ArticleJMIR formative research2025
Depression and Anxiety Outcomes in a Technology-Enabled Psychotherapy Practice: Retrospective Cohort Study.
Article in JMIR formative research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Patient and course of care factors impacting time to response and remission in psychotherapy for depression.Frontiers in psychology · 2026Article
- The impact of measurement based care at scale: examining the effects of implementation on patient outcomes and provider behaviors.Frontiers in health services · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health conditions account for significant distress, burden, and societal costs. Despite efforts to implement evidence-based practices (EBPs), access to high-quality mental health treatment in general practice remains limited and clinical outcomes suboptimal. Measurement-based care (MBC) is a transtheoretical and transdiagnostic strategy that has the potential, when implemented effectively, to improve the quality of care. Digital tools can also support clinicians by alleviating administrative tasks and providing in-the-moment performance data and clinical decision support.
objectiveThis study aimed to examine patient retention in care and depression and anxiety outcomes in a technology-enabled psychotherapy practice where clinicians were supported by a suite of innovations, including an MBC platform and clinical decision support tools.
methodsThis retrospective cohort study examined 2984 adults who initiated mental health treatment with Two Chairs, a hybrid technology-enabled behavioral health provider, from January 1 to June 30, 2024. Rates of reliable change, recovery, remission, deterioration, and the magnitude and trajectory of symptom change in depression and anxiety symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7).
resultsThe participants demonstrated high rates of retention in care (3183/3572, 89.1%) and MBC survey completion (3440/3572, 96.3%). From baseline to the 12th session, patients showed significant symptom improvements in depression and anxiety, achieving high rates of reliable improvement (65.8%, 95% CI 64.0%-67.5%) and recovery (53.2%, 95% CI 51.4%-55.0%), with 71.3% (95% CI 69.7%-72.9%) of patients achieving either outcome. Outcomes continued to improve up to the point of completion of the treatment episode (79.2%, 95% CI 77.5%-80.9%, of patients achieving improvement or recovery). Pre- to posttreatment effect sizes were large (all Cohen d>0.9).
conclusionsThe results of this study show that technology-enabled MBC and clinical decision support systems (CDSSs) may support high-quality patient outcomes in mental health.
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