Multi-session online interpretation bias training for anxiety in a community sample

Ji, Julie L.; Baee, Sonia; Zhang, Diheng; Calicho-Mamani, Claudia P; Meyer, Marvin C.; Funk, Daniel H.; Portnow, Samuel; Barnes, Laura E.; Teachman, Bethany A.

doi:10.1016/j.brat.2021.103864

Cited by 19 publications

(21 citation statements)

References 57 publications

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“…See Supplemental Table S1, for specific dates when initial messages and email reminders were sent and the total number of days of recruitment for each message condition. Upon receiving the message through August 1, 2021 (endpoint for data collection), patients could click on a link to visit the MindTrails site, enroll in the program, and complete the first session of five total (see Ji et al, 2021, for description of MindTrails).…”

Section: Methodsmentioning

confidence: 99%

“…Data for this study were collected as part of a larger pilot study designed to examine the feasibility of delivering MindTrails (https://mindtrails.virginia.edu/), a web-based interpretation bias modification program with preliminary efficacy data (Ji et al, 2021), to patients with anxiety in Kaiser Permanente Colorado's healthcare system. The present study used a series of recruitment message manipulations to determine how different message features influence clicks on a link to visit the MindTrails website, and actual enrollment and participation in the DMHI.…”

Section: Overview Of Current Study and Hypothesesmentioning

confidence: 99%

See 1 more Smart Citation

Minimal effect of messaging on engagement in a digital anxiety intervention.

Silverman¹,

Boggs²,

Eberle³

et al. 2023

Professional Psychology: Research and Practice

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This study evaluated the effectiveness of different recruitment messages for encouraging enrollment in a digital mental health intervention (DMHI) for anxiety among 1,600 anxious patients in a large health care system. Patients were randomly assigned to receive a standard message, or one of five messages designed to encourage enrollment: three messages offered varying financial incentives, one message offered coaching, and one message provided consumer testimonials. Patients could then click a link in the message to visit the DMHI website, enroll, and start the first session. We examined the effects of message features and message length (short vs. long) on rates of site clicks, enrollment, and starting the first session. We also tested whether demographic and clinical factors derived from patients' electronic health records were associated with rates of enrollment and starting the first session to understand the characteristics of patients most likely to use DMHIs in this setting. Across messages, 19.4% of patients clicked a link to visit the DMHI website, but none of the messages were significantly associated with rates of site clicks, enrollment, or starting the first session. Females (vs. males) had a greater probability of enrollment. No other demographic or clinical variables were significantly associated with enrollment or starting the first session. Findings provide guidance for resource allocation decisions in larger scale DMHI implementations in health care settings. Public Significance StatementAmong anxious patients in a large health care setting, resource-intensive methods of promoting DMHI engagement (e.g., offering financial incentives or coaching) did not affect rates of clicks on a link to visit a DMHI website, enrollment, or starting the first session. Findings suggest these high-cost promotional methods may not add value in terms of increasing DMHI uptake or use when offering DMHIs at a larger scale.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Overview Of Current Study and Hypothesesmentioning

confidence: 99%

Minimal effect of messaging on engagement in a digital anxiety intervention.

Silverman¹,

Boggs²,

Eberle³

et al. 2023

Professional Psychology: Research and Practice

Self Cite

View full text Add to dashboard Cite

show abstract

“…The MindTrails website and present study were advertised through online, university press releases; local and statewide news (e.g., radio interviews); Craigslist postings; emails to clinicians; flyers at university counseling centers; a link at the Project Implicit Health website; and the MindTrails Project Facebook page. A link to the original MindTrails study (Ji et al, 2021) was posted on ClinicalTrials.gov (Identifier NCT02382003).…”

Section: Recruitmentmentioning

confidence: 99%

Shifting Episodic Prediction With Online Cognitive Bias Modification: A Randomized Controlled Trial

Eberle

Boukhechba

Sun

et al. 2023

Clinical Psychological Science

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Negative future thinking pervades emotional disorders. This hybrid efficacy–effectiveness trial tested a four-session, scalable online cognitive-bias-modification program for training more positive episodic prediction. Nine hundred fifty-eight adults (73.3% female, 86.5% White, 83.4% from United States) were randomly assigned to positive conditions with ambiguous future scenarios that ended positively, 50/50 conditions that ended positively or negatively, or a control condition with neutral scenarios. As hypothesized (preregistration: https://osf.io/jrst6 ), positive-training participants improved more than control participants in negative expectancy bias ( d = −0.58), positive expectancy bias ( d = 0.80), and self-efficacy ( d = 0.29). Positive training was also superior to 50/50 training for expectancy bias and optimism ( d = 0.31). Training gains attenuated yet remained by 1-month follow-up. Unexpectedly, participants across conditions improved comparably in anxiety and depression symptoms and growth mindset. Targeting a transdiagnostic process with a scalable program may improve bias and outlook; however, further validation of outcome measures is required.

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“…Data for this study were collected as part of a larger pilot study designed to examine the feasibility of delivering MindTrails (https://mindtrails.virginia.edu/), a web-based CBM-I program with preliminary efficacy data (Ji et al, 2021), to patients with anxiety in Kaiser Permanente Colorado's healthcare system. The present study used a series of recruitment message manipulations to determine how different message features influence clicks on a link to visit the MindTrails website, and actual enrollment and participation in the DMHI.…”

Section: Overview Of Current Study and Hypothesesmentioning

confidence: 99%

Minimal Effect of Messaging on Engagement in a Digital Anxiety Intervention

Silverman¹,

Boogs²,

Eberle³

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

This study evaluated the effectiveness of different recruitment messages for encouraging enrollment in a digital mental health intervention (DMHI) for anxiety among 1,600 anxious patients in a large healthcare system. Patients were randomly assigned to receive a standard message, or one of five messages designed to encourage enrollment: Three messages offered varying financial incentives, one message offered coaching, and one message provided user testimonials. Patients could then click a link in the message to visit the DMHI website, enroll, and start the first session. We examined the effects of message features and message length (short vs. long) on rates of site clicks, enrollment, and starting the first session. We also tested whether demographic and clinical factors derived from patients’ electronic health records were associated with rates of enrollment and starting the first session to understand the characteristics of patients most likely to use DMHIs in this setting. Across messages, 19.4% of patients clicked a link to visit the DMHI website, but none of the messages were significantly associated with rates of site clicks, enrollment, or starting the first session. Females (vs. males) had a greater probability of enrollment. No other demographic or clinical variables were significantly associated with enrollment or starting the first session. Findings provide guidance for resource allocation decisions in larger scale DMHI implementations in healthcare settings.

show abstract

Multi-session online interpretation bias training for anxiety in a community sample

Cited by 19 publications

References 57 publications

Minimal effect of messaging on engagement in a digital anxiety intervention.

Minimal effect of messaging on engagement in a digital anxiety intervention.

Shifting Episodic Prediction With Online Cognitive Bias Modification: A Randomized Controlled Trial

Minimal Effect of Messaging on Engagement in a Digital Anxiety Intervention

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