{"doi":"10.2196/43065","title":"Mobile Acceptance and Commitment Therapy With Distressed First-Generation College Students: Microrandomized Trial","abstract":"<jats:sec>\n                    <jats:title>Background</jats:title>\n                    <jats:p>Extant gaps in mental health services are intensified among first-generation college students. Improving access to empirically based interventions is critical, and mobile health (mHealth) interventions are growing in support. Acceptance and commitment therapy (ACT) is an empirically supported intervention that has been applied to college students, via mobile app, and in brief intervals.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective</jats:title>\n                    <jats:p>This study evaluated the safety, feasibility, and effectiveness of an ACT-based mHealth intervention using a microrandomized trial (MRT) design.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods</jats:title>\n                    <jats:p>Participants (N=34) were 18- to 19-year-old first-generation college students reporting distress, who participated in a 6-week intervention period of twice-daily assessments and randomization to intervention. Participants logged symptoms, moods, and behaviors on the mobile app Lorevimo. After the assessment, participants were randomized to an ACT-based intervention or no intervention. Analyses examined proximal change after randomization using a weighted and centered least squares approach. Outcomes included values-based and avoidance behavior, as well as depressive symptoms and perceived stress.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Results</jats:title>\n                    <jats:p>The findings indicated the intervention was safe and feasible. The intervention increased values-based behavior but did not decrease avoidance behavior. The intervention reduced depressive symptoms but not perceived stress.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions</jats:title>\n                    <jats:p>An MRT of an mHealth ACT-based intervention among distressed first-generation college students suggests that a larger MRT is warranted. Future investigations may tailor interventions to contexts where intervention is most impactful.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration</jats:title>\n                    <jats:p>ClinicalTrials.gov NCT04081662; https://clinicaltrials.gov/show/NCT04081662</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>International Registered Report Identifier (IRRID)</jats:title>\n                    <jats:p>RR2-10.2196/17086</jats:p>\n                  </jats:sec>","journal":"JMIR Mental Health","year":2023,"id":653215,"datarank":0.38474240361923057,"base_score":2.5649493574615367,"endowment":2.5649493574615367,"self_citation_contribution":0.38474240361923057,"citation_network_contribution":0.0,"self_endowment_contribution":0.38474240361923057,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":12,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":904142,"name":"Tijana Sagorac Gruichich","orcid":"0000-0001-8219-2752","position":1,"is_corresponding":false},{"id":783512,"name":"Jacob M. Maronge","orcid":"0000-0003-3606-0841","position":2,"is_corresponding":false},{"id":406737,"name":"Sydney Hoel","orcid":"0000-0002-5920-3174","position":3,"is_corresponding":false},{"id":406738,"name":"Amanda Victory","orcid":"0000-0002-4948-5702","position":4,"is_corresponding":false},{"id":268162,"name":"Zachary N. Stowe","orcid":"0000-0001-6320-8042","position":5,"is_corresponding":false},{"id":406739,"name":"Amy L. Cochran","orcid":"0000-0001-6024-796X","position":6,"is_corresponding":false},{"id":756434,"name":"Emily B.K. Thomas","orcid":"0000-0002-0416-1157","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Mobile Acceptance and Commitment Therapy With Distressed First-Generation College Students: Microrandomized Trial","abstract":"<jats:sec>\n                    <jats:title>Background</jats:title>\n                    <jats:p>Extant gaps in mental health services are intensified among first-generation college students. Improving access to empirically based interventions is critical, and mobile health (mHealth) interventions are growing in support. Acceptance and commitment therapy (ACT) is an empirically supported intervention that has been applied to college students, via mobile app, and in brief intervals.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective</jats:title>\n                    <jats:p>This study evaluated the safety, feasibility, and effectiveness of an ACT-based mHealth intervention using a microrandomized trial (MRT) design.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods</jats:title>\n                    <jats:p>Participants (N=34) were 18- to 19-year-old first-generation college students reporting distress, who participated in a 6-week intervention period of twice-daily assessments and randomization to intervention. Participants logged symptoms, moods, and behaviors on the mobile app Lorevimo. After the assessment, participants were randomized to an ACT-based intervention or no intervention. Analyses examined proximal change after randomization using a weighted and centered least squares approach. Outcomes included values-based and avoidance behavior, as well as depressive symptoms and perceived stress.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Results</jats:title>\n                    <jats:p>The findings indicated the intervention was safe and feasible. The intervention increased values-based behavior but did not decrease avoidance behavior. The intervention reduced depressive symptoms but not perceived stress.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions</jats:title>\n                    <jats:p>An MRT of an mHealth ACT-based intervention among distressed first-generation college students suggests that a larger MRT is warranted. Future investigations may tailor interventions to contexts where intervention is most impactful.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration</jats:title>\n                    <jats:p>ClinicalTrials.gov NCT04081662; https://clinicaltrials.gov/show/NCT04081662</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>International Registered Report Identifier (IRRID)</jats:title>\n                    <jats:p>RR2-10.2196/17086</jats:p>\n                  </jats:sec>","is_dataset_classified":null,"base_score":2.4849066497880004,"endowment":2.4849066497880004,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"37184896","pmcid":"PMC10227702","openalex_id":"https://openalex.org/W4361772788","authors":[],"funders":[{"funder_name":"NCATS NIH HHS","grant_id":"UL1 TR002373","title":null},{"funder_name":"NIMH NIH HHS","grant_id":"K01 MH112876","title":null},{"funder_name":"National Institutes of Health","grant_id":"1K01MH112876-01","title":"Modeling mood course to detect markers for effective adaptive interventions"},{"funder_name":"National Institutes of Health","grant_id":"2UL1TR002373-06","title":"University of Wisconsin Institute for Clinical and Translational Research"}],"total_grants":4,"fwci":1.6836,"citation_percentile":0.84636872,"influential_citations":0,"citation_trend":[{"year":2023,"count":1},{"year":2024,"count":1},{"year":2025,"count":4},{"year":2026,"count":5}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://jmir.org/api/download?alt_name=mental_v10i1e43065_app1.pdf&filename=17b89260a77f22dd6dfa0437ebb0e003.pdf","host_type":"journal"},{"url":"https://jmir.org/api/download?alt_name=mental_v10i1e43065_app1.pdf&filename=17b89260a77f22dd6dfa0437ebb0e003.pdf","host_type":"publisher"},{"url":"https://mental.jmir.org/2023/1/e43065","host_type":"publisher"},{"url":"https://doi.org/10.2196/43065","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/37184896","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10227702","host_type":"repository"},{"url":"https://doaj.org/article/4aef053a92b64372a56e7862fcbc91c2","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/instance/10227702/bin/mental_v10i1e43065_app1.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC10227702","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC10227702?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.2196/43065","host_type":""}],"fields_of_study":["Digital Mental Health Interventions","Mindfulness and Compassion Interventions","Mobile Health and mHealth Applications","03 medical and health sciences","0302 clinical medicine"],"mesh_terms":[],"keywords":["mHealth","Psychological intervention","Intervention (counseling)","Randomized controlled trial","Acceptance and commitment therapy","Clinical psychology","Distress","Mental health","Psychology","Brief intervention","Randomization","Medicine","Psychotherapist","Psychiatry","Depression","Randomized controlled trials","Psychological Flexibility","Mobile Health","First-generation College Students","Original Paper","BF1-990"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"nct"},{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-10T20:12:11.986488Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}