iACT-CEL: A Feasibility Trial of a Face-to-Face and Internet-Based Acceptance and Commitment Therapy Intervention for Chronic Pain in Singapore

Table 1

Schematic overview of iACT-CEL intervention.

Sessions	Information	Assignments	Audio/video
1st face-to-face session prior to online session	Introduction to iACT-CEL. Experiential acceptance exercise: Chinese Finger Trap	Goal-setting exercise	—
Online sessions
Session 1
The problem with avoidance	Pain avoidance cycle	Evaluation of coping and avoidance strategies	Tug of War (animation)
	Acceptance	Noticing feelings and occasions of struggling	Joe the Bum (animation)
Session 2
More on openness and you are not your thoughts	Concept of cognitive fusion & defusion introduced	Working on fused thoughts	Passengers on the bus (animation)
			Expansion exercise
Session 3
I accept	Concept of present moment awareness introduced	Reflection on current thoughts and emotions	I’m having the thought that (video)
Session 4
In the present moment	Concept of self as context introduced	Reflection on the observed self	Notice 5 things (video)
			The observing self (audio)
Session 5
What do you want out of life?	Concept of values introduced	Values clarification	Get off your “buts” (video)
		Reflection of values	80th Birthday (animation)
Session 6
Committed action	Concept of committed action introduced	Willingness and action plan	The Swamp (video)
2nd face-to-face session after 6th online session	Committed action	Goal-setting exercise	—