Abstract
This applied study profiled four self-directed behavioral health support tools from Learn to Live, Inc., when offered as an employee benefit. Each of these automated online programs featured eight structured lessons that emphasized cognitive-behavioral therapy techniques. Archival operational information collected across multiple employers in the United States was analyzed for 1,297 unique participants with longitudinal program use data. Significant reductions were found on validated measures of clinical symptoms specific to each program: Depression ( d = 0.93, n = 268; Patient Health Questionnaire–nine-item scale [PHQ-9]), Insomnia ( d = 0.69, n = 295; Medical Outcomes Study [MOS] Sleep), Social Anxiety ( d = 0.53, n = 170; Social Phobia Inventory [SPIN]), and Stress, Anxiety, & Worry ( d = 0.50, n = 633; Generalized Anxiety Disorders–seven-item scale [GAD-7]). Moderators of improvement included greater initial clinical severity and greater engagement in the programs (more lessons used and use of optional live support from a coach or friend/family). Follow-up survey results ( n = 290) revealed high satisfaction and improved work absenteeism and job performance. Financial return to the employer from improved work productivity was estimated at US$2,431 per employee user.
Highlights
The need for mental health support for working adults is well documented in the literature (Attridge, 2019)
This study examined whether digital tools could reduce symptoms associated with the problem areas of anxiety, depression, social anxiety, and insomnia
There was an average of a 26% reduction in severity of clinical symptoms
Summary
The need for mental health support for working adults is well documented in the literature (Attridge, 2019). According to recent reviews of the literature, more than 200 studies have been conducted exploring the use of technology-based tools for individuals interested in seeking support for a range of behavioral health, stress, and related concerns (Andersson, 2018; Davies et al, 2014; Lattie et al, 2019). These resources feature self-directed digital tools that are available anytime on the internet. Sleep problems and insomnia have been successfully addressed with iCBT programs (Espie et al, 2012, 2019; Hagatun et al, 2019; Lancee et al, 2012; Ritterband et al, 2017; Seyffert et al, 2016; Vedaa et al, 2019)
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