A randomized controlled trial of ecological momentary intervention plus brief group therapy for generalized anxiety disorder.

Newman, Michelle G.; Przeworski, Amy; Consoli, Andrés J.; Taylor, C. Barr

doi:10.1037/a0032519

Cited by 71Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Research Topics

A randomized controlled trial of ecological momentary intervention plus brief group therapy for generalized anxiety disorder.

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Newman, Michelle G., Przeworski, Amy, Consoli, Andrés J., Taylor, C. Barr·2014·Psychotherapy

DOI 10.1037/a0032519PMC PMC4440457

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Abstract

Momentary intervention has been proposed as a cost-effective, generalizable, and ecologically valid method to increase the efficiency of face-to-face cognitive-behavioral therapy (CBT). The purpose of the current pilot study was to evaluate the efficacy of a six-session palmtop computer-assisted Group CBT for generalized anxiety disorder (GAD) (CAGT6) in comparison with a six-session Group CBT for GAD without the computer (CBGT6) and typical (12 session) Group CBT for GAD (CBGT12) in a randomized controlled trial. Thirty-four individuals with a primary diagnosis of GAD were randomized to one of the three conditions and completed measures of GAD and anxiety before therapy, after therapy, and at 6-, and 12-month follow-ups. Results indicated that CAGT6 was superior to CBGT6 at posttreatment, but not significantly different from CBGT12. At 6- and 12-month follow-ups, CAGT6 was neither significantly different from CBGT6, nor from CBGT12. Percentages of individuals achieving reliable change on two of the three GAD measures favored CAGT6 over CBGT6 at posttreatment, suggesting promise for the added value of the mobile technology.

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Lantern is based on empirically supported cognitive-behavioural protocols for GAD.
“Lantern is based on empirically supported cognitive–behavioural protocols for GAD,35–38 developed in partnership with academic investigators to target symptoms of stress and anxiety for the general population.”
From A study protocol for a non-randomised comparison trial evaluating the feasibility and effectiveness of a mobile cognitive-behavioural programme with integrated coaching for anxious adults in primary care (2018) · cites this paper as [36]
The Therapy Conditions section describes a CBT protocol for GAD, and the Abstract reports results from a randomized trial of that treatment. The paper does not identify Lantern or say that Lantern was based on the protocol, so it supports the protocol’s empirical basis but not the claimed link to Lantern. (LLM, conf=0.84)
Experimental — accuracy not yet measured
The 6-session palmtop-assisted intervention was superior to a 6-session no-computer group in the percent achieving change on at least two of three generalized anxiety disorder measures at posttreatment (d=1.00).
“The 6-session palmtop assisted intervention was superior to a 6-session no-computer group in the percent of individuals who achieved change on at least two out of three GAD measures at posttreatment (d = 1.00).”
From Psychotherapeutic treatments for generalized anxiety disorder: cognitive and behavioral therapies, enhancement strategies, and emerging efforts (2022) · cites this paper as [104]
At follow-up, there were no differences between the palmtop-assisted and no-computer groups (6-month ds 0.16-0.58; 12-month ds 0.42-0.69).
“At follow-up there were no differences between groups (6-month follow up: ds ranging from .16 to .58; 12-month follow-up ds ranging from .42-.69).”
From Psychotherapeutic treatments for generalized anxiety disorder: cognitive and behavioral therapies, enhancement strategies, and emerging efforts (2022) · cites this paper as [104]
A 6-session palmtop computer-assisted group therapy led to a high number of participants achieving change on at least two of three generalized anxiety disorder measures at posttreatment, with no difference compared to a 12-session group therapy without computer (d=0.60).
“The use of a palmtop computer in addition to six sessions of group therapy led to a high number of participants achieving change on at least two out of three measures of GAD at posttreatment, with no difference when compared to a longer (12-session) group therapy for GAD that did not use the computer (d = .60) [104].”
From Psychotherapeutic treatments for generalized anxiety disorder: cognitive and behavioral therapies, enhancement strategies, and emerging efforts (2022) · cites this paper as [104]
A higher percent of participants achieved reliable change on at least two of three generalized anxiety disorder measures in the computer-assisted six-session group at all time points than the six-session no-computer group, and a higher percent at 12-month follow-up than the 12-session no-computer group.
“However, a higher percent of participants achieved reliable change on at least two of the three measures of GAD in the computer-assisted six-session group at all time points than the six-session no-computer group and a higher percent at 12-month follow up than the 12-session no-computer group.”
From Psychotherapeutic treatments for generalized anxiety disorder: cognitive and behavioral therapies, enhancement strategies, and emerging efforts (2022) · cites this paper as [104]

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Authors: Newman, M. G., Przeworski, A., Consoli, A. J., & Taylor, C. B.
Affiliations: Pennsylvania State University (US)
Case Western Reserve University (US)
San Francisco State University (US)
Stanford Medicine (US)
ORCID: Newman, Michelle G.
Przeworski, Amy
Consoli, Andrés J.
Taylor, C. Barr
Venue: Psychotherapy
Publisher: American Psychological Association (APA)
Published: 2014
Volume: 51
Issue: 2
Pages: 198-206
ISSN: 0033-3204 (ISSN-L)
1939-1536
DOI: 10.1037/a0032519
PMC: PMC4440457
OpenAlex: W2068948884
Cited by: 71
References: 52
Citations by year: 2026: 2 · 2025: 2 · 2024: 5 · 2023: 8 · 2022: 5 · 2021: 4 · 2020: 9 · 2019: 3 · 2018: 10 · 2017: 11 · 2016: 3 · 2015: 6 · 2014: 3
FWCI: 6.11
Type: journal article
Language: en
Open access: green
doi.org
Locations: Psychotherapy (publishedVersion)
SSRN Electronic Journal (acceptedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
ScholarSphere (Penn State Libraries) (submittedVersion, cc-by)
Funders: National Institute of Mental Health (R01 MH-309172-01)
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: generalized anxiety disorder, ecological momentary intervention, mobile technology, cognitive behavioral therapy, treatment efficacy, follow-up outcomes
MeSH terms: Adult, Anxiety Disorders, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pilot Projects, Psychiatric Status Rating Scales, Psychotherapy, Group, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome

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A randomized controlled trial of ecological momentary intervention plus brief group therapy for generalized anxiety disorder.

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