Table 4.
Anxiety symptom trajectories and time-varying effects of engagement with elements of blended care therapya.
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Model 1 | Model 2 | Model 3 | ||||
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b (95% CI) | P value | b (95% CI) | P value | b (95% CI) | P value | |
| Intercept | 11.50 (11.45 to 11.54) | <.001 | 11.92 (11.87 to 11.97) | <.001 | 12.10 (12.05 to 12.15) | <.001 | |
| Weeks | –1.23 (–1.24 to –1.22) | <.001 | –1.17 (–1.18 to –1.15) | <.001 | –1.05 (–1.06 to –1.03) | <.001 | |
| Weeks² | 0.06 (0.06 to 0.06) | <.001 | 0.05 (0.05 to 0.05) | <.001 | 0.04 (0.04 to 0.05) | <.001 | |
| Therapy sessions last 7 days | N/Ab | N/A | –0.70 (–0.73 to –0.67) | <.001 | –0.82 (–0.85 to –0.78) | <.001 | |
| Digital lessons last 7 days | N/A | N/A | –0.20 (–0.24 to –0.17) | <.001 | –0.18 (–0.22 to –0.15) | <.001 | |
| Digital exercises last 7 days | N/A | N/A | –0.13 (–0.17 to –0.09) | <.001 | 0.00 (–0.04 to 0.04) | .89 | |
| Provider feedback last 7 days | N/A | N/A | –0.21 (–0.26 to –0.17) | <.001 | –0.12 (–0.16 to –0.08) | <.001 | |
| Therapy sessions 8-14 days | N/A | N/A | N/A | N/A | –0.58 (–0.61 to –0.54) | <.001 | |
| Digital lessons 8-14 days | N/A | N/A | N/A | N/A | –0.26 (–0.30 to –0.22) | <.001 | |
| Digital exercises 8-14 days | N/A | N/A | N/A | N/A | –0.10 (–0.14 to –0.06) | <.001 | |
| Provider feedback 8-14 days | N/A | N/A | N/A | N/A | –0.07 (–0.12 to –0.02) | .004 | |
| Deviance (–2LLc) | 1,059,750 | N/A | 1,056,354 | N/A | 1,054,123 | N/A | |
| AICd | 1,059,772 | N/A | 1,056,384 | N/A | 1,054,161 | N/A | |
| BICe | 1,059,884 | N/A | 1,056,536 | N/A | 1,054,355 | N/A | |
aThe outcome of interest was client scores on the Generalized Anxiety Disorder 7-item scale (GAD-7). The analyzed sample included 30,006 individuals with a baseline GAD-7 score ≥8. dfresidual=196,023 for model 1, dfresidual=196,019 for model 2, and dfresidual=196,015 for model 3.
bNot applicable.
c–2LL: –2 × log likelihood.
dAIC: Akaike information criterion.
eBIC: Bayesian information criterion.