Randomized Controlled Trial of Online Acceptance and Commitment Therapy for Fibromyalgia

Simister, Heather D.; Tkachuk, Gregg A.; Shay, Barbara; Vincent, Norah; Pear, Joseph J.; Skrabek, Ryan Q.

doi:10.1016/j.jpain.2018.02.004

Cited by 118 publications

(220 citation statements)

References 52 publications

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“…The selection of constructs should be informed by behaviour change theory (Ajzen, 1991;Bandura, 1989Bandura, , 1998FIGURE 6 Forest plot for self-reported physical activity levels Fisher, Fisher, & Harman, 2003;Michie, van Stralen, & West, 2011;Prochaska & Velicer, 1997), as well as the core techniques that characterize behavioural counselling (Hardcastle et al, 2017). Other possible determinants include knowledge, identity, values, cognitive fusion, autonomy and therapeutic alliance (Hardcastle et al, 2017;Simister et al, 2018). For future research to achieve a better understanding of the mechanisms by which behavioural counselling approaches work or do not work in bringing about lifestyle changes, greater consideration needs to be given to the inclusion and measurement of plausible behavioural determinants in trial designs.…”

Section: Discussionmentioning

confidence: 99%

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

Martin

Dobson

Hall

et al. 2019

Musculoskeletal Care

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Objective A systematic review and meta‐analysis of controlled trials was carried out to examine the effect of behavioural counselling on determinants of behaviour change in adults with chronic, painful musculoskeletal conditions. Methods Seven databases were searched up to January 2019. Two reviewers independently screened title/abstracts and full texts. Eligible trials included those including participants over 18 years of age with a chronic, painful musculoskeletal condition, a measurement of at least one behavioural determinant and lifestyle behaviour, and where behavioural counselling was the distinguishing intervention. Two reviewers independently extracted data and assessed for risk of bias using the Cochrane Risk of Bias Tool. Meta‐analyses were conducted, using standardized mean differences and 95% confidence intervals (CIs) when at least two trials examined the same outcome. The quality of the evidence was evaluated using the Grades of Recommendation, Assessment, Development and Evaluation approach. Results Fourteen unique trials, reported in 16 publications, were included. Low‐quality evidence showed that behavioural counselling has a small effect on increasing self‐reported physical activity (standardized mean difference 0.26; 95% CI 0.00, 0.53). Very‐low‐quality evidence showed that behavioural counselling has a moderate effect on self‐efficacy related to physical activity (standardized mean difference 0.69; 95% CI 0.19, 1.18). Low‐quality evidence suggested that behavioural counselling has no effect on symptoms of depression and anxiety. Conclusions Behavioural counselling may help to increase self‐reported physical activity levels in adults with chronic painful musculoskeletal conditions. Self‐efficacy may be a behavioural determinant in an underlying causal pathway explaining positive lifestyle change.

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Section: Discussionmentioning

confidence: 99%

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

Martin

Dobson

Hall

et al. 2019

Musculoskeletal Care

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“…CBT is the most evaluated psychological treatment for FM, 86 with over 40 randomized clinical trials. Apart from a few studies (e.g., [87][88][89][90], results between trials have been mixed with mostly small to moderate effects. The varying results could possibly be due to methodological issues such as differences in sample size and type of intervention(-s).…”

Section: Cognitive Behavior Therapiesmentioning

confidence: 99%

Approach as a key for success: Reduced avoidance behaviour mediates the effect of exposure therapy for fibromyalgia

Hedman-Lagerlöf

Andersson

Hedman‐Lagerlöf

et al. 2019

Behaviour Research and Therapy

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“…When including these larger trials, seven ACT studies were located for chronic pain, three of which were face-to-face (Kemani et al, 2015;McCracken, Sato, & Taylor, 2013;Wetherell et al, 2011) and four of which were guided internet-delivered studies (Buhrman et al, 2013;Lin et al, 2017;Scott, Chilcot, Guildford, Daly-Eichenhardt, & McCracken, 2018;Trompetter, Bohlmeijer, Veehof, & Schreurs, 2015). Two studies were specifically on FM of which one was face-to-face (Luciano et al, 2014) and one guided internet-delivered (Simister et al, 2018). For multiple FSS, one study was located (Pedersen et al, 2018).…”

Section: Act For Fssmentioning

confidence: 99%

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Frostholm¹,

Rask²

2019

CPE

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Functional disorders (FD) are present across the age span and are commonly encountered in somatic health care. Psychological therapies have proven effective, but mostly the effects are slight to moderate. The advent of third wave cognitive behavioural therapies launched an opportunity to potentially improve treatments for FD.A narrative review of the literature on the application of mindfulness-based therapies (MBT) and Acceptance & Commitment Therapy (ACT) in children and adult populations with FD.There were very few and mainly preliminary feasibility studies in children and adolescents. For adults there were relatively few trials of moderate to high methodological quality. Ten MBT randomised trials and 15 ACT randomised trials of which 8 were internet-delivered were identified for more detailed descriptive analysis. There was no evidence to suggest higher effects of third wave treatments as compared to CBT. For MBT, there seemed to be minor effects comparable to active control conditions. A few interventions combining second and third wave techniques found larger effects, but differences in outcomes, formats and dosage hamper comparability.Third wave treatments are getting established in treatment delivery and may contribute to existing treatments for FD. Future developments could further integrate second and third wave treatments across the age span. Elements unambiguously targeting specific illness beliefs and exposure should be included. The benefit of actively engaging close relatives in the treatment not only among younger age groups but also in adults, as well as the effect of more multimodal treatment programmes including active rehabilitation, needs to be further explored.The methodological quality of third wave interventions for FD should be improved, especially in younger age groups.The effect of ACT interventions may be comparable to CBT in adults with FD.The evidence for third wave interventions in young people with FD is still very limited.Newer studies combining second and third wave treatments show some promise.Agreement on, and for child populations further development of, core outcomes, could help determine effect across studies.The methodological quality of third wave interventions for FD should be improved, especially in younger age groups.The effect of ACT interventions may be comparable to CBT in adults with FD.The evidence for third wave interventions in young people with FD is still very limited.Newer studies combining second and third wave treatments show some promise.Agreement on, and for child populations further development of, core outcomes, could help determine effect across studies.

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Randomized Controlled Trial of Online Acceptance and Commitment Therapy for Fibromyalgia

Cited by 118 publications

References 52 publications

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

Approach as a key for success: Reduced avoidance behaviour mediates the effect of exposure therapy for fibromyalgia

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

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