ArticleThe British journal of clinical psychology2020
Preventing relapse with personalized smart-messaging after cognitive behavioural therapy: A proof-of-concept evaluation.
Article in The British journal of clinical psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Harnessing digital health interventions to address the heterogeneity of depression: a systematic review.Frontiers in digital health · 2025Pooled it
- Adaptive Elements in Internet-Delivered Psychological Treatment Systems: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Cognitive behavioral stress management effects on prenatal anxiety among low-income women.Journal of consulting and clinical psychology · 2022Trial
- Simple Mobile technology health management tool for people with severe mental illness: a randomised controlled feasibility trial.BMC psychiatry · 2021Trial
- How can patients with anxiety and/or depression maintain wellbeing following discharge from low-intensity interventions? A qualitative exploration of patient perspectives.BMC psychiatry · 2026Article
- Article
- The impact of caring for family members with mental illnesses on the caregiver: a scoping review.Health promotion international · 2023Article
- From Digital Health to Digital Well-being: Systematic Scoping Review.Journal of medical Internet research · 2022Article
- Acceptance and commitment therapy for young brain tumour survivors: study protocol for an acceptability and feasibility trial.BMJ open · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesCognitive behavioural therapy (CBT) can improve symptoms of anxiety and depression, but also reduces the risk of future relapse after therapy completion. However, current CBT relapse prevention methods are resource-intensive and can be limited in clinical practice. This paper investigates a personalized means of reducing relapse using smart-messaging in two settings: research and routine care.
designStudy 1 presents a cohort study comparing a cohort of smart-messaging users versus non-users. Study 2 presents time series follow-up data from a case series of smart-messaging users from clinical practice.
methodsFifteen of 56 CBT completers who participated in a trial for the treatment of health anxiety wrote advice they would want if in future they were doing well, experiencing early warning signs of relapse, or experiencing full relapse. Following CBT, participants received weekly text-message requests to rate their well-being. Dependent upon their response, participants received tailored advice they had written, appropriate to the well-being level reported after recovery from health anxiety. Smart-messaging was also trialled in a routine practice sample of 14 CBT completers with anxiety and depression.
resultsAcross a 12-month follow-up, participants receiving smart-messaging showed greater health improvements than those who did not. Well-being scores showed stability between CBT completion and 6-month follow-up among routine care patients.
conclusionsThese findings suggest that a low-intensity, personalized relapse prevention method can have a clinical benefit following CBT for common mental health problems. PRACTITIONER POINTS: Post-treatment outcomes may be improved using personalized smart-messaging to prevent relapse following cognitive behavioural therapy (CBT) for health anxiety. In clinical practice, post-treatment smart-messaging can be well-used by patients and may help maintain stable well-being in the 6 months after CBT ends. This evidence supports the clinical utility of a brief tailored digital intervention, which can be integrated within routine clinical practice with minimal therapist input. Overall, longer-term post-CBT outcomes may be improved by integrating a smart-messaging intervention at the end of therapy.
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