexibility and psychological well-being in university students presenting elevated emotional distress and psychological risk indicators. The protocol was grounded in the functional contextual approach and targeted core ACT processes, including acceptance, cognitive defusion, present-moment awareness, values clarification, and committed action.

Participants were organized into small groups of 5 to 8 individuals and attended five weekly intervention sessions conducted by trained clinical psychologists with at least five years of clinical experience. Prior to implementation, therapists completed specialized ACT training delivered by an expert clinician with extensive experience in Acceptance and Commitment Therapy.

The intervention protocol included an initial preliminary session focused on motivational engagement, informed consent procedures, feedback rega

Andre navne:
  • ACT Brief
  • ACT Protocol Group
  • ACT Intervention

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Mindful Attention Awareness Scale (MAAS)
Tidsramme: Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks
The Mindful Attention Awareness Scale (MAAS) is a 15-item self-report questionnaire designed to assess present-moment attention and awareness in daily life. Items are rated on a 6-point Likert-type scale ranging from 1 ("almost always") to 6 ("almost never"). Total scores are calculated by summing item responses, with higher scores indicating greater mindfulness and present-moment awareness.
Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks
Acceptance and Action Questionnaire-II (AAQ-II)
Tidsramme: Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.
The Acceptance and Action Questionnaire-II (AAQ-II) is a 7-item self-report questionnaire designed to assess experiential avoidance and psychological inflexibility. Items are rated on a 7-point Likert-type scale ranging from 1 ("never true") to 7 ("always true"). Total scores are calculated by summing item responses, with higher scores indicating greater experiential avoidance and psychological inflexibility.
Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.
Cognitive Fusion Questionnaire (CFQ)
Tidsramme: Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.
The Cognitive Fusion Questionnaire (CFQ) is a 7-item self-report questionnaire designed to assess cognitive fusion. Items are rated on a 7-point Likert-type scale ranging from 1 ("never true") to 7 ("always true"). Total scores are calculated by summing item responses, with higher scores indicating greater cognitive fusion.
Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Valuing Questionnaire - Obstruction Subscale (VQ-Obstruction)
Tidsramme: Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.
The Valuing Questionnaire - Obstruction Subscale (VQ-Obstruction) is a 5-item self-report measure designed to assess barriers and interference with values-based living. Items are rated on a 7-point Likert-type scale ranging from 0 ("not at all true") to 6 ("completely true"). Higher scores indicate greater obstruction in valued living.
Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.
Satisfaction With Life Scale (SWLS)
Tidsramme: Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.
The Satisfaction With Life Scale (SWLS) is a 5-item self-report questionnaire designed to assess global life satisfaction. Items are rated on a 7-point Likert-type scale ranging from 1 ("strongly disagree") to 7 ("strongly agree"). Total scores are calculated by summing item responses, with higher scores indicating greater life satisfaction.
Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.
Flourishing Scale (FS)
Tidsramme: Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.
The Flourishing Scale (FS) is an 8-item self-report questionnaire designed to assess psychological flourishing, including meaning in life, interpersonal relationships, competence, and optimism. Items are rated on a 7-point Likert-type scale ranging from 1 ("strongly disagree") to 7 ("strongly agree"). Total scores are calculated by summing item responses, with higher scores indicating greater psychological flourishing.
Weekly during baseline (4 weeks), intervention (6 weeks), and follow-up (3 weeks), up to 13 weeks.

Samarbejdspartnere og efterforskere

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Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. april 2025

Primær færdiggørelse (Faktiske)

15. juni 2025

Studieafslutning (Faktiske)

30. juni 2025

Datoer for studieregistrering

Først indsendt

12. maj 2026

Først indsendt, der opfyldte QC-kriterier

26. maj 2026

Først opslået (Faktiske)

2. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

26. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • Universidad del Valle
  • UNIVALLE-ACT-2025 (Anden identifikator: Faculty of Psychology, Universidad del Valle)
  • Faculty of Psychology (Anden identifikator: Faculty of Psychology, Universidad del Valle)

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Kliniske forsøg med Følelsesmæssig nød

Kliniske forsøg med Acceptance and Commitment Therapy (ACT)-Based Brief Group Intervention

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