Data & Resources
An Evidence-Based, Behavioral Approach to Behavior Change
2Morrow's programs are based on a wealth of research from around the world that looks at using Acceptance and Commitment Therapy, or ACT, to help people change their lives for the better. ACT is a third-wave Cognitive Behavioral Therapy (CBT) model that is especially helpful in dealing with unhelpful or unpleasant thoughts, feelings, or urges. This offers new hope for helping people change health behaviors and improve coping skills and resilience. There are over 200 randomized control trials published on Acceptance and Commitment Therapy in a variety of focus areas.
- Research on 2Morrow Programs
- ACT for Smoking Cessation Research
- ACT for Chronic Pain
- ACT for Weight
- ACT for Stress & Anxiety
2Morrow Research Collaboration in Progress
2Morrow works with some of the top minds in ACT research and practice. From developing content and reviewing programs to collaborating on clinical research, evidence-based practice is part of our DNA. Below is a selection of some of our current and past research collaborations. 2Morrow would like to call out Dr Jonathan Bricker and his lab at Fred Hutch Cancer Research Center who introduced us to ACT and is a thought leader on tobacco addiction. Bricker's team created the first version of our smoking cessation app in collaboration with 2Morrow.
“There are over 100 million Americans who are struggling with chronic pain, who are trying to give up smoking and/or who are trying to lose weight. However, as a nation, we have a critical shortage of expert clinicians in these areas, and people find it burdensome to find and attend high-quality in-person care. Thus, the digital tools being produced by companies like 2Morrow have the potential to help vast swaths of the population who are in need.
Of special note, 2Morrow is one of the few mobile health companies that recognize that effective mhealth interventions require the integration of behavioral science and technology. Their applications start with the premise that simply receiving basic education and a way to keep a log of behavioral changes is not enough to produce long-lasting and meaningful change. In fact, 2Morrow apps teach sophisticated psychological strategies and specialized skills that are key to making impactful behavioral changes, modifying one’s lifestyle and improving quality of life. Moreover, they take into account that chronic health problems often come with depression and anxiety that must also be addressed.”
- 2017-2018: App-based Weight program study. A single arm, pilot trial of 2Morrow's ACT-based weight program. Conducted with overweight adults that are part of an Army Medical Center primary care population. Research Partner: Family Medicine Residency, Joint Base Lewis-McChord.
- 2017-2018: App-based Chronic Pain program study. A single arm, pilot trial of 2Morrow's ACT-based chronic pain program. Research Partner: Chronic Pain Researchers at UNM. Recruiting Q4 2017.
- 2016-2020: SmartQuit app gets $3.1M from National Cancer Institute for large smoking-cessation trial - (Geekwire story.) NIH funded grant to researcher, Jonathan Bricker at Fred Hutch Cancer Research Center. 1600 person randomized control trial.
- 2016-2017: ARMY - Randomized Control Trial of the SmartQuit Smartphone App Plus Nicotine Replacement Therapy (NRT) Versus NRT Alone for Tobacco Cessation Study is IRB approved and currently recruiting subjects across JBLM. Family Medicine residency, Joint Base Lewis-McChord. Goal N=200.
- 2016-2017: Study looking at using SmartQuit/2Morrow's Cessation program in a midwest, primary care setting to help smokers quit.
Smoking Cessation Research on 2Morrow's Programs
- Clinical Trial: Jonathan B. Bricker, Wade Copeland, Kristin E. Mull, Emily Y. Zeng, Noreen L. Watson, Katrina J. Akioka, Jaimee L. Heffner, Single-arm trial of the second version of an acceptance & commitment therapy smartphone application for smoking cessation, Drug and Alcohol Dependence, Online Nov 2016
- Clinical Trial: Jonathan B. Bricker, Kristin E. Mull, Julie A. Kientz, Roger Vilardaga, Laina D. Mercer, Katrina J. Akioka, Jaimee L. Heffner (October, 2014). Randomized, controlled pilot trial of a smartphone app for smoking cessation using acceptance and commitment therapy. Drug and Alcohol Dependence, Volume 143, Pages 87–94.
- Study: Heffner JL, Vilardaga R, Mercer LD, Kientz JA, Bricker JB. 2015. Feature-level analysis of a novel smartphone application for smoking cessation. Am J Drug Alcohol Abuse. 41(1):68-73. doi: 10.3109/00952990.2014.977486
- Study: Singh, S. (2016). ACT and smoking cessation using a smartphone application (SmartQuit™) (Thesis, Master of Social Sciences (MSocSc)). University of Waikato, Hamilton, New Zealand.
- A Better Way to Quit - Fred Hutch Cancer Research Center (story)
ACT for Smoking Cessation - Other Research
- Jonathan B. Bricker, PhD, Terry Bush, PhD, Susan M. Zbikowski, PhD, Laina D. Mercer, MS and Jaimee L. Heffner, PhD, (May, 2014). Randomized Trial of Telephone-Delivered Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Smoking Cessation: A Pilot Study. Nicotine and Tobacco Research, Volume 16, Issue 11, Pp. 1446-1454
- J. Bricker, C. Wyszynski, B. Comstock, JL Heffner, (October, 2013). Pilot randomized controlled trial of web-based acceptance and commitment therapy for smoking cessation. Nicotine & Tobacco Research Issue 15: 1756-64 https://www.ncbi.nlm.nih.gov/pubmed/25397860
- Bricker, J.B., Mann, S., Marek, P.M., Liu, J.L., & Peterson, A.V. (2010). Telephone-delivered Acceptance & Commitment Therapy for adult smoking cessation: A feasibility study. Nicotine & Tobacco Research, 12: 454-8.
