{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:47:56Z","timestamp":1782845276008,"version":"3.54.5"},"reference-count":36,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"\n Background<\/jats:title>\n Anxiety disorders are common and can be debilitating. In addition, various barriers exist that can hinder access to adequate care. Coaching that is grounded in evidence-based interventions and delivered via synchronous (ie, live) text-based messaging could potentially increase the reach of mental health services among populations who select this modality instead of other services (eg, face-to-face coaching and psychotherapy). In addition, the delivery of live messaging coaching within a blended care model has the potential to combine the benefits of coaching with those of evidence-based digital mental health tools.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This real-world study evaluates the anxiety and satisfaction outcomes of live messaging coaching blended with digital tools (ie, digital exercises and activities).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This was a retrospective cohort study of 121 adults with moderate levels of anxiety symptoms at the beginning of coaching (Generalized Anxiety Disorder-7 [GAD-7] scores: range 8-14). Participants received an employer-offered blended messaging coaching (BMC) program, and those who opted to receive all live coaching sessions via text-based messaging were included. Anxiety symptom severity was regularly measured by using the GAD-7 scale. Using growth curve models, the change in GAD-7 scores over the course of BMC was evaluated, as were the effects of text-based coaching sessions on GAD-7 scores. The proportion of participants that had a reliable improvement in anxiety symptom severity (GAD-7 score reduction of \u22654) or subclinical symptom severity (GAD-7 score of <8) at the end of care was also estimated. Participants also self-reported their likelihood of recommending their live messaging coach to someone with similar needs.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n At baseline, the average GAD-7 score was 9.88 (SD 1.80). Anxiety symptom severity significantly decreased with each week in the BMC program (week: b=\u22121.04; P<.001), and the rate of decline in anxiety symptom severity decreased over time (week2: b=0.06; P<.001). Each live messaging coaching session was associated with significantly lower anxiety symptom severity during the week of the coaching session (b=\u22121.56; P<.001) and the week immediately following the session (b=\u22121.03; P<.001). Overall, 86% (104\/121) of participants had subclinical symptom severity or a reliable reduction in anxiety symptom severity by the end of care. Further, 33.1% (40\/121) of participants reported coaching satisfaction levels; of the 40 participants in this subset, 37 (92.5%) were likely or extremely likely to recommend their live messaging coach.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n BMC that provides coaching sessions via live messaging can be beneficial for adults with moderate symptoms of anxiety who qualify for and self-select this care modality. Large-scale studies with longer follow-ups are needed.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/44138","type":"journal-article","created":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T14:33:05Z","timestamp":1668004385000},"page":"e44138","source":"Crossref","is-referenced-by-count":3,"title":["Outcomes of a Live Messaging, Blended Care Coaching Program Among Adults With Symptoms of Anxiety: Pragmatic Retrospective Cohort Study"],"prefix":"10.2196","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9719-5964","authenticated-orcid":false,"given":"Jocelynn T","family":"Owusu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4942-9399","authenticated-orcid":false,"given":"Pam","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0132-6235","authenticated-orcid":false,"given":"Robert E","family":"Wickham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7716-9064","authenticated-orcid":false,"given":"Sarah F","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1334-7671","authenticated-orcid":false,"given":"Jennifer L","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6051-4316","authenticated-orcid":false,"given":"Connie","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2084-3315","authenticated-orcid":false,"given":"Anita","family":"Lungu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2023,2,1]]},"reference":[{"key":"ref1","unstructured":"World Health OrganizationDepression and other common mental disorders: Global health estimatesWorld Health Organization2023-01-10https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/254610\/WHO-MSD-MER-2017.2-eng.pdf"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqab142"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101894"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2018.49"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/da.22711"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.18m12532"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1037\/1061-4087.53.4.229"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s10942-007-0072-3"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1037\/1524-9220.8.1.53"},{"key":"ref10","first-page":"125","author":"Grant, AM","year":"2010","journal-title":"International Review of Industrial and Organizational Psychology 2010, Volume 25"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.2224\/sbp.2003.31.3.253"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1080\/17439760.2013.837499"},{"issue":"2","key":"ref13","first-page":"75","volume":"3","author":"Gyllensten, K","year":"2005","journal-title":"International Journal of Evidence Based Coaching and Mentoring"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.2196\/32100"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s10942-007-0069-y"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s10942-007-0073-2"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291710002291"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.02.004"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1037\/pri0000120"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1300\/J407v15n04_02"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61257-5"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2019.0313"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.11.005"},{"key":"ref26","author":"Barlow, DH","year":"2017","journal-title":"Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide (2 Edn)"},{"key":"ref27","author":"Hayes, SC","year":"2011","journal-title":"Acceptance and Commitment Therapy 2nd Edition: The Process and Practice of Mindful Change"},{"key":"ref28","author":"Kabat-Zinn, J","year":"2009","journal-title":"Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness"},{"key":"ref29","unstructured":"International Coaching FederationUpdated ICF core competenciesInternational Coaching Federation2019102023-01-10https:\/\/coachingfederation.org\/app\/uploads\/2021\/07\/Updated-ICF-Core-Competencies_English_Brand-Updated.pdf"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2013.06.004"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022-006x.59.1.12"},{"issue":"12","key":"ref32","first-page":"46","volume":"81","author":"Reichheld, FF","year":"2003","journal-title":"Harv Bus Rev"},{"key":"ref33","doi-asserted-by":"crossref","DOI":"10.1093\/acprof:oso\/9780195152968.001.0001","author":"Singer, JD","year":"2003","journal-title":"Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7023"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1177\/0018726718819725"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/formative.jmir.org\/2023\/1\/e44138","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:47:48Z","timestamp":1782841668000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2023\/1\/e44138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,1]]},"references-count":36,"URL":"https:\/\/doi.org\/10.2196\/44138","relation":{},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,1]]}}}