{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:58:06Z","timestamp":1787162286297,"version":"build-2736575974"},"reference-count":81,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T00:00:00Z","timestamp":1668643200000},"content-version":"am","delay-in-days":320,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["R01DK106415"],"award-info":[{"award-number":["R01DK106415"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"Department of Veterans Affairs","doi-asserted-by":"publisher","award":["1IK2CX002107"],"award-info":[{"award-number":["1IK2CX002107"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"Department of Veterans Affairs","doi-asserted-by":"publisher","award":["1IK2RX002807"],"award-info":[{"award-number":["1IK2RX002807"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Behaviour Research and Therapy"],"published-print":{"date-parts":[[2022,1]]},"DOI":"10.1016\/j.brat.2021.103995","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T22:13:08Z","timestamp":1636668788000},"page":"103995","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":42,"special_numbering":"C","title":["Technology-supported Acceptance and Commitment Therapy for chronic health conditions: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"148","author":[{"given":"Matthew S.","family":"Herbert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara","family":"Dochat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2815-5974","authenticated-orcid":false,"given":"Jennalee S.","family":"Wooldridge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla","family":"Materna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6599-274X","authenticated-orcid":false,"given":"Brian H.","family":"Blanco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2496-013X","authenticated-orcid":false,"given":"Mara","family":"Tynan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5726-8209","authenticated-orcid":false,"given":"Michael W.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4112-5232","authenticated-orcid":false,"given":"Marianna","family":"Gasperi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Camodeca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devon","family":"Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6489-378X","authenticated-orcid":false,"given":"Niloofar","family":"Afari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib1","doi-asserted-by":"crossref","DOI":"10.2196\/mhealth.5921","article-title":"The effect of smartphone interventions on patients with chronic obstructive pulmonary disease exacerbations: A systematic review and meta-analysis","volume":"4","author":"Alwashmi","year":"2016","journal-title":"JMIR MHealth and UHealth"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib2","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1093\/bja\/aet127","article-title":"Sex differences in pain: A brief review of clinical and experimental findings","volume":"111","author":"Bartley","year":"2013","journal-title":"British Journal of Anaesthesia"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib3","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.invent.2014.08.003","article-title":"The impact of guidance on Internet-based mental health interventions\u2014a systematic review","volume":"1","author":"Baumeister","year":"2014","journal-title":"Internet Interventions"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib4","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1016\/j.cpr.2013.03.004","article-title":"A systematic review of internet-based self-help therapeutic interventions to improve distress and disease-control among adults with chronic health conditions","volume":"33","author":"Beatty","year":"2013","journal-title":"Clinical Psychology Review"},{"issue":"8","key":"10.1016\/j.brat.2021.103995_bib5","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.6200","article-title":"Effectiveness of web-delivered acceptance and commitment therapy in relation to mental health and well-being: A systematic review and meta-analysis","volume":"18","author":"Brown","year":"2016","journal-title":"Journal of Medical Internet Research"},{"issue":"15","key":"10.1016\/j.brat.2021.103995_bib6","first-page":"1","article-title":"Chronic disease patients' experiences with accessing health care in rural and remote areas: A systematic review and qualitative meta-synthesis","volume":"13","author":"Brundisini","year":"2013","journal-title":"Ontario Health Technology Assessment Series"},{"issue":"6","key":"10.1016\/j.brat.2021.103995_bib7","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.brat.2013.02.010","article-title":"Guided internet-delivered acceptance and commitment therapy for chronic pain patients: A randomized controlled trial","volume":"51","author":"Buhrman","year":"2013","journal-title":"Behaviour Research and Therapy"},{"key":"10.1016\/j.brat.2021.103995_bib8","series-title":"Multiple chronic Conditions in the United