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Lessons Learned: Providing Supportive Accountability in an Online Anxiety Intervention
Alexandra Werntz1, Alexandra L Silverman1, Henry Behan1
1University of Virginia.
Behavior Therapy
|April 27, 2022
Summary
Adding coaching to digital mental health tools may improve engagement but requires user-centered design. This study explored coaching for anxious adults in a web-based intervention, finding mixed engagement results.
Area of Science:
- Psychology
- Digital Health
- Mental Healthcare
Background:
- Technology-delivered mental health interventions face high dropout rates.
- Coaching, a low-intensity provider contact, may improve engagement and scalability.
- Coaching's effectiveness in anxious populations within digital interventions is underexplored.
Purpose of the Study:
- To develop and evaluate a low-intensity coaching protocol for anxious adults at high risk of dropout.
- To assess participant engagement with coaching support in a web-based cognitive bias modification intervention.
Main Methods:
- A coaching protocol was developed for undergraduate research assistants.
- Coaching involved phone calls and synchronous text messaging with 282 anxious adults.
- Participants were identified as high risk for dropout from a web-based intervention.
Main Results:
- Approximately 50% of participants did not engage with coaching attempts.
- Around 30% of participants completed the full intervention with coaching support.
- Engagement varied, with some preferring minimal human contact.
Conclusions:
- Low-intensity coaching shows potential but faces engagement challenges in anxious populations.
- Future protocols should prioritize user-centered design and optional support.
- Clearer communication about coaching benefits is recommended to improve uptake.
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