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Coaching vs recommendations in IntelliCare
In a factorial RCT, coaching lowered anxiety more than self-guided use, while weekly app recommendations boosted depression improvement and app sessions.
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What trial design was used?
A factorial RCT testing coaching vs self-guided use and weekly app recommendations vs none.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
Who was eligible?
Adults with PHQ-9 ≥10 or GAD-7 ≥8, US-based, English-speaking Android users.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
What happened to symptoms overall?
PHQ-9 and GAD-7 fell significantly over time across treatment arms.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
What did coaching improve?
Significantly larger GAD-7 reductions than self-guided treatment.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
What did recommendations improve?
Stronger PHQ-9 improvement over time versus no recommendations.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
Did recommendations raise engagement?
Yes—median sessions 232 with recommendations vs 202 without.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
What was median overall app use?
216 sessions across apps.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
When was median last use?
Day 56 (end of the treatment window).
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
Did coaching increase session count?
No significant coaching effect on number of app sessions.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
What share kept using apps after treatment?
84.0% (253/301) continued after the trial.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified
What interaction was absent?
No coaching × recommendations interaction over time for PHQ-9 or GAD-7.
Source: Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial · DOI · quote verified