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Peer-Reviewed Publication
Psychosom Med2023;85(7):651-658.September 1, 2023Journal Article

Longitudinal Patterns of Engagement and Clinical Outcomes: Results From a Therapist-Supported Digital Mental Health Intervention.

Kirstin Aschbacher1, Luisa M Rivera, Silvan Hornstein, Benjamin W Nelson, Valerie L Forman-Hoffman, Nicholas C Peiper
1From Meru Health (Aschbacher, Rivera, Nelson, Forman-Hoffman, Peiper), San Mateo, California; Department of Anthropology (Rivera), Emory University, Atlanta, Georgia; Department of Psychology (Hornstein), Humboldt-Universität zu Berlin, Berlin, Germany; Department of Psychology and Neuroscience (Nelson), University of North Carolina Chapel Hill, Chapel Hill, North Carolina; Department of Epidemiology (Forman-Hoffman), The University of Iowa, Iowa City, Iowa; and Department of Epidemiology and Population Health (Peiper), University of Louisville, Louisville, Kentucky.

Abstract

OBJECTIVE: Digital mental health interventions (DMHIs) are an effective treatment modality for common mental disorders like depression and anxiety; however, the role of intervention engagement as a longitudinal "dosing" factor is poorly understood in relation to clinical outcomes. METHODS: We studied 4978 participants in a 12-week therapist-supported DMHI (June 2020-December 2021), applying a lon…

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