States. Rand","article-title":"Multiple chronic conditions in the United States","author":"Buttorff","year":"2017"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib9","first-page":"1","article-title":"Internet-based vs. Face-to-face cognitive behavior therapy for psychiatric and somatic disorders: An updated systematic review and meta-analysis","volume":"47","author":"Carlbring","year":"2017","journal-title":"Taylor & Francis"},{"issue":"7 SUPPL","key":"10.1016\/j.brat.2021.103995_bib10","first-page":"S54","article-title":"Depression, anxiety and their relationship with chronic diseases: A review of the epidemiology, risk and treatment evidence","volume":"190","author":"Clarke","year":"2009","journal-title":"Medical Journal of Australia"},{"issue":"6","key":"10.1016\/j.brat.2021.103995_bib11","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1097\/01.jom.0000166864.58664.29","article-title":"The assessment of chronic health conditions on work performance, absence, and total economic impact for employers","volume":"47","author":"Collins","year":"2005","journal-title":"Journal of Occupational and Environmental Medicine"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib12","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/BF02895967","article-title":"Predictors of attrition from behavioral medicine treatments","volume":"21","author":"Davis","year":"1999","journal-title":"Annals of Behavioral Medicine"},{"key":"10.1016\/j.brat.2021.103995_bib13","series-title":"Cochrane handbook for systematic reviews of interventions","first-page":"241","article-title":"Analysing data and undertaking meta-analyses","author":"Deeks","year":"2019"},{"issue":"24","key":"10.1016\/j.brat.2021.103995_bib14","doi-asserted-by":"crossref","first-page":"2627","DOI":"10.1001\/jama.2016.16885","article-title":"US spending on personal health care and public health, 1996-2013","volume":"316","author":"Dieleman","year":"2016","journal-title":"JAMA - Journal of the American Medical Association"},{"issue":"11","key":"10.1016\/j.brat.2021.103995_bib15","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1001\/jama.295.11.1288","article-title":"Sex differences of endogenous sex hormones and risk of type 2 diabetes: A systematic review and meta-analysis","volume":"295","author":"Ding","year":"2006","journal-title":"Jama"},{"key":"10.1016\/j.brat.2021.103995_bib16","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.jcbs.2021.03.003","article-title":"Single-session acceptance and commitment therapy (ACT) interventions for patients with chronic health conditions: A systematic review and meta-analysis","volume":"20","author":"Dochat","year":"2021","journal-title":"Journal of Contextual Behavioral Science"},{"issue":"7547","key":"10.1016\/j.brat.2021.103995_bib17","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1136\/bmj.332.7547.969","article-title":"Reporting attrition in randomised controlled trials","volume":"332","author":"Dumville","year":"2006","journal-title":"British Medical Journal"},{"key":"10.1016\/j.brat.2021.103995_bib18","article-title":"Short message services interventions for chronic disease management: A systematic review","author":"Ebuenyi","year":"2021","journal-title":"Clinical EHealth"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib19","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2790","article-title":"Effectiveness and cost-effectiveness of ehealth interventions in somatic diseases: A systematic review of systematic reviews and meta-analyses","volume":"16","author":"Elbert","year":"2014","journal-title":"Journal of Medical Internet Research"},{"key":"10.1016\/j.brat.2021.103995_bib20","article-title":"A systematic review of patient-reported measures of burden of treatment in three chronic diseases","volume":"4","author":"Eton","year":"2013","journal-title":"Patient Related Outcome Measures"},{"key":"10.1016\/j.brat.2021.103995_bib21","doi-asserted-by":"crossref","DOI":"10.2147\/JPR.S144631","article-title":"Current status of acceptance and commitment therapy for chronic pain: A narrative review","volume":"11","author":"Feliu-Soler","year":"2018","journal-title":"Journal of Pain Research"},{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib22","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1348\/000711010X502733","article-title":"How to do a meta-analysis","volume":"63","author":"Field","year":"2010","journal-title":"British Journal of Mathematical and Statistical Psychology"},{"issue":"2","key":"10.1016\/j.brat.2021.103995_bib23","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1093\/pm\/pnaa360","article-title":"ACTsmart: Guided smartphone-delivered acceptance and commitment therapy for chronic pain\u2014a pilot trial","volume":"22","author":"Gentili","year":"2020","journal-title":"Pain Medicine"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib24","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/S0005-7894(04)80015-7","article-title":"Acceptance-based