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Our objective is to conduct a randomized controlled trial (RCT) that compares two digital interventions - Symptom Tracking and the HabitWorks app - in a sample of adults endorsing symptoms of anxiety or depression. We hope to obtain pilot data to support a fully powered RCT to test moderators:
HabitWorks is a personalized, transdiagnostic, smartphone-delivered interpretation bias intervention. Our pilot studies of HabitWorks revealed good acceptability, feasibility, and target engagement in a variety of populations (Beard, Ramadurai, et al., 2021; Beard, Beckham, et al., 2021). Our next step is to test effectiveness for anxiety and depression symptoms in a larger, community sample. Results will provide pilot data to support an R01 effectiveness trial. We will randomize adults with anxiety or depression to HabitWorks or a credible control arm and examine effects on interpretation bias, symptoms, and functioning.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HabitWorks + Symptom Tracking | Experimental | Use of HabitWorks app 3 times/week for 4 weeks + weekly symptom tracking |
|
| Symptom Tracking | Active Comparator | Symptom Tracking 3 times per week for 4 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HabitWorks | Behavioral | Smartphone delivered interpretation bias exercises, symptom tracking |
|
| Measure | Description | Time Frame |
|---|---|---|
| GAD-7 | self-report measure of general anxiety symptoms, completed online via RedCap | From enrollment to the end of followup period at 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Global Improvement Scale | self-reported single item assessing perceived improvement due to a treatment | post-treatment (4 weeks after enrollment) |
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Inclusion Criteria:
Exclusion criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McLean Hospital | Belmont | Massachusetts | 02478 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41926190 | Derived | Silverman AL, Kovarsky Rotta G, Shin D, Ferguson I, Beard C. Randomized controlled trial of smartphone-based interpretation bias intervention for anxiety and depression. J Consult Clin Psychol. 2026 Mar;94(3):125-139. doi: 10.1037/ccp0000996. |
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STudy protocol, statistical plan, analytic code will be shared on open science framework
anticipated July 2025 with no end date
open science framework
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Symptom TRacking | Behavioral | Self-assessment via symptom surveys |
|