Evidence map›Paper›PMID 35475947›Full record

Trial reportCognitive behaviour therapy2022

A SMART approach to personalized care: preliminary data on how to select and sequence skills in transdiagnostic CBT.

Shannon Sauer-Zavala, Matthew W Southward, Nicole E Stumpp, Stephen A Semcho, Caitlyn O Hood, Anna Garlock, Alex Urs

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cognitive behaviour therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06722781 (UpLift-X Trial 1), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

NCT06722781 narecruitingnot on this mapstarted 2025, after this paper: background citation

UpLift-X Trial 1: A Cluster Factorial Randomised Controlled Trial of Digitally-enabled Group Psychotherapy for Common Mental Disorders

TypeinterventionalSponsorRotherham Doncaster and South Humber NHS Foundation TrustRan2025 to 2026Enrolled660ConditionsCommon Mental Health Problems, Anxiety, Depression DisordersArmsUnified Protocol
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  9. A Preliminary Evaluation of the Unified Protocol among Trauma-Exposed Adults with and without PTSD.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Shannon Sauer-ZavalaDepartment of Psychology, University of Kentucky, Lexington, Kentucky 40506, US.ORCID 0000-0002-7322-983X
Matthew W SouthwardDepartment of Psychology, University of Kentucky, Lexington, Kentucky 40506, US.ORCID 0000-0002-5888-2769
Nicole E StumppDepartment of Psychology, University of Kentucky, Lexington, Kentucky 40506, US.ORCID 0000-0001-9871-6469
Stephen A SemchoDepartment of Psychology, University of Kentucky, Lexington, Kentucky 40506, US.ORCID 0000-0001-6831-6763
Caitlyn O HoodDepartment of Psychology, University of Kentucky, Lexington, Kentucky 40506, US.ORCID 0000-0002-4147-5366
Anna GarlockDepartment of Psychology, University of Kentucky, Lexington, Kentucky 40506, US.ORCID 0000-0002-9115-4907
Alex UrsDepartment of Psychology, University of Kentucky, Lexington, Kentucky 40506, US.ORCID 0000-0001-8491-7278
University of Kentucky · US

Funding

Research Training in Drug Abuse BehaviorT32DA035200 · NIDA · UNIVERSITY OF KENTUCKY · PI CRAIG R RUSH, William Walton Stoops · 2013 to 2026
$4.4M
NIDA NIH HHS T32 DA035200
6 · The paper itself

Abstract

Given that over 20 million adults each year do not receive care for their mental health difficulties, it is imperative to improve system-level capacity issues by increasing treatment efficiency. The present study aimed to collect feasibility/acceptability data on two strategies for increasing the efficiency of cognitive behavioral therapy: (1) personalized skill sequences and (2) personalized skill selections. Participants (N = 70) with anxiety and depressive disorders were enrolled in a pilot sequential multiple assignment randomized trial (SMART). Patients were randomly assigned to receive skill modules from the Unified Protocol in one of three sequencing conditions: standard, sequences that prioritized patients' relative strengths, and sequences that prioritized relative deficits. Participants also underwent a second-stage randomization to either receive 6 sessions or 12 sessions of treatment. Participants were generally satisfied with the treatment they received, though significant differences favored the Capitalization and Full duration conditions. There were no differences in trajectories of improvement as a function of sequencing condition. There were also no differences in end-of-study outcomes between brief personalized treatment and full standard treatment. Thus, it may be feasible to deliver CBT for personalized durations, though this may not substantially impact trajectories of change in anxiety or depressive symptoms.

Indexed as

Cognitive Behavioral TherapyAdultAnxietyAnxiety DisordersHumansPreliminary DataTreatment Outcomemodular treatmentSMARTtransdiagnosticTreatment personalizationunified protocol

Identifiers

PMID35475947
PMCPMC9749849
OpenAlexW4224995127

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.