treatment for smoking cessation","volume":"35","author":"Gifford","year":"2004","journal-title":"Behavior Therapy"},{"key":"10.1016\/j.brat.2021.103995_bib25","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcbs.2021.09.001","article-title":"Psy-flex: A contextually sensitive measure of psychological flexibility","author":"Gloster","year":"2021","journal-title":"Journal of Contextual Behavioral Science"},{"key":"10.1016\/j.brat.2021.103995_bib26","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcbs.2020.09.009","article-title":"The empirical status of acceptance and commitment therapy: A review of meta-analyses","author":"Gloster","year":"2020","journal-title":"Journal of Contextual Behavioral Science"},{"key":"10.1016\/j.brat.2021.103995_bib27","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.cpr.2016.04.009","article-title":"A systematic review of the use of Acceptance and Commitment Therapy (ACT) in chronic disease and long-term conditions","volume":"46","author":"Graham","year":"2016","journal-title":"Clinical Psychology Review"},{"key":"10.1016\/j.brat.2021.103995_bib28","series-title":"Doing meta-analysis in R: A hands-on guide","author":"Harrer","year":"2019"},{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib29","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s12160-014-9610-2","article-title":"Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: A randomized controlled trial","volume":"48","author":"Hawkes","year":"2014","journal-title":"Annals of Behavioral Medicine"},{"key":"10.1016\/j.brat.2021.103995_bib30","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2407-9-286","article-title":"A randomised controlled trial of a tele-based lifestyle intervention for colorectal cancer survivors ('CanChange\u2019): Study protocol","volume":"9","author":"Hawkes","year":"2009","journal-title":"BMC Cancer"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.brat.2005.06.006","article-title":"Acceptance and commitment therapy: Model, processes and outcomes","volume":"44","author":"Hayes","year":"2006","journal-title":"Behaviour Research and Therapy"},{"issue":"2","key":"10.1016\/j.brat.2021.103995_bib32","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.jpain.2016.10.014","article-title":"Telehealth versus in-person acceptance and commitment therapy for chronic pain: A randomized noninferiority trial","volume":"18","author":"Herbert","year":"2017","journal-title":"The Journal of Pain"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib33","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1037\/a0027021","article-title":"A randomized controlled trial of Internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus","volume":"80","author":"Hesser","year":"2012","journal-title":"Journal of Consulting and Clinical Psychology"},{"issue":"7414","key":"10.1016\/j.brat.2021.103995_bib34","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"Higgins","year":"2003","journal-title":"BMJ"},{"issue":"8","key":"10.1016\/j.brat.2021.103995_bib35","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1177\/1357633X15605408","article-title":"The use of mobile phones to deliver acceptance and commitment therapy in the prevention of mother\u2013child HIV transmission in Nigeria","volume":"21","author":"Ishola","year":"2015","journal-title":"Journal of Telemedicine and Telecare"},{"issue":"5","key":"10.1016\/j.brat.2021.103995_bib36","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1093\/ptj\/86.5.726","article-title":"Toward a common language for function, disability, and health","volume":"86","author":"Jette","year":"2006","journal-title":"Physical Therapy"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib37","doi-asserted-by":"crossref","DOI":"10.1186\/s12916-020-01706-7","article-title":"How to design a pre-specified statistical analysis approach to limit p-hacking in clinical trials: The Pre-SPEC framework","volume":"18","author":"Kahan","year":"2020","journal-title":"BMC Medicine"},{"key":"10.1016\/j.brat.2021.103995_bib38","series-title":"Best practices and recommendations for digital interventions to improve engagement and adherence in chronic illness sufferers","author":"Karekla","year":"2019"},{"issue":"17","key":"10.1016\/j.brat.2021.103995_bib39","doi-asserted-by":"crossref","first-page":"2693","DOI":"10.1002\/sim.1482","article-title":"Improved tests for a random effects meta-regression with a single covariate","volume":"22","author":"Knapp","year":"2003","journal-title":"Statistics in Medicine"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib40","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2249","article-title":"A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: Randomized controlled trial","volume":"15","author":"Kristj\u00e1nsd\u00f3ttir","year":"2013","journal-title":"Journal of Medical Internet Research"},{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib41","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2442","article-title":"A