Qualitative Studies and Transcript Analyses

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These are a beginning list of process studies in ACT that are not based on self-report instruments per se: interview studies, analyses of transcripts, and the like. If you see find additional ones let ACBS staff know and ask them to add the reference to this page: acbsstaff@contextualscience.org

Thompson, M., Vowles, K. E., Sowden, G., Ashworth, J., & Levell, J. (2018). A qualitative analysis of patient‐identified adaptive behaviour changes following interdisciplinary Acceptance and Commitment Therapy for chronic pain. European Journal of Pain.

Marilyn Fitzpatrick, Alisha Henson, Robin Grumet, Gauthamie Poolokasingham, Clare Foa, Thea Comeau, Claire Prendergast (2016).  Challenge, focus, inspiration and support: Processes of values clarification and congruence. Journal of Contextual Behavioral Science5, 7–15. 16 clients who went through an ACT-based values workshop were interviews and a qualitative method called Thematic Analysis was applied to the transcripts. Participants were generally motivated to work on values because of life challenges. Behavioral changes were linked to focused attention, inspiration by values work, and the support of others. http://dx.doi.org/10.1016/j.jcbs.2016.02.001

Thompson-Janes, E., Brice, S., McElroy, R., Abbott, J., &  Ball, J. (2016). Learning from the experts: a thematic analysis of parent's experiences of attending a therapeutic group for parents of children with learning disabilities and challenging behaviour, British Journal of Learning Diaabilities, 44, 95-102.  http://dx.doi.org/10.1111/bld.12115  Qualitiative interviews of ACT-based group for parents of children with learning disabilities and behaviour problems were scored using thematic analysis. Four main themes were identified: (i) parent's pre-group narratives, (ii) barriers and solutions, (iii) positive aspects of the program and (iv) positive outcomes 

There is a qualitative measure in this study on ACT for veteran’s w/ PTSD who are parents. Robert B. Casselman & Joy R. Pemberton (2015). ACT-Based Parenting Group for Veterans With PTSD: Development and Preliminary Outcomes. The American Journal of Family Therapy, 43, 57-66. http://dx.doi.org/10.1080/01926187.2014.939003

The Twohig/Hayes book “ACT Verbatim” (New Harbinger) applies what is in essence a coding system to some of the transcript analysis there.

The experiences of people using an ACT based smart phone app were coded in this study.  John Goodwin, John Cummins, Laura Behan & Sinead M. O’Brien (2015) Development of a mental health smartphone app: perspectives of mental health service users. Journal of Mental Health, 25,  434-440.  http://dx.doi.org/10.3109/09638237.2015.1124392

Berman, Margit I.; Hill, Clara E.; Liu, Jingqing; Jackson, John; Sim, Wonjin; Spangler, Patricia (2012). Relational events in acceptance and commitment therapy for three clients with anorexia nervosa: What is corrective? In Castonguay, Louis G. (Ed); Hill, Clara E. (Ed). (2012). Transformation in psychotherapy: Corrective experiences across cognitive behavioral, humanistic, and psychodynamic approaches (pp. 215-244). Washington, DC, US: American Psychological Association, xiii, 390 pp. http://dx.doi.org/10.1037/13747-012

This study showed using transcript analysis that changes in client behavior in session predicted outcomes in an ACT RCT: Hesser, H., Westin, V., Hayes, S. C., & Andersson, G. (2009). Clients’ in-session acceptance and cognitive defusion behaviors in acceptance-based treatment of tinnitus distress. Behaviour Research and Therapy, 47, 523–528. http://dx.doi.org/10.1016/j.brat.2009.02.002


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