Evidence map›Paper›PMID 39023984›Full record

Trial reportJournal of consulting and clinical psychology2024

Web-based interpretation bias training to reduce anxiety: A sequential, multiple-assignment randomized trial.

Jeremy W Eberle, Katharine E Daniel, Sonia Baee, Alexandra L Silverman, Elijah Lewis, Anna N Baglione, Alexandra Werntz, Noah J French, Julie L Ji, Nicola Hohensee and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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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

16 authors.

Jeremy W EberleUniversity of Virginia, Department of Psychology.ORCID 0000-0003-0119-2879
Katharine E DanielUniversity of Virginia, Department of Psychology.ORCID 0000-0002-4371-2740
Sonia BaeeUniversity of Virginia, Department of Systems and Information Engineering.ORCID 0000-0001-7886-8078
Alexandra L SilvermanUniversity of Virginia, Department of Psychology.ORCID 0000-0002-8066-2308
Elijah LewisUniversity of Virginia, Department of Computer Science.ORCID 0009-0004-0416-4739
Anna N BaglioneUniversity of Virginia, Department of Systems and Information Engineering.ORCID 0000-0003-1358-9195
Alexandra WerntzUniversity of Virginia, Department of Psychology.ORCID 0000-0002-2679-8204
Noah J FrenchUniversity of Virginia, Department of Psychology.ORCID 0000-0002-1124-7290
Julie L JiUniversity of Plymouth, School of Psychology.ORCID 0000-0003-1688-9708
Nicola HohenseeUniversity of Virginia, Department of Psychology.ORCID 0000-0003-0841-6265
Xin TongUniversity of Virginia, Department of Psychology.ORCID 0000-0003-3050-1554
Jacalyn M HubandUniversity of Virginia, Research Computing.ORCID 0009-0009-0567-8690
Mehdi BoukhechbaUniversity of Virginia, Department of Systems and Information Engineering.ORCID 0000-0001-6295-2523
Daniel H FunkSartography.ORCID 0000-0003-0723-2253
Laura E BarnesUniversity of Virginia, Department of Systems and Information Engineering.ORCID 0000-0001-8224-5164
Bethany A TeachmanUniversity of Virginia, Department of Psychology.ORCID 0000-0002-9031-9343

Funding

Effectiveness of interpretation training to reduce anxiety: Evaluating technology-based delivery models and methods to reduce attritionR01MH113752 · NIMH · UNIVERSITY OF VIRGINIA · PI TEACHMAN, BETHANY A · 2017 to 2020
$2.5M
NIMH NIH HHS R01 MH113752
6 · The paper itself

Abstract

objectiveWeb-based cognitive bias modification for interpretation (CBM-I) can improve interpretation biases and anxiety symptoms but faces high rates of dropout. This study tested the effectiveness of web-based CBM-I relative to an active psychoeducation condition and the addition of low-intensity telecoaching for a subset of CBM-I participants.

method1,234 anxious community adults (Mage = 35.09 years, 81.2% female, 72.1% white, 82.6% not Hispanic) were randomly assigned at Stage 1 of a sequential, multiple-assignment randomized trial to complete five weekly sessions of CBM-I or psychoeducation on our team's public research website. After the first session, for Stage 2, an algorithm attempted to classify CBM-I participants as higher (vs. lower) risk for dropping out; those classified as higher risk were then randomly assigned to complete four brief weekly telecoaching check-ins (vs. no coaching).

resultsAs hypothesized (https://doi.org/j2xr; Daniel, Eberle, & Teachman, 2020), CBM-I significantly outperformed psychoeducation at improving positive and negative interpretation biases (Recognition Ratings, Brief Body Sensations Interpretation Questionnaire) and anxiety symptoms (Overall Anxiety Severity and Impairment Scale, Anxiety Scale from Depression Anxiety Stress Scales-Short Form), with smaller treatment gains remaining significant at 2-month follow-up. Unexpectedly, CBM-I had significantly worse treatment dropout outcomes than psychoeducation, and adding coaching (vs. no coaching) did not significantly improve efficacy or dropout outcomes (notably, many participants chose not to interact with their coach).

conclusionsWeb-based CBM-I appears effective, but supplemental coaching may not mitigate the challenge of dropout. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Indexed as

AnxietyCognitive Behavioral TherapyAdultAnxiety DisordersFemaleHumansInternetInternet-Based InterventionMaleMiddle AgedPatient Dropouts

Identifiers

PMID39023984
PMCPMC12010707

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.