smartphone-based intervention with diaries and therapist feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain. Part 2: 11-Month follow-up results of a randomized trial","volume":"15","author":"Kristj\u00e1nsd\u00f3ttir","year":"2013","journal-title":"Journal of Medical Internet Research"},{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib42","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.ecl.2016.04.004","article-title":"Regarding obesity as a disease: Evolving policies and their implications","volume":"45","author":"Kyle","year":"2016","journal-title":"Endocrinology and Metabolism Clinics of North America"},{"key":"10.1016\/j.brat.2021.103995_bib43","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.jcbs.2021.05.004","article-title":"The multidimensional psychological flexibility inventory (MPFI): Discriminant validity of psychological flexibility with distress","volume":"21","author":"Landi","year":"2021","journal-title":"Journal of Contextual Behavioral Science"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib44","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2458-14-310","article-title":"The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing: The study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress","volume":"14","author":"Lappalainen","year":"2014","journal-title":"BMC Public Health"},{"key":"10.1016\/j.brat.2021.103995_bib45","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.drugalcdep.2015.08.004","article-title":"An initial meta-analysis of Acceptance and Commitment Therapy for treating substance use disorders","volume":"155","author":"Lee","year":"2015","journal-title":"Drug and Alcohol Dependence"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib46","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1007\/s12671-018-1004-2","article-title":"Tailoring acceptance and commitment therapy skill coaching in the moment through smartphones: Results from a randomized controlled trial","volume":"10","author":"Levin","year":"2019","journal-title":"Mindfulness"},{"key":"10.1016\/j.brat.2021.103995_bib47","article-title":"A randomized controlled trial of online acceptance and commitment therapy to improve diet and physical activity among adults who are overweight\/obese","volume":"1\u201325","author":"Levin","year":"2020","journal-title":"Translational Behavioral Medicine"},{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib48","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/j.jcbs.2017.05.003","article-title":"The acceptance and commitment therapy matrix mobile app: A pilot randomized trial on health behaviors","volume":"6","author":"Levin","year":"2017","journal-title":"Journal of Contextual Behavioral Science"},{"issue":"7","key":"10.1016\/j.brat.2021.103995_bib49","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000100","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration","volume":"6","author":"Liberati","year":"2009","journal-title":"PLoS Medicine"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib50","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1016\/j.beth.2019.10.002","article-title":"Can acceptance, mindfulness, and self-compassion be learned by smartphone apps? A systematic and meta-analytic review of randomized controlled trials","volume":"51","author":"Linardon","year":"2020","journal-title":"Behavior Therapy"},{"key":"10.1016\/j.brat.2021.103995_bib51","doi-asserted-by":"crossref","unstructured":"Lin, J., Luking, M., Ebert, D., Buhrman, M., \u2026G. A.-I., & 2015, U. (2015). Effectiveness and cost-effectiveness of a guided and unguided internet-based Acceptance and Commitment Therapy for chronic pain: Study protocol for a. Internet Interventions, 2(1), 7-16. https:\/\/doi.org\/10.1016\/j.invent.2014.11.005.","DOI":"10.1016\/j.invent.2014.11.005"},{"issue":"41","key":"10.1016\/j.brat.2021.103995_bib52","first-page":"681","article-title":"An Internet-based intervention for chronic pain\u2014a three-arm randomized controlled study of the effectiveness of guided and unguided acceptance and commitment therapy","volume":"114","author":"Lin","year":"2017","journal-title":"Deutsches Arzteblatt International"},{"issue":"10","key":"10.1016\/j.brat.2021.103995_bib53","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/j.jpain.2010.06.005","article-title":"The efficacy of web-based cognitive behavioral interventions for chronic pain: A systematic review and meta-analysis","volume":"11","author":"Macea","year":"2010","journal-title":"The Journal of Pain"},{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib54","doi-asserted-by":"crossref","DOI":"10.4081\/hpr.2013.932","article-title":"Quality of life in chronic disease patients","volume":"1","author":"Megari","year":"2013","journal-title":"Health Psychology Research"},{"issue":"2","key":"10.1016\/j.brat.2021.103995_bib55","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/s10865-018-9984-x","article-title":"Internet-delivered