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N/A N=57 Randomized Single-blind Treatment

Improving Adherence to Homework During Therapy

Anxiety · Depression · Depression/Anxiety

Enrolled (actual)
57
Serious AEs
0.0%
Results posted
Jan 2026
Primary outcome: Primary: Generalized Anxiety Disorder-7 (Gad-7) — 14.86; 12.88; 8.33; 7.62 units on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Therapy (Behavioral); Therapy + Adhere.ly (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of South Florida
Primary completion
May 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Generalized Anxiety Disorder-7 (Gad-7)
14.86; 12.88; 8.33; 7.62
PRIMARY
Patient Health Questionnaire-8 (PHQ-8)
12.57; 13.80; 7.50; 9.19
SECONDARY
Health-Related Quality of Life (HRQOL-14) - Healthy Mental Health Days Index
9.71; 11.44; 15.42; 12.38
SECONDARY
Homework Rating Scale II (HRS II)
2.74; 2.92
SECONDARY
Assessment of Core CBT Skills (ACCS) - Cognitive Behavioral Therapy Domain
15.51; 14.15
SECONDARY
Attitudes Toward Homework Questionnaire (ATHQ) - Positive Homework Effect Scale
4.43; 4.27; 4.08; 4.14
SECONDARY
Working Alliance Inventory - Short Revised (WAI-SR)
54.09; 49.91
SECONDARY
Client Satisfaction Questionnaire - 8 (CSQ-8)
30.55; 28.62
SECONDARY
Assessment of Core CBT Skills (ACCS) - Homework Domain
7.35; 10.91
SECONDARY
Attitudes Toward Homework Questionnaire (ATHQ) - Negative Session Impact Scale
2.41; 2.14; 1.79; 2.16

Summary

The purpose of this study is to expand Adhere.ly- a simple, HIPAA-compliant, web-based platform to help therapists engage clients in practicing therapeutic skills between sessions (homework) during mental health treatment by conducting a trial comparing standard therapy to therapy enhanced with Adhere.ly.

Eligibility Criteria

Inclusion Criteria

Providers:

  • English-speaking
  • Mental health providers who have obtained at least a master's degree in social work, counseling, clinical psychology, or related field
  • Carry active mental health treatment caseloads in the U.S.
  • Have a laptop, tablet, or smartphone with internet access

Clients:

  • English-speaking
  • Treatment-seeking adults ≥18 years
  • Clinically elevated anxiety and depression as indicated by a score ≥10 on the GAD-7 and/or PHQ-8
  • Have a laptop, tablet, or smartphone with internet access

Exclusion Criteria

Client with self-reported:

  • Active psychotic symptoms (e.g., hallucinations, delusions)
  • Significant cognitive disability.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05866185). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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