Abstract

The purpose of this study was to examine the feasibility of a prototype self-guided, online acceptance and commitment therapy (ACT) program as a transdiagnostic approach to improve health-related quality of life for individuals living with a chronic health condition. Participants consisted of adults with one or more chronic health conditions. A pre-post pilot trial design was used with participants asked to complete the 12-session ACT program over 12 weeks. Of the 38 enrolled participants, only 20 completed the first session and 6 completed all 12 sessions, indicating significant non-adherence to the prototype. Among post-intervention survey completers (n = 20), significant pre- to post-intervention improvements were found for psychological inflexibility and health-related quality of life, but not for anxiety and depression symptoms. Qualitative data is reviewed to further clarify feasibility challenges and potential strategies to improve a transdiagnostic approach to delivering online ACT for chronic health conditions.

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