cognitive behaviour therapy for chronic health conditions: A systematic review and meta-analysis","volume":"42","author":"Mehta","year":"2019","journal-title":"Journal of Behavioral Medicine"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib56","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1093\/geront\/gny138","article-title":"The digital divide in health-related technology use: The significance of race\/ethnicity","volume":"59","author":"Mitchell","year":"2019","journal-title":"The Gerontologist"},{"issue":"5","key":"10.1016\/j.brat.2021.103995_bib57","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.ijsu.2010.02.007","article-title":"Preferred reporting items for systematic reviews and meta-analyses: The PRIsMa statement","volume":"8","author":"Moher","year":"2010","journal-title":"International Journal of Surgery"},{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib58","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1044\/2015_AJA-15-0013","article-title":"Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: Study protocol for a randomized controlled trial","volume":"24","author":"Molander","year":"2015","journal-title":"American Journal of Audiology"},{"issue":"2","key":"10.1016\/j.brat.2021.103995_bib59","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1080\/16506073.2017.1365929","article-title":"Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: A pilot randomized controlled trial","volume":"47","author":"Molander","year":"2018","journal-title":"Cognitive Behaviour Therapy"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib61","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/j.jpainsymman.2019.06.021","article-title":"Acceptance and commitment therapy for symptom interference in advanced lung cancer and caregiver distress: A pilot randomized trial","volume":"58","author":"Mosher","year":"2019","journal-title":"Journal of Pain and Symptom Management"},{"issue":"6","key":"10.1016\/j.brat.2021.103995_bib82","doi-asserted-by":"crossref","DOI":"10.1007\/s00520-018-4045-0","article-title":"Acceptance and commitment therapy for symptom interference in metastatic breast cancer: a pilot randomized trial","volume":"26","author":"Mosher","year":"2018","journal-title":"Supportive Care in Cancer"},{"issue":"6","key":"10.1016\/j.brat.2021.103995_bib62","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1007\/s12160-016-9830-8","article-title":"Just-in-time adaptive interventions (JITAIs) in mobile health: Key components and design principles for ongoing health behavior support","volume":"52","author":"Nahum-Shani","year":"2018","journal-title":"Annals of Behavioral Medicine"},{"key":"10.1016\/j.brat.2021.103995_bib63","article-title":"A pilot randomized controlled trial of acceptance and commitment therapy guided self-help for overweight and obese adults high in Weight self-stigma","author":"Potts","year":"2020","journal-title":"Behavior Modification"},{"key":"10.1016\/j.brat.2021.103995_bib64","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.jcbs.2018.07.006","article-title":"Telephone-supported acceptance and commitment bibliotherapy for people with multiple sclerosis and psychological distress: A pilot randomised controlled trial","volume":"9","author":"Proctor","year":"2018","journal-title":"Journal of Contextual Behavioral Science"},{"issue":"5","key":"10.1016\/j.brat.2021.103995_bib65","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1002\/ejp.1723","article-title":"Internet-delivered acceptance and commitment therapy as microlearning for chronic pain: A randomized controlled trial with 1-year follow-up","volume":"25","author":"Rickardsson","year":"2021","journal-title":"European Journal of Pain"},{"issue":"9","key":"10.1016\/j.brat.2021.103995_bib66","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1017\/S1368980017000441","article-title":"Psychological flexibility mediates change in intuitive eating regulation in acceptance and commitment therapy interventions","volume":"20","author":"Sairanen","year":"2017","journal-title":"Public Health Nutrition"},{"issue":"4","key":"10.1016\/j.brat.2021.103995_bib67","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0176210","article-title":"Systematic review finds that study data not published in full text articles have unclear impact on meta-analyses results in medical research","volume":"12","author":"Schmucker","year":"2017","journal-title":"PLoS One"},{"issue":"8","key":"10.1016\/j.brat.2021.103995_bib68","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1002\/ejp.1236","article-title":"Feasibility randomized\u2010controlled trial of online Acceptance and Commitment Therapy for patients with complex chronic pain in the United Kingdom","volume":"22","author":"Scott","year":"2018","journal-title":"European Journal of Pain"},{"issue":"7","key":"10.1016\/j.brat.2021.103995_bib69","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.jpain.2018.02.004","article-title":"Randomized