Effectiveness of Web-Delivered Acceptance and Commitment Therapy in Relation to Mental Health and Well-Being: A Systematic Review and Meta-Analysis

Menna Brown, Alexander Glendenning, Alice E Hoon, Ann John, Menna Brown, Alexander Glendenning, Alice E Hoon, Ann John

Abstract

Background: The need for effective interventions to improve mental health and emotional well-being at a population level are gaining prominence both in the United Kingdom and globally. Advances in technology and widespread adoption of Internet capable devices have facilitated rapid development of Web-delivered psychological therapies. Interventions designed to manage a range of affective disorders by applying diverse therapeutic approaches are widely available.

Objective: The main aim of this review was to evaluate the evidence base of acceptance and commitment therapy (ACT) in a Web-based delivery format.

Method: A systematic review of the literature and meta-analysis was conducted. Two electronic databases were searched for Web-delivered interventions utilizing ACT for the management of affective disorders or well-being. Only Randomized Controlled Trials (RCTs) were included.

Results: The search strategy identified 59 articles. Of these, 10 articles met the inclusion criteria specified. The range of conditions and outcome measures that were identified limited the ability to draw firm conclusions about the efficacy of Web-delivered ACT-based intervention for anxiety or well-being.

Conclusions: ACT in a Web-based delivery format was found to be effective in the management of depression. Rates of adherence to study protocols and completion were high overall suggesting that this therapeutic approach is highly acceptable for patients and the general public.

Keywords: Internet-based; acceptance and commitment therapy; anxiety; depression; meta-analysis; mobile-based; quality of life; systematic review.

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Expression relating the odds ratio and Hedges’ g where df is the number of degrees of freedom.
Figure 2
Figure 2
PRISMA flowchart of included studies.
Figure 3
Figure 3
Forest plot produced in MATLAB for the depression outcome measure in the between-group meta-analysis. The x-axis units are in Hedges’ g.
Figure 4
Figure 4
Risk of bias summary per domain.

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