Evidence map›Paper›PMID 41926190›Full record

Trial reportJournal of consulting and clinical psychology2026

Randomized controlled trial of smartphone-based interpretation bias intervention for anxiety and depression.

Alexandra L Silverman, Gabriela Kovarsky Rotta, Doah Shin, Irelee Ferguson, Courtney Beard

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

5 authors.

Alexandra L SilvermanDivision of Depression and Anxiety Disorders, McLean Hospital.ORCID 0000-0002-8066-2308
Gabriela Kovarsky RottaDivision of Depression and Anxiety Disorders, McLean Hospital.ORCID 0009-0009-0024-5589
Doah ShinDivision of Depression and Anxiety Disorders, McLean Hospital.ORCID 0009-0004-5809-3227
Irelee FergusonDepartment of Psychology, University of Vermont.ORCID 0009-0006-0512-7897
Courtney BeardDivision of Depression and Anxiety Disorders, McLean Hospital.ORCID 0000-0002-8321-8712

Funding

Parent interpretation bias as a key mechanism of intergenerational transmission of anxietyR01MH129374 · NIMH · MCLEAN HOSPITAL · PI Courtney Beard Elias · 2023 to 2026
$3.2M
Harvard Medical SchoolMcLean HospitalNational Institute of Mental Health, National Institutes of HealthNIMH NIH HHS R01 MH129374
6 · The paper itself

Abstract

objectiveHabitWorks (HW) is a personalized, transdiagnostic, smartphone-based interpretation bias intervention for depression and anxiety that has demonstrated feasibility and acceptability in prior pilot studies. This preregistered randomized controlled trial (https://doi.org/10.17605/OSF.IO/EJ89T; Silverman, Kovarsky Rotta, et al., 2025) tested the effectiveness of HW compared with a symptom tracking (ST) control condition.

methodA nonclinical community sample of U.S. adults with at least mild anxiety and depression symptoms (N = 340; Mage = 33.04 years, 57.4% women, 60.6% White, 14.7% Black, 11.2% Asian, 10.9% Multiracial, 22.1% Hispanic/Latine) were randomly assigned to complete three weekly interpretation bias exercises and once weekly depression and anxiety symptom surveys (HW) or three weekly depression and anxiety symptom surveys (ST) for 4 weeks.

resultsA priori benchmarks for retention, adherence, and satisfaction were achieved: 77.8% of HW participants were still using the app in Week 4, 43.7% achieved perfect adherence, and app usability and acceptability were rated positively. As hypothesized, HW was superior to ST at improving negative and benign interpretation biases (Word-Sentence Association Paradigm) and functional impairment (Work and Social Adjustment Scale); and HW (vs. ST) participants reported significantly greater global improvement (Clinical Global Impressions Scale-Improvement Self-Report) and subjective engagement (Twente Engagement with eHealth Technologies Scale) at postintervention. Unexpectedly, while depression and anxiety symptoms (Patient Health Questionnaire-8 and Generalized Anxiety Disorder Scale-7) improved significantly, these changes were not unique to HW.

conclusionsHW is an engaging and scalable intervention that may be effective for improving overall severity and functioning. Further validation of effectiveness for specific symptom domains is needed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

AnxietyAnxiety DisordersDepressionMobile ApplicationsSmartphoneAdultFemaleHumansMaleMiddle Aged

Identifiers

PMID41926190
PMCPMC13048280

What OpenQuestion holds

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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.