Document Type

Article

Journal/Book Title/Conference

Journal of American College Health

Author ORCID Identifier

Korena S. Klimczak https://orcid.org/0000-0003-2173-6431

Michael P. Twohig https://orcid.org/0000-0003-2936-5962

Gretchen G. Peacock https://orcid.org/0000-0001-5504-7795

Michael E. Levin https://orcid.org/0000-0001-5562-2366

Publisher

Taylor & Francis

Publication Date

1-29-2025

Journal Article Version

Accepted Manuscript

First Page

1

Last Page

36

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Abstract

Objective: This secondary analysis examined the feasibility and acceptability of a novel peer coaching model designed to improve adherence to an online self-help program based on Acceptance and Commitment Therapy (ACT), called ACT Guide. Participants: All participants (N = 152) and peer coaches were undergraduate students attending the same university. Methods: Participants were instructed to use ACT Guide for 10 weeks and were randomly assigned to receive weekly peer coaching through either phone calls or text messaging. Results: We found our peer coaching model to be feasible for delivery via phone and text, however acceptability varied widely. Phone coaching performed significantly better than the text format. Conclusions: Our results support the feasibility of using peer coaching with a college student population, particularly when delivered through phone calls. However, peer coaching was only acceptable to a subset of students, potentially due to differences in level of need and individual preferences.

Comments

This is an Accepted Manuscript version of the following article by Taylor & Francis accepted for publication in Journal of American College Health on January 29, 2025, available at https://doi.org/10.1080/07448481.2025.2458078. Klimczak, K. S., Twohig, M. P., Peacock, G. G., & Levin, M. E. (2025). ACT-enhanced peer coaching for online ACT self-help: Feasibility and acceptability with college students. Journal of American College Health, 1–11. https://doi.org/10.1080/07448481.2025.2458078. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available for download on Thursday, January 29, 2026

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