- Hernandez-Lopez, M.C., Luciano, C., Bricker, J.B., Roales-Nieto, J., G., & Montesinos, F. (2009). Acceptance & Commitment Therapy for smoking cessation: Preliminary study of its effectiveness in comparison with Cognitive Behavioral Therapy. Psychology of Addictive Behaviors, 23: 723-730.
- Elizabeth V. Gifford, et al. (2004). Acceptance-Based Treatment for Smoking Cessation. Behavior Therapy 35, 689–705.
ACT for Chronic Pain - Other Research
There are over 20 randomized control trials on ACT for Chronic Pain and the APA gives its highest rating for STRONG RESEARCH SUPPORT.
- Vowles, Kevin E - 2017-2018 In progress: Study at UMN looking at 2Morrow's Chronic Pain Program, Vowles, K. Funded by an LSDF grant.
- Vowles, Kevin E. et al. The Journal of Pain , Volume 15 , Issue 1 , 101 - 113 Acceptance and Commitment Therapy for Chronic Pain: Evidence of Mediation and Clinically Significant Change Following an Abbreviated Interdisciplinary Program of Rehabilitation "Changes in measures of psychological flexibility significantly mediated changes in disability, depression, pain-related anxiety, number of medical visits, and the number of classes of prescribed analgesics. These results add to the growing body of evidence supporting interdisciplinary acceptance and commitment therapy for chronic pain, particularly with regard to the clinical significance of an abbreviated course of treatment."
- Vowles, K. et al. The Journal of Pain , Volume 15 , Issue 4 , S111 Acceptance and Commitment Therapy for chronic pain: a diary study of treatment process in relation to reliable change in disability
- Vowles, K. et al. The Journal of Pain , Volume 12 , Issue 4 , P74 Preliminary outcomes of an abbreviated interdisciplinary programme of Acceptance and Commitment Therapy for chronic pain "...substantial effects of an interdisciplinary programme of rehabilitation for pain based on an ACT model..."
- Luciano, Juan V. et al. The Journal of Pain , Volume 18 , Issue 7 , 868 - 880 Cost-Utility of Group Acceptance and Commitment Therapy for Fibromyalgia Versus Recommended Drugs: An Economic Analysis Alongside a 6-Month Randomized Controlled Trial Conducted in Spain (EFFIGACT Study) "In conclusion, acceptance and commitment therapy appears to be a cost-effective treatment compared with RPT in patients with FM."
- Yu, Lin et al. The Journal of Pain , Volume 18 , Issue 6 , 664 - 672 Change in “Self-as-Context” (“Perspective-Taking”) Occurs in Acceptance and Commitment Therapy for People With Chronic Pain and Is Associated With Improved Functioning "Participants significantly improved on all process and outcome variables at post-treatment ..."
- Scott, W. et al. The Journal of Pain , Volume 16 , Issue 4 , S106 Validity and predictors of patients’ global impression of change ratings following Acceptance and Commitment Therapy for chronic pain "In the context of a psychologically-based treatment for pain, meaningful change from patients’ point of view appears to be influenced by improvements in depressive symptoms, pain, physical function, and pain acceptance."
- The Journal of Pain , Volume 10 , Issue 8 , 887 - 892 Personal Values and Pain Tolerance: Does a Values Intervention Add to Acceptance? "Results indicate that values interventions make a significant contribution and improvement to acceptance interventions..."
- Åkerblom, Sophia et al. The Journal of Pain , Volume 16 , Issue 7 , 606 - 615
- McCracken, Lance M. The Journal of Pain , Volume 14 , Issue 8 , 828 - 835 Committed Action: An Application of the Psychological Flexibility Model to Activity Patterns in Chronic Pain "In regression analyses the CAQ was able to account for significant variance in depression, social functioning, mental health, vitality, and general health, beyond the contributions of pain and acceptance of pain"
ACT for Weight Management / Eating Disorders
- There are over a dozen randomized control trials on weight, eating disorders and related topics (plus other data)
- State of the ACT Evidence (links to over 200 studies, papers and more)
- 2017-2018: App-based Weight program study. A single arm, pilot trial of 2Morrow's ACT-based weight program. Conducted with overweight adults that are part of an Army Medical Center primary care population. Research Partner: Family Medicine Residency, Joint Base Lewis-McChord.
ACT for Stress & Anxiety
- There are over 2 dozen randomized control trials on ACT for Stress and Anxiety
- State of the ACT Evidence (links to over 200 studies, papers and more)
Other Research and Information on Acceptance and Commitment Therapy
- State of the ACT Evidence (links to over 200 studies, papers and more)
Reading List / Books we like (in progress)
- Being updated