controlled trial of online acceptance and commitment therapy for Fibromyalgia","volume":"19","author":"Simister","year":"2018","journal-title":"The Journal of Pain"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib70","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.cbpra.2011.08.005","article-title":"Clinical considerations in using mindfulness-and acceptance-based approaches with diverse populations: Addressing challenges in service delivery in","volume":"20","author":"Sobczak","year":"2013","journal-title":"Cognitive and Behavioral Practice"},{"key":"10.1016\/j.brat.2021.103995_bib71","first-page":"366","article-title":"RoB 2: A revised tool for assessing risk of bias in randomised trials","author":"Sterne","year":"2019","journal-title":"BMJ"},{"issue":"2","key":"10.1016\/j.brat.2021.103995_bib72","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.beth.2020.07.002","article-title":"Internet-based acceptance and commitment therapy: A transdiagnostic systematic review and meta-analysis for mental health outcomes","volume":"52","author":"Thompson","year":"2021","journal-title":"Behavior Therapy"},{"issue":"8","key":"10.1016\/j.brat.2021.103995_bib73","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1097\/AJP.0b013e318219a933","article-title":"A comparative study of 2 manual-based self-help interventions, acceptance and commitment therapy and applied relaxation, for persons with chronic pain","volume":"27","author":"Thorsell","year":"2011","journal-title":"The Clinical Journal of Pain"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib74","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1007\/s10865-014-9579-0","article-title":"Internet-based guided self-help intervention for chronic pain based on acceptance and commitment therapy: A randomized controlled trial","volume":"38","author":"Trompetter","year":"2015","journal-title":"Journal of Behavioral Medicine"},{"key":"10.1016\/j.brat.2021.103995_bib75","series-title":"National center for chronic disease prevention and health promotion (NCCDPHP)","article-title":"About chronic diseases | CDC","author":"U.S. Department of Health & Human Services","year":"2019"},{"issue":"2","key":"10.1016\/j.brat.2021.103995_bib76","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1037\/int0000218","article-title":"Recommendations for policy and practice of telepsychotherapy and e-mental health in Europe and beyond","volume":"30","author":"Van Daele","year":"2020","journal-title":"Journal of Psychotherapy Integration"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib77","first-page":"3","article-title":"Acceptance is not acceptance, but acceptance","volume":"25","author":"Van Ryckeghem","year":"2020","journal-title":"Wiley Online Library"},{"issue":"6","key":"10.1016\/j.brat.2021.103995_bib78","first-page":"570","article-title":"Smartphone interventions for long-term health management of chronic diseases: An integrative review","volume":"20","author":"Wang","year":"2014","journal-title":"Liebertpub.Com"},{"issue":"1","key":"10.1016\/j.brat.2021.103995_bib79","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1016\/j.orcp.2011.04.004","article-title":"Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT","volume":"6","author":"Weineland","year":"2012","journal-title":"Obesity Research & Clinical Practice"},{"issue":"3","key":"10.1016\/j.brat.2021.103995_bib80","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1037\/a0026235","article-title":"Exploring cultural competence in acceptance and commitment therapy outcomes","volume":"43","author":"Woidneck","year":"2012","journal-title":"Professional Psychology: Research and Practice"},{"issue":"6","key":"10.1016\/j.brat.2021.103995_bib81","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.beth.2014.07.002","article-title":"What does the Acceptance and Action Questionnaire (AAQ-II) really measure?","volume":"45","author":"Wolgast","year":"2014","journal-title":"Behavior Therapy"}],"container-title":["Behaviour Research and Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0005796721001947?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0005796721001947?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T13:59:38Z","timestamp":1762091978000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0005796721001947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":81,"alternative-id":["S0005796721001947"],"URL":"https:\/\/doi.org\/10.1016\/j.brat.2021.103995","relation":{},"ISSN":["0005-7967"],"issn-type":[{"value":"0005-7967","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Technology-supported Acceptance and Commitment Therapy for chronic health conditions: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Behaviour Research and Therapy","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.brat.2021.103995","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"103995"}}