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Self-guided digital...
Self-guided digital acceptance and commitment therapy for fibromyalgia management : results of a randomized, active-controlled, phase II pilot clinical trial
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Catella, Stephanie (författare)
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Gendreau, R. Michael (författare)
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Kraus, Allison C. (författare)
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visa fler...
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Vega, Nicolette (författare)
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Rosenbluth, Michael J. (författare)
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Soefje, Sherry (författare)
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Malhotra, Shishuka (författare)
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Luciano, Juan V. (författare)
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- McCracken, Lance M., 1962- (författare)
- Uppsala universitet,Institutionen för psykologi,Clinical psychology
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Williams, David A. (författare)
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Arnold, Lesley M. (författare)
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(creator_code:org_t)
- Springer, 2024
- 2024
- Engelska.
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Ingår i: Journal of behavioral medicine. - : Springer. - 0160-7715 .- 1573-3521. ; 47:1, s. 27-42
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Although empirically validated for fibromyalgia (FM), cognitive and behavioral therapies, including Acceptance and Commitment Therapy (ACT), are inaccessible to many patients. A self-guided, smartphone-based ACT program would significantly improve accessibility. The SMART-FM study assessed the feasibility of conducting a predominantly virtual clinical trial in an FM population in addition to evaluating preliminary evidence for the safety and efficacy of a digital ACT program for FM (FM-ACT). Sixty-seven patients with FM were randomized to 12 weeks of FM-ACT (n = 39) or digital symptom tracking (FM-ST; n = 28). The study population was 98.5% female, with an average age of 53 years and an average baseline FM symptom severity score of 8 out of 11. Endpoints included the Fibromyalgia Impact Questionnaire-Revised (FIQ-R) and the Patient Global Impression of Change (PGIC). The between-arm effect size for the change from baseline to Week 12 in FIQ-R total scores was d = 0.44 (least-squares mean difference, − 5.7; SE, 3.16; 95% CI, − 11.9 to 0.6; P = .074). At Week 12, 73.0% of FM-ACT participants reported improvement on the PGIC versus 22.2% of FM-ST participants (P < .001). FM-ACT demonstrated improved outcomes compared to FM-ST, with high engagement and low attrition in both arms. Retrospectively registered at ClinicalTrials.gov (NCT05005351) on August 13, 2021.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Nyckelord
- Acceptance and Commitment Therapy
- Digital ACT
- Fibromyalgia
- Chronic pain
- Prescription digital therapeutic
- Smartphone-delivered ACT
- Smartphone-delivered CBT
- Psychology
- Psykologi
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- ref (ämneskategori)
- art (ämneskategori)
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Catella, Stephan ...
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Gendreau, R. Mic ...
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Kraus, Allison C ...
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Vega, Nicolette
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Rosenbluth, Mich ...
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Soefje, Sherry
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visa fler...
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Malhotra, Shishu ...
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Luciano, Juan V.
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McCracken, Lance ...
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Williams, David ...
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Arnold, Lesley M ...
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Journal of behav ...
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Uppsala universitet