Evaluating a digital mental health intervention for people with Parkinson's (PACT): acceptability and feasibility randomised controlled trial.
Objectives: We developed a web application (PACT app) based on Acceptance and Commitment Therapy to support mental health for people with Parkinson's. Here, we assess the app's acceptability and the feasibility of conducting a randomised controlled trial to evaluate its effectiveness. Method: This w...
| Published in: | Aging & Mental Health Vol. 29; no. 9; pp. 1694 - 1703 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | Article |
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Taylor & Francis Ltd
Sep2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=187638244&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 187638244 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 13607863 57E jtl: Aging & Mental Health issn: 13607863 maglogo: N pubinfo: dt: Sep2025 vid: 29 iid: 9 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 187638244 10.1080/13607863.2025.2478508 ppf: 1694 ppct: 9 formats: tig: atl: Evaluating a digital mental health intervention for people with Parkinson's (PACT): acceptability and feasibility randomised controlled trial. aug: au: Pinto, Cathryn Norton, Sam Cubi-Molla, Patricia Hurt, Catherine Chowdhury, Sulayman Dooley, Niamh Safwi, Aamina Brown, Jennie Volpato, Riccardo Stumpf, Simone McCracken, Lance Bogosian, Angeliki affil: City St George's, University of London, London, UK King's College London, London, UK Office of Health Economics, London, UK University of Glasgow, Glasgow, UK Uppsala University, Uppsala, Sweden su: Prevention of mental depression World Wide Web Mental health Cost effectiveness Randomized controlled trials Quality of life Social support Parkinson's disease treatment Anxiety prevention Research funding Digital health Statistical sampling Treatment effectiveness Application software Acceptance & commitment therapy Confidence intervals Regression analysis sug: subj: Prevention of mental depression World Wide Web Mental health Cost effectiveness Randomized controlled trials Quality of life Social support Software Publishers Software publishers (except video game publishers) Custom Computer Programming Services Offices of Mental Health Practitioners (except Physicians) Marketing Research and Public Opinion Polling Internet Publishing and Broadcasting and Web Search Portals Other Individual and Family Services Parkinson's disease treatment Anxiety prevention Research funding Digital health Statistical sampling Treatment effectiveness Application software Acceptance & commitment therapy Confidence intervals Regression analysis keyword: acceptance and commitment therapy mental health Parkinson's randomised controlled trial web application acceptance and commitment therapy mental health Parkinson's randomised controlled trial web application ab: Objectives: We developed a web application (PACT app) based on Acceptance and Commitment Therapy to support mental health for people with Parkinson's. Here, we assess the app's acceptability and the feasibility of conducting a randomised controlled trial to evaluate its effectiveness. Method: This was a two-armed parallel group design with 2:1 allocation to the PACT app or waiting-list control and a single, post-intervention follow-up. Feasibility outcomes included recruitment and retention rate, intervention engagement and satisfaction. Secondary outcomes included measures of anxiety, depression, quality of life, and cost-effectiveness. Treatment effects for secondary outcomes were estimated using linear regression, following the intention-to-treat principle. Results: Fifty-seven people with Parkinson's were randomised to 4 weeks of PACT app (n = 38) or waiting-list control (n = 19). Recruitment, retention rate, intervention use, and acceptability met our progression criteria. Intervention effects were in the expected direction for all outcomes and largest for measures of depression (Hedges g = −0.96; 95% CI = −1.47 to −0.46) and committed action (Hedges g = 0.87; 95% CI = 0.38 to 1.35). Conclusion: Progression criteria were met, and PACT was acceptable to people with Parkinson's. It has potential efficacy and cost-effectiveness. A future larger trial to fully evaluate efficacy is needed. Trial registration: ISRCTN65177345 (01/09/2023). pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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