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Equal shares of the two e CBT groups and the usual care control group took antidepressant medications. Usual care consisted of any depression or anxiety treatment recommended by the person’s primary care professional.

The care managers also gave progress reports to the referring primary care physicians.These findings were reported in “Diagnostic Accuracy of Screening and Treatment of Post–Acute Coronary Syndrome Depression: A Systematic Review” by John W. Each participant also completed the 12-Item Short-Form Health Survey (SF-12) to determine health-related quality of life, the fixed-length Patient-Reported Outcomes Measurement Information System (PROMIS) depression and anxiety measures to assess mood and anxiety symptoms, and the Primary Care Evaluation of Mental Disorders to provide an anxiety and mood disorder diagnosis. The PROMIS Anxiety scores dropped by five points to below 60, but the e CBT group score was 2.30 points lower. The researchers enrolled in 704 adults ages 18 to 75 with depression or anxiety who were recruited from August 2012 through September 2014 from one of 26 primary care practices in Pittsburgh, Pennsylvania.The researchers provided no treatment advice to the usual care group, unless the screening detected suicidality or a 25% worsening of symptoms from baseline on a follow-up assessment at three, six, or 12 months.Those assigned to e CBT ISG and e CBT alone were provided six months of guided access to an eight-session e CBT program called .

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After six months of treatment, both the e CBT group and those who received usual care had lower PROMIS scores on both scales, indicating improvement, but those in the e CBT group had scores about two points lower than the scores for a control group that received usual care.

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