Evidence map›Paper›PMID 41946300›Full record

Trial reportJournal of anxiety disorders2026

A brief ecological momentary intervention for generalized anxiety disorder: A randomized controlled trial of the worry outcome monitoring app.

Jeremy T Schwob, Michelle G Newman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of anxiety disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

2 authors.

Jeremy T SchwobThe Pennsylvania State University, USA. Electronic address: jts462@psu.edu.
Michelle G NewmanThe Pennsylvania State University, USA.

Funding

Harnessing Mobile Technology to Reduce Mental Health Disorders in College PopulationsR01MH115128 · NIMH · WASHINGTON UNIVERSITY · PI EISENBERG, DANIEL, NEWMAN, MICHELLE G · 2018 to 2022
$4.1M
DESENSITIZATION/COGNITIVE THERAPY IN ANXIETYR01MH039172 · NIMH · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI BORKOVEC, THOMAS D · 1985 to 1997
–
NIMH NIH HHS R01 MH039172NIMH NIH HHS R01 MH115128
6 · The paper itself

Abstract

backgroundInvestigating specific component interventions for generalized anxiety disorder (GAD) has produced encouraging, yet understudied findings. In a prior study worry outcome monitoring strategies led to declines in worry in individuals diagnosed with GAD (LaFreniere & Newman, 2016). The current study extended these findings tracking additional information and by examining additional outcomes within a larger clinical sample.

methodWe compared the efficacy of a smartphone worry outcome monitoring app (WOM) against a thought recording (TR) active control. Participants were prompted 4x/day as well as at the end of each day for 10-days to engage with their respective tasks. As opposed to WOM, TR individuals were only prompted to record their thoughts without observing the outcomes or challenging the maladaptive nature of their worries. A total of 117 participants with GAD were randomly assigned to either WOM or TR. Participants completed self-report questionnaires at pre-treatment, mid-treatment, post-treatment, and 20-day follow-up. Multilevel modeling analyses were used.

resultsThere was no difference between WOM (vs. TR) on expectancy, credibility, or treatment satisfaction. WOM (vs. TR control) produced substantially larger reductions in worry, positive beliefs about worry, and contrast avoidance. Moreover, 89.14% of feared worry outcomes did not come true and in the 10.86% of time when feared outcomes came true, WOM participants coped better than expected 84.35% of the time.

conclusionFindings advance understanding of the efficacy of technology-delivered, worry outcome monitoring in a clinical sample.

Indexed as

Anxiety DisordersEcological Momentary AssessmentGeneralized Anxiety DisorderMobile ApplicationsAdultFemaleHumansMaleMiddle AgedSmartphoneTreatment OutcomeYoung AdultEcological momentary interventionsEmpirically supported treatmentsGADGeneralized anxiety disorderSmartphone applicationsWorry

Identifiers

PMID41946300
PMCPMC13160596

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Registered trials

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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.