Internet-based acceptance and commitment therapy programme 'Happiness Mom' for well-being: a protocol for a randomised controlled trial

Usefulness of Implementation Outcome Scales for Digital Mental Health (iOSDMH): Experiences from Six Randomized Controlled Trials

OBJECTIVES

Measuring implementation outcomes for digital mental health interventions is essential for examining the effective delivery of these interventions. The "Implementation Outcome Scale of Digital Mental Health" (iOSDMH) has been validated and used in several trials. This study aimed to compare the iOSDMH for participants in six randomized controlled trials (RCTs) involving web-based interventions and to discuss the implications of the iOSDMH for improving the interventions. Additionally, this study examined the associations between iOSDMH scores and program completion rate (adherence).

METHODS

Variations in total scores and subscales of the iOSDMH were compared in six RCTs of digital mental health interventions conducted in Japan. The web-based intervention programs were based on cognitive behavioral therapy (2 programs), behavioral activation (1 program), acceptance and commitment (1 program), a combination of mindfulness, behavioral activation, and physical activity (1 program), and government guidelines for suicide prevention (1 program). Participants were full-time employees (2 programs), perinatal women (2 programs), working mothers with children (1 program), and students (1 program). The total score and subscale scores were tested using analysis of variance for between-group differences.

RESULTS

Total score and subscale scores of the iOSDMH among six trials showed a significant group difference, reflecting users' perceptions of how each program was implemented, including aspects such as acceptability, appropriateness, feasibility, overall satisfaction, and harm. Subscale scores showed positive associations with completion rate, especially in terms of acceptability and satisfaction (R-squared = 0.93 and 0.89, respectively).

CONCLUSIONS

The iOSDMH may be a useful tool for evaluating participants' perceptions of features implemented in web-based interventions, which could contribute to improvements and further development of the intervention.

The Effectiveness of Acceptance and Commitment Therapy (ACT) on Sexual Self-Efficacy and Sexual Quality of Life in Reproductive-Age Women: A Randomized Controlled Trial

Acceptance and commitment therapy is one of the approaches in improving sexual problems. This study aimed to investigate the effect of acceptance and commitment group counseling on sexual self-efficacy and sexual quality of life in reproductive-age women. This study was conducted on 58 women referred to selected clinics in IRAN who were randomly divided into the experimental (N = 29) and the control group (N = 29). The experimental group received eight sessions of acceptance and commitment therapy (ACT). The data was collected by sexual self-efficacy and sexual quality of life questionnaire before, after, and one month after the intervention. In the intervention group, the average score of sexual self-efficacy and sexual quality of life was significantly higher than the control group after the intervention (8^th week) and follow-up period (12^th week)(P > 0.005). It seems that counseling based on the ACT is effective in promoting sexual self-efficacy and the sexual quality of life of reproductive-age women.