Table 4.

Summary of recent acceptance and commitment-based physical therapy studies.

Study	Sample	PIPT intervention	Standard PT intervention	Outcomes	Summary results
Godfrey et al.32	248 patients (147 females) with chronic low back pain Mean age: 47.9 years	PACT was a self-management promoting intervention that included two 1-hour in-person treatment sessions (2 weeks apart) and one 20-minute phone call (1 month later). PACT included an initial physical assessment, identification of value-based goals, individualized exercise, addressing of self-management barriers and facilitators, and psychological flexibility skills training. No manual therapy was included.	Physical therapy included standard physical therapy treatment that could include individual physical therapy or back rehabilitation classes, dynamic control classes, manual therapy, or hydrotherapy. Physical therapy was directed by the providing physical therapists.	Disability: RMDQ Physical function: PSFS Physical health: SF-12 Pain intensity: NRS (0–10) Measured at 3 and 12 months	The PACT group showed greater improvement in disability and physical function compared to physical therapy at 3 months. No significant differences were noted at 12 months In addition, there were no differences in pain between groups at 3 or 12 months.

NRS, numeric rating scale; PACT, physical therapy approach informed by acceptance and commitment therapy; PIPT, psychologically informed physical therapy; PSFS, Patient Specific Functional Scale; RMDQ, Roland Morris Disability Questionnaire.